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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Zabaleta‐del‐Olmo, E., Pombo, H., Pons‐Vigués, M., Casajuana‐Closas, M., Ribera, E. P., López‐Jiménez, T., Cabezas, C., Martín-Borràs, C., Serrano‐Blanco, A., Rubio-Valera, M., et al. (2018) · BMC Public Health · doi:10.1186/s12889-018-5805-y · Cited by 33
NCCN Guidelines® Insights: Survivorship, Version 1.2022
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Behavior change, acceptance, and coping flexibility in highly distressed patients with rheumatic diseases: Feasibility of a cognitive-behavioral therapy in multimodal rehabilitation
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Development and content of a group-based intervention to improve medication adherence in non-adherent patients with rheumatoid arthritis
Zwikker, H. E., van den Bemt, B. J. F., van den Ende, C. H. M., van Lankveld, W., den Broeder, A. A., van den Hoogen, F. H. J., van de Mosselaar, B., & van Dulmen, S. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.07.007 · Cited by 28
“MI is a non-judgmental, patient-centered approach that facilitates behavior change by helping patients to explore and resolve their individual ambivalence about behavior change ([14]).”
BackgroundInfluential
The Four-Cluster Spectrum of Mind-Body Interrelationships: An Integrative Model
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Enhanced motivational interviewing for reducing weight and increasing physical activity in adults with high cardiovascular risk: the MOVE IT three-arm RCT
Ismail, K., Stahl, D. R., Bayley, A., Twist, K., Stewart, K., Ridge, K., Britneff, E., Ashworth, M. J., de Zoysa, N., Rundle, J., et al. (2019) · Health Technology Assessment · doi:10.3310/hta23690 · Cited by 29
Patients, caregivers and health‐care professionals’ experience with an interdisciplinary intervention for people with multimorbidity in primary care: A qualitative study
Ngangue, P., Forgues, C., Nguyen, T. N., Sasseville, M., Gallagher, F., Loignon, C., Stewart, M., Brown, J. B., Chouinard, M., & Fortin, M. (2020) · Health Expectations · doi:10.1111/hex.13035 · Cited by 35
Web-Based Treatment Program Using Intensive Therapeutic Contact for Patients With Eating Disorders: Before-After Study
ter Huurne, E. D., Postel, M. G., de Haan, H. A., Drossaert, C. H. C., & DeJong, C. A. J. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2211 · Cited by 28
“The structured, two-part, web-based treatment program was based on the principles of cognitive behavioral therapy (CBT) [19,48,49] and motivational interviewing (MI) [50,51].”
Promoting healthy lifestyles: Behavior modification and motivational interviewing in the treatment of childhood obesity
Limbers, C. A., Turner, E. A., & Varni, J. W. (2008) · Journal of clinical lipidology · doi:10.1016/j.jacl.2008.03.003 · Cited by 28
Mind the gap: collaboration between practice, policy and research in local public health
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Five years of lifestyle intervention improved self-reported mental and physical health in a general population
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Motivational interviewing interactions and the primary health care challenges presented by smokers with low motivation to stop smoking: a conversation analysis
ISTAPS Study Group, Codern‐Bové, N., Ribera, E. P., Pla, M., González-Bonilla, J., Granollers, S., Moreno, J. L. B., Fanlo, G., & Cabezas, C. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-1225 · Cited by 29
“MI has attracted considerable interest because of evidence that it produces better results than brief advice [12], which constitutes usual care in our PHC context [13].”
Background
Motivational interviewing and people with diabetes
Hunt, J. (2011) · European Diabetes Nursing · doi:10.1002/edn.180 · Cited by 27
Model of Human Occupation as a framework for implementation of Motivational Interviewing in occupational rehabilitation
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“The stages of change provide a framework for understanding the process of behavioral change as a representation of an individual’s level of readiness for change, while MI provides the means to facilitate the change process [27, 28].”
Partners in School: An Implementation Strategy to Promote Alignment of Evidence-Based Practices Across Home and School for Children with Autism Spectrum Disorder
Azad, G. F., Minton, K. E., Mandell, D. S., & Landa, R. J. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01064-9 · Cited by 29
“2012; Olekalns and Smith 2000; Shell and Moussa 2007) health communication (Britt et al. 2004; Cameron 2009; Orbe and Allen 2008; Roter et al. 2002; Siminoff and Step 2005), and implementation science (Cook et al.”
Background
Motivational interviewing and screening colonoscopy in high-risk individuals. A randomized controlled trial
Salimzadeh, H., Khabiri, R., Khazaee-Pool, M., Salimzadeh, S., & Delavari, A. (2018) · Patient Education and Counseling · doi:10.1016/j.pec.2018.01.015 · Cited by 27
Einfluss einer Motivationsintervention auf die Bewältigung chronischer Schmerzen
Rau, J., Ehlebracht-König, I., & Petermann, F. (2008) · Der Schmerz · doi:10.1007/s00482-008-0658-4 · Cited by 25
Pragmatic Insights Into a Nurse-Delivered Motivational Interviewing Intervention in the Outpatient Cardiac Rehabilitation Setting
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Preliminary survey of educational support for patients prescribed ocular hypotensive therapy
Gray, T. A., Fenerty, C., Harper, R. A., Lee, A., Spencer, A. F., Campbell, M., Henson, D. B., & Waterman, H. A. (2010) · Eye · doi:10.1038/eye.2010.121 · Cited by 26
Veterans Affairs Research on Health Information Technologies for Diabetes Self-Management Support
Piette, J. D., Kerr, E. A., Richardson, C. R., & Heisler, M. (2008) · Journal of Diabetes Science and Technology · doi:10.1177/193229680800200104 · Cited by 26
Treatment dropout in web-based cognitive behavioral therapy for patients with eating disorders
ter Huurne, E. D., Postel, M. G., de Haan, H. A., van der Palen, J., & DeJong, C. A. J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2016.11.034 · Cited by 25
Improving cardiovascular health of underserved populations in the community with Life's Simple 7
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Evaluation of an E-Therapy Program for Problem Drinkers: A Pilot Study
Postel, M. G., de Haan, H. A., & de Jong, C. A. J. (2010) · Substance Use & Misuse · doi:10.3109/10826084.2010.481701 · Cited by 25
Short-term effect of motivational interviewing on clinical and psychological outcomes and health-related quality of life in cardiac rehabilitation patients with poor motivation in Hong Kong: a randomized controlled trial
Chair, S. Y., Chan, S. W., Thompson, D. R., Leung, K. P., Ng, S. K.-C., & Choi, K. C. (2011) · European Journal of Preventive Cardiology · doi:10.1177/1741826711425428 · Cited by 25
“To date, the effectiveness of MI has been supported by most of the related studies and reviews in addressing the behaviour problems of addiction, especially alcohol addiction.(16,23) Though there are some existing studies which aimed to examine the effectiveness of MI on outcomes of cardiac patients,(24) the results o…”
Rationale and study design of a patient-centered intervention to improve health status in chronic heart failure: The Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) randomized trial
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A pilot intervention to reduce postpartum weight retention and central adiposity in first‐time mothers: results from the mums OnLiNE (Online, Lifestyle, Nutrition & Exercise) study
van der Pligt, P., Ball, K., Hesketh, K. D., Teychenne, M. J., Crawford, D. A., Morgan, P. J., Collins, C. E., & Campbell, K. J. (2017) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12521 · Cited by 25
“Motivational interviewing reflects patient-centred approaches that foster practitioner–patient partnerships (61) and, as a component of the mums OnLiNE intervention, likely contributed to rapport building between the women and the dietitian, thereby facilitating retention to the study.”
Background
Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community
Tan, P. P. S., Sandhu, R. S., Zain, S. M., Hall, D. A., Tan, N. C., Lim, H. M., Daud, F., & Pung, Y. F. (2022) · PLoS ONE · doi:10.1371/journal.pone.0278761 · Cited by 24
“In contrast, there is evidence that interventions which aim to enhance an individual’s motivation were effective in promoting self-care behaviours such as controlling alcohol intake and have been implicated in diabetes management [45].”
Background
Motivational interviewing for improving adherence to antiretroviral medications
Cooperman, N. A., & Arnsten, J. H. (2005) · Current HIV/AIDS Reports · doi:10.1007/s11904-005-0010-x · Cited by 24
Mixed methods study of engagement in behaviors to prevent type 2 diabetes among employees with pre-diabetes
Kullgren, J. T., Knaus, M., Jenkins, K. R., & Heisler, M. (2016) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2016-000212 · Cited by 25
“Future research should focus on testing promising strategies to bolster levels of motivation to prevent type 2 diabetes such as motivational interviewing, 37 tailored messaging, 38 peer support, 39 ﬁ nancial incentives, and different combinations of these approaches.”
Background
Motivational interviewing training for medical students: A pilot pre-post feasibility study
Chéret, A., Durier, C., Noël, N., Bourdic, K., Legrand, C., D’Andréa, C., Hem, E., Goujard, C., Berthiaume, P., & Consoli, S. M. (2018) · Patient Education and Counseling · doi:10.1016/j.pec.2018.06.011 · Cited by 24
“Current ideas in medical ethics favour the promotion of greater patient autonomy, placing patients at the heart of the healthcare system [1].”
Background
Build Better Bones With Exercise: Protocol for a Feasibility Study of a Multicenter Randomized Controlled Trial of 12 Months of Home Exercise in Women With a Vertebral Fracture
Giangregorio, L., Thabane, L., Adachi, J. D., Ashe, M. C., Bleakney, R. R., Braun, E. A., Cheung, A. M., Fraser, L.-A., Gibbs, J. C., Hill, K., et al. (2014) · Physical Therapy · doi:10.2522/ptj.20130625 · Cited by 24
An Expanded Delivery Model for Outpatient Burn Rehabilitation
WIECHMAN, S. A., Carrougher, G. J., Esselman, P. C., Klein, M. B., Martinez, E. M., Engrav, L. H., & Gibran, N. S. (2014) · Journal of Burn Care & Research · doi:10.1097/bcr.0000000000000153 · Cited by 24
Feasibility and Acceptability of a Brief Motivational Stage-Tailored Intervention to Advance Care Planning
Ko, E., Hohman, M. M., Lee, J., Ngo, A.-N., & Woodruff, S. I. (2015) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909115593736 · Cited by 24
Nutrition Policy and Individual Struggle to Eat Healthily: The Question of Public Support
Jürkenbeck, K., Zühlsdorf, A., & Spiller, A. (2020) · Nutrients · doi:10.3390/nu12020516 · Cited by 24
“Another explanation from a psychological viewpoint could be that the individual motivation [85] to change one’s habitual behaviour to follow a healthier diet is important.”
Background
A video‐ and feedback‐based approach to teaching communication skills in undergraduate clinical dental education: The student perspective
Krause, F., Ziebolz, D., Rockenbauch, K., Haak, R., & Schmalz, G. (2021) · European Journal Of Dental Education · doi:10.1111/eje.12682 · Cited by 26
Effect of Computer-Tailored Print Feedback, Motivational Interviewing, and Motivational Enhancement Therapy on Engagement in Advance Care Planning
Fried, T. R., Yang, M., Martino, S., Iannone, L. P., Zenoni, M., Blakley, L., O’Leary, J. R., Redding, C. A., & Paiva, A. L. (2022) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2022.5074 · Cited by 23
Improving oral health status of preschool children using motivational interviewing method
Hajizamani, A., Mohammadi, T. M., & Bozorgmehr, E. (2015) · Dental Research Journal · doi:10.4103/1735-3327.166231 · Cited by 23
“Application of MI into behavior change research should be continued because it is not clear yet how MI has its effect and what elements of MI are essential for the changes.[19] Further research also needs to establish the process of MI and its key components in oral health promotion.”
A review of Motivational Interviewing to enhance adherence to antipsychotic medication in patients with schizophrenia: Evidence and recommendations
Drymalski, W. M., & Campbell, T. C. (2008) · Journal of Mental Health · doi:10.1080/09638230802052161 · Cited by 23
“…substance use among clients with comorbid disorders (Drake et al., 2004), drug use (Britt, Hudson, & Blampied, 2004; Burke et al., 2003) smoking (Dunn, DeRoo, & Rivara, 2001; Rubak et al., 2005), HIV risk behaviors (Burke et al., 2003, Dunn et al., 2001), and eating disorders (Britt et al., 2004).”
Background

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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