Motivational interviewing in health settings: a review

Britt, Eileen; Hudson, Stephen M; Blampied, Neville M

doi:10.1016/s0738-3991(03)00141-1

Cited by 575Behavioral Health and InterventionsPatient-Provider Communication in HealthcareSubstance Abuse Treatment and Outcomes

Motivational interviewing in health settings: a review

Britt, Eileen, Hudson, Stephen M, Blampied, Neville M·2004·Patient Education and Counseling

DOI 10.1016/s0738-3991(03)00141-1

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Abstract

There is evidence that patient-centred approaches to health care consultations may have better outcomes than traditional advice giving, especially when lifestyle change is involved. Motivational interviewing (MI) is a patient-centred approach that is gathering increased interest in health settings. It provides a way of working with patients who may not seem ready to make the behaviour changes that are considered necessary by the health practitioner. The current paper provides an overview of MI, with particular reference to its application to health problems.

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More free-form matrix IA designs might be particularly well-suited to a website or portion of a large website designed to help users resolve their ambiguity about whether or not to engage in a behavior change attempt.
“For example, the more free-form matrix IA designs might be particularly well-suited to a website (or portion of a large website) designed to help users resolve their ambiguity regarding whether or not to engage in a behavior change attempt [37].”
From The Information Architecture of Behavior Change Websites (2005) · cites this paper as [37]

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Adams, J. R., & Drake, R. E. (2006) · Community Mental Health Journal · doi:10.1007/s10597-005-9005-8 · Cited by 302 · see citing works
Effectiveness of a motivational interviewing intervention on weight loss, physical activity and cardiovascular disease risk factors: a randomised controlled trial with a 12-month post-intervention follow-up
Hardcastle, S. J., Taylor, A. H., Bailey, M. P., Harley, R. A., & Hagger, M. S. (2013) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-10-40 · Cited by 269 · see citing works
“Despite the promising findings for the effectiveness of MI for promoting lifestyle change in the short term [13-19], evidence has been lacking for the long term effectiveness of MI on behavioural and biomedical outcomes for overweight or obese people.”
Background
A systematic review of motivational interviewing in physical health care settings
Knight, K. M., McGowan, L., Dickens, C., & Bundy, C. (2006) · British Journal of Health Psychology · doi:10.1348/135910705x52516 · Cited by 251 · see citing works
“…model of behaviour change in facilitating behaviour change in chronic illness (Cassidy, 1999); opportunities and limitations of adapting MI in health care settings (Emmons & Rollnick, 2001); and an overview of MI with particular reference to its application to health problems (Britt et al., 2004).”
Background
Obesity and the Mediterranean Diet: A Review of Evidence of the Role and Sustainability of the Mediterranean Diet
D’Innocenzo, S., Biagi, C., & Lanari, M. (2019) · Nutrients · doi:10.3390/nu11061306 · Cited by 237 · see citing works
“Summarily contains the instruments of action, where the indicated disciplines are to be considered among the most effective and diffused practices and models for individual/behavioral improvement of lifestyles [161,162], with the aim to create engagement even when there is resistance to change [163].”
Background
A randomised controlled trial on the effectiveness of a primary health care based counselling intervention on physical activity, diet and CHD risk factors
Hardcastle, S. J., Taylor, A. H., Bailey, M. P., & Castle, R. (2007) · Patient Education and Counseling · doi:10.1016/j.pec.2007.09.014 · Cited by 225 · see citing works
“In contrast, motivational interviewing (MI) is a client-centred counselling approach that enables patients to explore their beliefs about their health (and associated attributions) and be guided towards self-generated solutions for positive changes in health behaviours [18,19] Patients in primary care appear to have a…”
Background
Mobile phone text messaging to promote healthy behaviors and weight loss maintenance: a feasibility study
Gerber, B. S., Stolley, M. R., Thompson, A. L., Sharp, L. K., & Fitzgibbon, M. (2009) · Health Informatics Journal · doi:10.1177/1460458208099865 · Cited by 215 · see citing works
Cardiac Rehabilitation and Risk Reduction
Sandesara, P. B., Lambert, C. T., Gordon, N. F., Fletcher, G. F., Franklin, B. A., WENGER, N. K., & Sperling, L. S. (2015) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2014.10.059 · Cited by 213 · see citing works
“, home, work, community) sages about lifestyle counseling to patients’ individual readiness to e the likelihood of behavioral transformation (67), as will motivational rm of talk therapy during patient encounters (68,69).”
Background
National type 2 diabetes prevention programme in Finland: FIN-D2D
Saaristo, T., Peltonen, M., Keinanen-Kiukaanniemi, S. M., Vanhala, M. J., Saltevo, J. T., NISKANEN, L. K., Oksa, H. H., Korpi-Hyövälti, E., & Tuomilehto, J. (2007) · International Journal of Circumpolar Health · doi:10.3402/ijch.v66i2.18239 · Cited by 210 · see citing works
“A subject does not necessarily want advice if it is given in a way that is perceived as a command (41,42).”
Background
Emerging models for mobilizing family support for chronic disease management: a structured review
Rosland, A.-M. M., & Piette, J. D. (2010) · Chronic Illness · doi:10.1177/1742395309352254 · Cited by 207 · see citing works
“A significant body of research from efforts to train healthcare professionals in more effective communication and behavioural change approaches has shown that initial training has to be reinforced with frequent booster sessions for the communication approaches to be sustained.(50) This likely will also be the case for…”
Background
A Practice-Based Trial of Motivational Interviewing and Adherence in Hypertensive African Americans
Ogedegbe, G. G., Chaplin, W. F., Schoenthaler, A., Statman, D., Berger, D. B., Richardson, T., Phillips, E. L., Spencer, J., & Allegrante, J. P. (2008) · American Journal of Hypertension · doi:10.1038/ajh.2008.240 · Cited by 202 · see citing works
Motivational interviewing for smoking cessation
Lindson, N., Thompson, T. P., Ferrey, A., Lambert, J. D., & Aveyard, P. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006936.pub4 · Cited by 191 · see citing works
Motivational interviewing and outcomes in adults with type 2 diabetes: A systematic review.
Ekong, G., & Kavookjian, J. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2015.11.022 · Cited by 193 · see citing works
“Studies of MI-based interventions aimed at diabetes selfmanagement behavior change have sometimes yielded inconsistent results for the impact of MI, with inadequate MI training and/ or the presence of heterogeneous study designs and measures often cited as reasons for the differences in study findings [15–18].”
Result
Interventions for self-management of type 2 diabetes: An integrative review
Carpenter, R., DiChiacchio, T., & Barker, K. (2019) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2018.12.002 · Cited by 170 · see citing works
“MI has been used in health care consultation in the treatment of a variety of health problems, including alcoholism, substance abuse, smoking cessation, eating disorders, and psychiatric treatment adherence [18].”
Method
Consultations about changing behaviour
Rollnick, S., Butler, C., McCambridge, J., Kinnersley, P., Elwyn, G. J., & Resnicow, K. (2005) · BMJ · doi:10.1136/bmj.331.7522.961 · Cited by 170 · see citing works
A postpartum vaccination promotion intervention using motivational interviewing techniques improves short-term vaccine coverage: PromoVac study
Gagneur, A., Lemaître, T., Gosselin, V., Farrands, A., Carrier, N., Petit, G., Valiquette, L., & Wals, P. D. (2018) · BMC Public Health · doi:10.1186/s12889-018-5724-y · Cited by 167 · see citing works
Quality of life in mental disorders: challenges for research and clinical practice.
Katschnig, H. (2006) · Europe PMC (PubMed Central) · Cited by 166 · see citing works
Mechanisms of change within motivational interviewing in relation to health behaviors outcomes: A systematic review
Copeland, L., McNamara, R. L., Kelson, M. J., & Simpson, S. A. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.11.022 · Cited by 164 · see citing works
“This finding is surprising given that self-efficacy has been identified as an important construct in MI [5].”
BackgroundMethod
The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial: Rationale, Design, and Methods
(2015) · Clinical Infectious Diseases · doi:10.1093/cid/civ844 · Cited by 161 · see citing works
Models for individual oral health promotion and their effectiveness: a systematic review
Yevlahova, D., & Satur, J. (2009) · Australian Dental Journal · doi:10.1111/j.1834-7819.2009.01118.x · Cited by 155 · see citing works
Development and Validation of the Hypertension Self-care Profile
Han, H., Lee, H., Commodore-Mensah, Y. Y., & Kim, M. T. (2013) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0b013e3182a3fd46 · Cited by 165 · see citing works
“Motivation and self-efficacy in performing self-care are central factors in facilitating adherence and lifestyle changes among chronically ill patients.(27,51) Therefore, improving HBP patients’ motivation and self-efficacy may be a promising avenue for enhancing self-care and, eventually, achieving BP control, as evi…”
BackgroundMethod
Randomized trial of group interventions to reduce HIV/STD risk and change theoretical mediators among detained adolescents.
Schmiege, S. J., Broaddus, M., Levin, M. E., & Bryan, A. D. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0014513 · Cited by 153 · see citing works
“MI has been characterized as being consistent with the major models of health behavior, including the TPB and the SCT (Apodaca, Abrantes, Strong, Ramsey, & Brown, 2007; Britt, Hudson, & Blampied, 2003 ).”
Method
Proactive Tobacco Cessation Outreach to Smokers of Low Socioeconomic Status
Haas, J. S., Linder, J. A., Park, E. R., Gonzalez, I., Rigotti, N. A., Klinger, E. V., Kontos, E. Z., Zaslavsky, A. M., Brawarsky, P., Marinacci, L., et al. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2014.6674 · Cited by 153 · see citing works
“Age, median (range), y 49 (19-82) 51 (21-77) .”
A 2-Arm, Randomized, Controlled Trial of a Motivational Interviewing-Based Intervention to Improve Adherence to Antiretroviral Therapy (ART) Among Patients Failing or Initiating ART
Golin, C. E., Earp, J. A., Tien, H. C., Stewart, P. W., Porter, C. Q., & Howie, L. J. (2006) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/01.qai.0000219771.97303.0a · Cited by 144 · see citing works
Motivational interviewing: a useful approach to improving cardiovascular health?
Thompson, D. R., Chair, S. Y., Chan, S. W., Astin, F., Davidson, P. M., & Ski, C. F. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2010.03558.x · Cited by 139 · see citing works
“Although it appears that developing the attitude and knowledge necessary may not be too time-consuming, the skills required for effective motivational interviewing may take longer to develop (Britt et al. 2004).”
BackgroundInfluential
A practitioner’s guide to persuasion: An overview of 15 selected persuasion theories, models and frameworks
Cameron, K. A. (2009) · Patient Education and Counseling · doi:10.1016/j.pec.2008.12.003 · Cited by 140 · see citing works
“This dissonance is then used to encourage the patient to consider both pros and cons of behavior change [127].”
Method
Addressing Patients' Psychosocial Concerns Regarding Hearing Aids Within Audiology Appointments for Older Adults
Ekberg, K., Barr, C., & Hickson, L. M. H. (2014) · American Journal of Audiology · doi:10.1044/2014_aja-14-0011 · Cited by 136 · see citing works
Motivational Interviewing to promote self-awareness and engagement in rehabilitation following acquired brain injury: A conceptual review
Medley, A. R., & Powell, T. (2010) · Neuropsychological Rehabilitation · doi:10.1080/09602010903529610 · Cited by 132 · see citing works
“Britt, Hudson, and Blampied (2004) and later Knight et al.”
Background
The Information Architecture of Behavior Change Websites
Danaher, B. G., McKay, H. G., & Seeley, J. R. (2005) · Journal of Medical Internet Research · doi:10.2196/jmir.7.2.e12 · Cited by 129 · see citing works
“For example, the more free-form matrix IA designs might be particularly well-suited to a website (or portion of a large website) designed to help users resolve their ambiguity regarding whether or not to engage in a behavior change attempt [37].”
Background
Home-Based Cardiac Rehabilitation
Thomas, R. J., Beatty, A. L., Beckie, T. M., Brewer, L. C., Brown, T. M., Forman, D. E., Franklin, B. A., Keteyian, S. J., Kitzman, D. W., Regensteiner, J. G., et al. (2019) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000447 · Cited by 127 · see citing works
Home Visiting for Adolescent Mothers: Effects on Parenting, Maternal Life Course, and Primary Care Linkage
Barnet, B., Liu, J., DeVoe, M., Alperovitz-Bichell, K., & DUGGAN, A. K. (2007) · The Annals of Family Medicine · doi:10.1370/afm.629 · Cited by 126 · see citing works
Improving Provider Communication about HPV Vaccines for Vaccine-Hesitant Parents Through the Use of Motivational Interviewing
Reno, J. E., O’Leary, S. T., Garrett, K. M., Pyrzanowski, J. L., Lockhart, S., Campagna, E. J., Barnard, J. G., & Dempsey, A. F. (2018) · Journal of Health Communication · doi:10.1080/10810730.2018.1442530 · Cited by 124 · see citing works
Training Dietitians in Basic Motivational Interviewing Skills Results in Changes in Their Counseling Style and in Lower Saturated Fat Intakes in Their Patients
Brug, J., Spikmans, F., Aartsen, C., Breedveld, B., Bes, R., & Fereira, I. (2007) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2006.08.010 · Cited by 120 · see citing works
“However, there is a lack of trials that have tested the ffects of the MI approach in diet counselling.(6,8) The resent study explored whether training dietitians in basic I skills changed the dietitians’ counseling practices and heir patients’ diets, body mass index (BMI), waist circumerence (WC), and glycated hemoglo…”
Background
Partners in School: An Innovative Parent-Teacher Consultation Model for Children with Autism Spectrum Disorder
Azad, G. F., Marcus, S. C., Sheridan, S. M., & Mandell, D. S. (2018) · Journal of Educational and Psychological Consultation · doi:10.1080/10474412.2018.1431550 · Cited by 122 · see citing works
A Common Factors Approach to Improving the Mental Health Capacity of Pediatric Primary Care
Wissow, L., Anthony, B. J., Brown, J. D., dosReis, S., Gadomski, A., Ginsburg, G. S., & Riddle, M. A. (2008) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-008-0178-7 · Cited by 119 · see citing works
“Motivational enhancement, which as noted above includes common factor elements, has been widely proposed for use in both pediatric and adult primary care (Sindelar et al. 2004; Britt et al. 2004; Resnicow et al. 2006).”
Method
School-based sleep promotion programs: Effectiveness, feasibility and insights for future research
Cassoff, J., Knäuper, B., Michaelsen, S., & Gruber, R. (2013) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.07.001 · Cited by 118 · see citing works
A meta-analysis of cognitive-based behaviour change techniques as interventions to improve medication adherence
Easthall, C., Song, F., & Bhattacharya, D. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002749 · Cited by 113 · see citing works
Annals Journal Club: It's Time to Get RADICAL
Stange, K. C. (2006) · The Annals of Family Medicine · doi:10.1370/afm.588 · Cited by 112 · see citing works
Adherence to Continuous Positive Airway Pressure Therapy in Obstructive Sleep Apnoea sufferers: A theoretical approach to treatment adherence and intervention
Olsen, S., Smith, S. S., & Oei, T. P. S. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.07.004 · Cited by 104 · see citing works
“MI appears to be particularly relevant to the problem of CPAP adherence in OSA (Aloia et al., 2004) as it addresses the patient's ambivalence regarding CPAP use and is consistent with several models of the models of behaviour change ( Britt et al., 2004 ) which have been applied to CPAP.”
BackgroundMethod
Motivational interviewing (MINT) improves continuous positive airway pressure (CPAP) acceptance and adherence: A randomized controlled trial.
Olsen, S., Smith, S. S., Oei, T. P. S., & Douglas, J. A. (2011) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0026302 · Cited by 100 · see citing works
Effects of a 12-week mHealth program on peak VO2 and physical activity patterns after completing cardiac rehabilitation: A randomized controlled trial
Duscha, B. D., Piner, L. W., Patel, M. P., Craig, K. P., Brady, M., McGarrah, R. W., Chen, C., & Kraus, W. E. (2018) · American Heart Journal · doi:10.1016/j.ahj.2018.02.001 · Cited by 94 · see citing works
Interactive Behavior Change Technology to Support Diabetes Self-Management
Piette, J. D. (2007) · Diabetes Care · doi:10.2337/dc07-1046 · Cited by 90 · see citing works
“There are a number of behavior change approaches (such as motivational interviewing [54]) and broader ecological perspectives (17) that can be useful in shaping IBCT communication so that it has the greatest possible beneﬁt.”
Background
The loss of reason in patient decision aid research: Do checklists damage the quality of informed choice interventions?
Bekker, H. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.01.002 · Cited by 89 · see citing works
“parts to patient decision aid interventions [59,82,83,107–109].”
Communication-related behavior change techniques used in face-to-face lifestyle interventions in primary care: A systematic review of the literature
Noordman, J., van der Weijden, T., & van Dulmen, S. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.07.006 · Cited by 87 · see citing works
“Providing advice about behavior change to patients is a common approach used by health care providers, although previous studies show that the effectiveness of advice giving is uncertain [16,18].”
Background
Current knowledge and future directions about the disclosure of dementia: A systematic review of the first decade of the 21st century
Werner, P., Karnieli‐Miller, O., & Eidelman, S. (2012) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2012.02.006 · Cited by 88 · see citing works
Acanthosis Nigricans and Diabetes Risk Factors: Prevalence in Young Persons Seen in Southwestern US Primary Care Practices
Kong, A. S., Williams, R., Smith, M. M., Sussman, A. L., SKIPPER, B. J., Hsi, A. C., & Rhyne, R. L. (2007) · The Annals of Family Medicine · doi:10.1370/afm.678 · Cited by 86 · see citing works
Impact of a vaccination promotion intervention using motivational interview techniques on long-term vaccine coverage: the PromoVac strategy
Lemaître, T., Carrier, N., Farrands, A., Gosselin, V., Petit, G., & Gagneur, A. (2018) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2018.1549451 · Cited by 85 · see citing works
A randomized, controlled trial of aerobic exercise in combination with paroxetine in the treatment of panic disorder
Wedekind, D., Broocks, A., Weiss, N., Engel, K. R., Neubert, K., & Bandelow, B. (2010) · The World Journal of Biological Psychiatry · doi:10.3109/15622975.2010.489620 · Cited by 84 · see citing works
No identifiable Hb1Ac or lifestyle change after a comprehensive diabetes programme including motivational interviewing: A cluster randomised trial
Jansink, R., Braspenning, J., Keizer, E., van der Weijden, T., Elwyn, G., & Grol, R. (2013) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813432.2013.797178 · Cited by 79 · see citing works
The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and caregivers of preschool children: an exploratory cluster randomised controlled study
Naidu, R. S., Nunn, J., & Irwin, J. D. (2015) · BMC Oral Health · doi:10.1186/s12903-015-0068-9 · Cited by 85 · see citing works
“…been suggested that health practitioners are likely to gain a greater sense of achievement from recognising progress in an individual ’ s ‘ readiness for change ’ as an important outcome rather than using behaviour change as the only goal since this may not be measurable in the short term [41].”
Background
An evolving perspective on physical activity counselling by medical professionals
McPhail, S., & Schippers, M. (2012) · BMC Family Practice · doi:10.1186/1471-2296-13-31 · Cited by 83 · see citing works
“Motivational interviewing has been successfully applied in several areas of health-related behaviour change to bring people closer to initiating positive behaviours [84,85].”
Background
Integrating Decision Making and Mental Health Interventions Research: Research Directions.
Wills, C. E., & Holmes-Rovner, M. M. (2006) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2006.00002.x · Cited by 80 · see citing works
Tailored Print Communication and Telephone Motivational Interviewing Are Equally Successful in Improving Multiple Lifestyle Behaviors in a Randomized Controlled Trial
van Keulen, H. M., Mesters, I., Ausems, M., van Breukelen, G., Campbell, M. K., Resnicow, K., Brug, J., & de Vries, H. (2010) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9231-3 · Cited by 78 · see citing works
Diet and exercise intervention in a general population--mediators of participation and adherence: the Inter99 study.
Toft, U., Kristoffersen, L., Aadahl, M., Smith, L. V. H., Pisinger, C., & Jørgensen, T. (2007) · European Journal of Public Health · doi:10.1093/eurpub/ckl262 · Cited by 79 · see citing works
Web-based cognitive behavioral therapy for female patients with eating disorders: randomized controlled trial
ter Huurne, E. D., de Haan, H. A., Postel, M. G., van der Palen, J., VanDerNagel, J. E., & DeJong, C. A. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3946 · Cited by 78 · see citing works
“CBT [22-24] and motivational interviewing (MI) [25,26] were the fundamentals of the intervention including techniques such as psycho-education, self-monitoring, thought restructuring, problem solving, and relapse prevention.”
Method
Effectiveness of a group-based intervention to change medication beliefs and improve medication adherence in patients with rheumatoid arthritis: A randomized controlled trial
Zwikker, H. E., van den Ende, C. H. M., van Lankveld, W. G., den Broeder, A. A., van den Hoogen, F. H. J., van de Mosselaar, B., van Dulmen, S., & van den Bemt, B. J. F. (2013) · Patient Education and Counseling · doi:10.1016/j.pec.2013.12.002 · Cited by 77 · see citing works
“The intervention consisted of two motivational interviewing (MI) guided [27] group sessions (one week apart, with 5–7 RA patients), designed to improve patients’ balance between necessity beliefs and concern beliefs about medication and to resolve patients’ practical barriers to medication taking.”
Background
The effects of smoking cessation counseling by midwives on Dutch pregnant women and their partners
de Vries, H., Bakker, M. J., Mullen, P. D., & van Breukelen, G. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2005.10.002 · Cited by 75 · see citing works
“Recent findings using motivational interviewing might be useful to attract unmotivated women [51,52].”
Background
A framework for establishing connections in physiotherapy practice
Miciak, M., Mayan, M. J., Brown, C. A., Joyce, A. S., & Gross, D. P. (2018) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2018.1434707 · Cited by 74 · see citing works
“For instance, motivational interviewing emphasizes an empathic approach to help mobilize a patient’s resources (Britt, Hudson, and Blampied, 2004), which is consistent with various aspects of acknowledging the individual and giving-ofself in our findings.”
Background
When people live with multiple chronic diseases: a collaborative approach to an emerging global challenge
Toro, N. (2011) · International Journal of Integrated Care · doi:10.5334/ijic.800 · Cited by 70 · see citing works
Pregnancy and STD Prevention Counseling Using an Adaptation of Motivational Interviewing: A Randomized Controlled Trial
Petersen, R., Albright, J. B., Garrett, J. M., & Curtis, K. M. (2007) · Perspectives on Sexual and Reproductive Health · doi:10.1363/3902107 · Cited by 69 · see citing works
Motivational interviewing for adherence problems in cystic fibrosis
Duff, A. J. A., & Latchford, G. J. (2010) · Pediatric Pulmonology · doi:10.1002/ppul.21103 · Cited by 69 · see citing works
Telenurses’ understanding of work: detective or educator?
Kaminsky, E., Rosenqvist, U., & Holmström, I. K. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2008.04877.x · Cited by 68 · see citing works
Effectiveness of a Combined Social and Physical Environmental Intervention on Presenteeism, Absenteeism, Work Performance, and Work Engagement in Office Employees
Coffeng, J. K., Hendriksen, I. J. M., Duijts, S. F. A., Twisk, J. W. R., van Mechelen, W., & Boot, C. R. L. (2014) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000000116 · Cited by 67 · see citing works
Effects of motivational interviewing to promote weight loss in obese children
Wong, E. M., & Cheng, M. M. (2013) · Journal of Clinical Nursing · doi:10.1111/jocn.12098 · Cited by 66 · see citing works
Education in patient–physician communication: How to improve effectiveness?
Wouda, J. C., & van de Wiel, H. B. M. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.09.005 · Cited by 66 · see citing works
“Influencing techniques and skills which are effective but also feasible within the context of medical consultations, can be found in the literature [84–96].”
Background
Re‐engineering cardiac rehabilitation programmes: considering the patient's point of view
Pâquet, M., Bolduc, N., Xhignesse, M., & Vanasse, A. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03544.x · Cited by 64 · see citing works
Brief Motivational Interviewing in Dental Practice
Gillam, D. G., & Yusuf, H. (2019) · Dentistry Journal · doi:10.3390/dj7020051 · Cited by 63 · see citing works
“However, MI has been used in over 200 randomized clinical trials [RCTs] since the 1990s for a range of health behaviors including diabetes, pain management, eating disorders, dietary change, and oral health [13].”
BackgroundMethod
Self‐efficacy, self‐care behavior, anxiety, and depression in T aiwanese with type 2 diabetes: A cross‐sectional survey
Wu, S. V., Huang, Y., Lee, M., Wang, T.-J. T., Tung, H., & Wu, M. (2013) · Nursing and Health Sciences · doi:10.1111/nhs.12022 · Cited by 62 · see citing works
Assessing motivation and readiness to change for weight management and control: an in-depth evaluation of three sets of instruments
Ceccarini, M., Borrello, M., Pietrabissa, G., Manzoni, G. M., & Castelnuovo, G. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.00511 · Cited by 61 · see citing works
“Healthy nutrition and regular physical activity are considered essential protective factors in health promotion and risk prevention of chronic diseases (Britt et al., 2004).”
Background
Hope and fatigue in chronic illness: The role of perceived stress
Hirsch, J. K., & Sirois, F. M. (2014) · Journal of Health Psychology · doi:10.1177/1359105314527142 · Cited by 60 · see citing works
“Brief interventions, including strategies from Motivational Interviewing and Problem-Solving Therapy, as well as more simplistic goal identification and attainment exercises, could be implemented in medical settings or accessed online (Britt et al., 2004; Dube et al., 2007).”
Method
Population-Based Childhood Overweight Prevention: Outcomes of the ‘Be Active, Eat Right’ Study
van Grieken, A., Veldhuis, L., Renders, C. M., Borsboom, G., van der Wouden, J. C., Hirasing, R. A., & Raat, H. (2013) · PLoS ONE · doi:10.1371/journal.pone.0065376 · Cited by 61 · see citing works
“Although previous research has shown the positive effects of a motivational interviewing approach [39,41] even when working with parents of obese children [38], the YHC professionals reported difficulties in motivating parents to attend additional counseling sessions or changing health-related behavior.”
Background
Physicians' communication with patients about adherence to HIV medication in San Francisco and Copenhagen: a qualitative study using Grounded Theory
Barfod, T. S., Hecht, F. M., Rubow, C., & Gerstoft, J. (2006) · BMC Health Services Research · doi:10.1186/1472-6963-6-154 · Cited by 60 · see citing works
“Prior to the interviews, we were familiar with the classical health behavior models [26], some main adherence theories [27,28], the basics of physician-patient communication [29,30], and with guidelines for HAART adherence counseling [2,31].”
BackgroundMethod
Second Births to Teenage Mothers: Risk Factors For Low Birth Weight and Preterm Birth
Partington, S. N., Steber, D. L., Blair, K. A., & Cisler, R. A. (2009) · Perspectives on Sexual and Reproductive Health · doi:10.1363/4110109 · Cited by 57 · see citing works
“A number of methods to deliver behavioral counseling in a health care setting have been found cost-effective and effi cacious, including brief interventions and motivational interviewing.(48,51,52) Consistent, thorough screening for each of the above-mentioned behaviors at the fi rst prenatal visit, followed by counse…”
Method
Primary prevention of diabetes mellitus type 2 and cardiovascular diseases using a cognitive behavior program aimed at lifestyle changes in people at risk: Design of a randomized controlled trial
Lakerveld, J., Bot, S. D. M., Chinapaw, M. J., van Tulder, M. W., van Oppen, P., Dekker, J. M., & Nijpels, G. (2008) · BMC Endocrine Disorders · doi:10.1186/1472-6823-8-6 · Cited by 59 · see citing works
“The CBP will be provided by nurse practitioners in the participating general practices, and will consist of a maximum of 6 individual 30-minute counseling sessions [37], followed by 3-monthly booster sessions by phone for a period of one year.”
Social robots as treatment agents: Pilot randomized controlled trial to deliver a behavior change intervention
Robinson, N., Connolly, J., Hides, L. M., & Kavanagh, D. J. (2020) · Internet Interventions · doi:10.1016/j.invent.2020.100320 · Cited by 59 · see citing works
Evaluation of a Web-Based E-Learning Platform for Brief Motivational Interviewing by Nurses in Cardiovascular Care: A Pilot Study
Fontaine, G., Cossette, S., Heppell, S., Boyer, L., Mailhot, T., Simard, M.-J., & Tanguay, J. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.6298 · Cited by 58 · see citing works
“These determinants of health behavior change can be addressed via client-centered interventions that target individuals’ beliefs, values, and motivation [7-10].”
A feasibility randomised controlled trial of a motivational interviewing-based intervention for weight loss maintenance in adults
Simpson, S. A., McNamara, R. L., Shaw, C., Kelson, M. J., Moriarty, Y., Randell, E., Cohen, D. R., Alam, M. F., Copeland, L., Duncan, D., et al. (2015) · Health Technology Assessment · doi:10.3310/hta19500 · Cited by 58 · see citing works
“This was based on experience from clinical practice as well as evidence from reviews and meta-analyses.(57,63) Participants also received two MI-based telephone calls at 6 and 12 months lasting around 20 minutes.”
BackgroundMethod
Understanding Stay/Leave Decisions in Violent Relationships: A Behavior Analytic Approach
Bell, K. M., & Naugle, A. E. (2005) · Behavior and Social Issues · doi:10.5210/bsi.v14i1.119 · Cited by 57 · see citing works
Nurse-led motivational interviewing to change the lifestyle of patients with type 2 diabetes (MILD-project): protocol for a cluster, randomized, controlled trial on implementing lifestyle recommendations
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“These elements lead to improvements of patient outcomes and process outcomes, and they play an important role in lifestyle counseling for diabetes patients [15-17].”
Background
Implementation of Motivational Interviewing in a diabetes care management initiative in the Netherlands
van Eijk‐Hustings, Y., Daemen, L., Schaper, N. C., & Vrijhoef, H. J. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.06.016 · Cited by 57 · see citing works
“Furthermore, it is unclear how much training is needed for competent appliance of MI and how patient characteristics may influence the implementation of MI [19].”
Background
Physicians' Perceptions of Barriers to Cardiovascular Disease Risk Factor Control among Patients with Diabetes: Results from the Translating Research into Action for Diabetes (TRIAD) Study
Crosson, J. C., Heisler, M., Subramanian, U., Swain, B. E., Davis, G. J., Lasser, N. L., Ross, S. D., Schmittdiel, J. A., Onyemere, K. U., & Tseng, C.-W. (2010) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2010.02.090125 · Cited by 56 · see citing works
Mechanisms of motivational interviewing in health promotion: a Bayesian mediation analysis
Pirlott, A. G., Kisbu‐Sakarya, Y., DeFrancesco, C., Elliot, D. L., & MacKinnon, D. P. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-69 · Cited by 57 · see citing works
“MI has been successful in substance use intervention research [22,27-29] yet its use in health promotion research has not yet been extensively studied [30].”
Background
The FAST study: Fertility ASsessment and advice Targeting lifestyle choices and behaviours: a pilot study
Homan, G., Litt, J., & Norman, R. J. (2012) · Human Reproduction · doi:10.1093/humrep/des176 · Cited by 56 · see citing works
“, 2009), generating cognitive dissonance (Britt et al., 2004).”
Background
Survivorship: Healthy Lifestyles, Version 2.2014
Denlinger, C. S., Ligibel, J. A., Are, M., Baker, K. S., Demark‐Wahnefried, W., Dizon, D. S., Friedman, D. L., Goldman, M. E., Jones, L. W., King, A. A., et al. (2014) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2014.0121 · Cited by 57 · see citing works
Dietary and physical activity counselling on Type 2 diabetes and impaired glucose tolerance by physicians and nurses in primary healthcare in Finland
Poskiparta, M., Kasila, K., & Kiuru, P. (2006) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813430600866463 · Cited by 56 · see citing works
“Although patients already know about healthy physical activity and diet, they have problems with the practical application of this knowledge [16,17].”
Background
Motivational interviewing to support antiretroviral therapy adherence: The role of quality counseling
Thrasher, A. D., Golin, C. E., Earp, J. A., Tien, H. C., Porter, C. Q., & Howie, L. J. (2005) · Patient Education and Counseling · doi:10.1016/j.pec.2005.06.003 · Cited by 55 · see citing works
“To put the results of MI efficacy research in context [11,24,41], researchers should include details about interviewer training and skill level in published accounts.”
BackgroundResult
Research to encourage exercise for fibromyalgia (REEF): use of motivational interviewing design and method
Ang, D. C., Kaleth, A. S., Bigatti, S., Mazzuca, S., Saha, C., Hilligoss, J., Lengerich, M., & Bandy, R. (2011) · Contemporary Clinical Trials · doi:10.1016/j.cct.2010.08.014 · Cited by 51 · see citing works
“MI also appears to be consistent with a number of models of health behavior, such as Theory of Planned Behavior, and Social Cognitive Theory[108].”
Method
Importance of Lifestyle Modification on Cardiovascular Risk Reduction
Franklin, B. A., MYERS, J. N., & Kokkinos, P. F. (2020) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000496 · Cited by 54 · see citing works
The use of motivational interviewing in weight loss
Dorsten, B. V. (2007) · Current Diabetes Reports · doi:10.1007/s11892-007-0063-x · Cited by 54 · see citing works
Impact of diet and exercise on lipid management in the modern era
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The Community Health Educator Referral Liaison (CHERL)
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Effects of video‐feedback on the communication, clinical competence and motivational interviewing skills of practice nurses: a pre‐test posttest control group study
Noordman, J., van der Weijden, T., & van Dulmen, S. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12376 · Cited by 52 · see citing works

Patient Education and Counseling 53 (2004) 147–155 Motivational interviewing in health settings: a review
Britt, E., Hudson, S. M., & Blampied, N. M. (2003)
Self-citation
Motivational Interviewing
Leffingwell, T. R. (2020) · The Wiley Encyclopedia of Health Psychology · doi:10.1002/9781119057840.ch160 · Cited by 3 · see citing works
Chapter 1: Why Another Book on Motivational Interviewing?
(2019) · The American Pharmacists Association eBooks · doi:10.21019/9781582123219.ch1
Effectiveness of Motivational Interviewing to Improve Chronic Condition Self-Management
Coyne, N. A., & Correnti, D. (2013) · Home Healthcare Now · doi:10.1097/nhh.0000000000000001 · Cited by 14 · see citing works
Introduction to Motivational Interviewing (MI)
Tan, A. S. (2012) · The Singapore Family Physician · Cited by 1 · see citing works

Authors: Britt, E., Hudson, S. M., & Blampied, N. M.
Affiliations: University of Canterbury (NZ)
Corresponding author: Britt, Eileen
ORCID: Blampied, Neville M
Venue: Patient Education and Counseling
Publisher: Elsevier BV
Published: 2004-05
Volume: 53
Issue: 2
Pages: 147-155
ISSN: 0738-3991 (ISSN-L)
DOI: 10.1016/s0738-3991(03)00141-1
OpenAlex: W2102108307
Cited by: 575
References: 95
Citations by year: 2026: 3 · 2025: 3 · 2024: 8 · 2023: 9 · 2022: 21 · 2021: 12 · 2020: 74 · 2019: 25 · 2018: 36 · 2017: 24 · 2016: 25 · 2015: 45 · 2014: 48 · 2013: 46 · 2012: 33
FWCI: 14.30
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Patient Education and Counseling (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: motivational interviewing, patient-centered care, health consultation, lifestyle modification, behavior change, patient readiness
MeSH terms: Cognitive Dissonance, Communication, Conflict, Psychological, Counseling, Health Promotion, Helping Behavior, Holistic Health, Humans, Interviews as Topic, Health Knowledge, Attitudes, Practice, Life Style, Motivation, Professional-Patient Relations, Psychological Theory, Psychology, Social, Health Behavior, Outcome Assessment, Health Care, Patient-Centered Care, Self Efficacy

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