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

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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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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
“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
“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 89
“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
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
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
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
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
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
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 68
“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
Brief Motivational Interviewing in Dental Practice
Gillam, D. G., & Yusuf, H. (2019) · Dentistry Journal · doi:10.3390/dj7020051 · Cited by 63
“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 70
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 68
“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
“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
“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
“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
“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
“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 62
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
“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 64
“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
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
Jansink, R., Braspenning, J. C. C., van der Weijden, T., Niessen, L. W., Elwyn, G. J., & Grol, R. P. T. M. (2009) · BMC Health Services Research · doi:10.1186/1472-6963-9-19 · Cited by 57
“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
“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 57
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
“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
“, 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
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
“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
“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
“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 60
The use of motivational interviewing in weight loss
Dorsten, B. V. (2007) · Current Diabetes Reports · doi:10.1007/s11892-007-0063-x · Cited by 58
Impact of diet and exercise on lipid management in the modern era
Franklin, B. A., Durstine, J. L., Roberts, C. K., & Barnard, R. J. (2014) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2014.01.005 · Cited by 54
The Community Health Educator Referral Liaison (CHERL)
Holtrop, J. S., Dosh, S. A., Torres, T., & Thum, Y. M. (2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2008.08.012 · Cited by 53
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

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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Motivational interviewing in health settings: a review

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