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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Background
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Method
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Method
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Motivational interviewing-based interventions and diabetes mellitus
Mulimba, A. A. C., & Byron‐Daniel, J. (2014) · British Journal of Nursing · doi:10.12968/bjon.2014.23.1.8 · Cited by 14
Family members’ or friends’ involvement in self-care for patients with depressive symptoms and co-morbid chronic conditions
Sussman, T., McCusker, J., Yaffe⃰, M. J., Belzile, É., Sewitch, M. J., Cole, M. G., & Strumpf, E. (2016) · Chronic Illness · doi:10.1177/1742395316633510 · Cited by 14
Impacts of Post-Hospitalization Accessible Health Technology and Caregiver Support on 90-Day Acute Care Use and Self-Care Assistance
Piette, J. D., Striplin, D., Aikens, J. E., Lee, A., Marinec, N. S., Mansabdar, M., Chen, J., Gregory, L. A., & Kim, C. S. (2020) · American Journal of Medical Quality · doi:10.1177/1062860620943673 · Cited by 14
The evaluation of a physical health promotion intervention for people with severe mental illness receiving community based accommodational support: a mixed-method pilot study
Kirschner, V. S., Lamp, N., Dinc, Ü., Becker, T. M., Kilian, R., & Mueller‐Stierlin, A. S. (2022) · BMC Psychiatry · doi:10.1186/s12888-021-03640-1 · Cited by 16
Motivational Interviewing Skills in Health Care Encounters (MISHCE): Development and psychometric testing of an assessment tool
Petrova, T., Kavookjian, J., Madson, M. B., Dagley, J. C., Shannon, D., & McDonough, S. K. (2014) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2014.12.001 · Cited by 14
The impact of a population-based multi-factorial lifestyle intervention on alcohol intake
Toft, U., Pisinger, C. H., Aadahl, M., Lau, C. J., Linneberg, A. R., Ladelund, S., Kristoffersen, L., & Jørgensen, T. (2009) · Preventive Medicine · doi:10.1016/j.ypmed.2009.06.007 · Cited by 14
From transitions to transformation – A study of pharmacists developing patient-centered communication skills
Luetsch, K., & Burrows, J. A. (2017) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2017.08.003 · Cited by 14
A novel peer-support intervention using motivational interviewing for breastfeeding maintenance: a UK feasibility study
Paranjothy, S., Copeland, L., Merrett, L., Grant, A., Phillips, R., Gobat, N., Sanders, J., Fitzsimmons, D. F., Hunter, B. J., Regan, S., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21770 · Cited by 14
Designing and Delivering a Prevention Project within an HIV Treatment Setting: Lessons Learned from a Specialist Model
Nollen, C., Drainoni, M., & Sharp, V. (2007) · AIDS and Behavior · doi:10.1007/s10461-007-9254-3 · Cited by 14
“At the core of MI is raising awareness of the discrepancy between a person’s goal and his or her actual behavior ( Britt et al. 2004 ).”
BackgroundInfluential
Ready, Set, Go: The Transtheoretical Model of Change and Motivational Interviewing for “Fringe” Clients
Muscat, A. C. (2005) · Journal of Employment Counseling · doi:10.1002/j.2161-1920.2005.tb01089.x · Cited by 14
Patient-centred information and interventions: tools for lifestyle change? Consequences for medical education
van Weel-Baumgarten, E. M. (2008) · Family Practice · doi:10.1093/fampra/cmn042 · Cited by 14
Human Papillomavirus Vaccination Training Experience Among Family Medicine Residents and Faculty.
Kasting, M. L., Scherr, C. L., Ali, K. N., Lake, P. W., Malo, T. L., Johns, T. L., Roetzheim, R. G., Quinn, G. P., & Vadaparampil, S. T. (2017) · PubMed · Cited by 13
Attitude and Behavior to Oral Health of 456 Patients Who Presented for Tooth Extraction at 2 Health Facilities in Southwestern Nigeria
Gbolahan, O. O., Fasola, A. O., & Aladelusi, T. O. (2018) · Journal of Patient Experience · doi:10.1177/2374373518788851 · Cited by 13
“However, evidence have also shown that giving information alone may not lead to measurable change in behavior since a complex interaction between several factors may determine health-seeking behavior (28).”
Background
The 40-Something randomized controlled trial to prevent weight gain in mid-age women
Williams, L. T., Hollis, J., Collins, C. E., & Morgan, P. J. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-1007 · Cited by 13
“The addition of MI as a client-centred counselling technique to the health professional consultations provides the opportunity to strengthen commitment to behaviour change by reducing resistance to change and enhancing intrinsic motivation [25] with evidence of improved quality of nutrition and physical activity couns…”
The Happy Life Club™ study protocol: A cluster randomised controlled trial of a type 2 diabetes health coach intervention
Browning, C. J., Chapman, A., Cowlishaw, S., Li, Z., Thomas, S. A., Yang, H. M., & Zhang, T. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-90 · Cited by 15
“However skills in these areas are often limited and it has been recognised that training in tailored approaches to counselling, provided by techniques such as MI [18], have the potential to improve lifestyle changes in people with chronic illnesses [19].”
Background
Counselling for Patients and Family Members: A Follow-Up Study in the Emergency Department
Paavilainen, E., Salminen-Tuomaala, M. H., & Leikkola, P. K. (2012) · ISRN Nursing · doi:10.5402/2012/303790 · Cited by 20
“International Scholarly Research Network ISRN Nursing Volume 2012, Article ID 303790, 7 pages doi:10.5402/2012/303790 Research Article Counselling for Patients and Family Members:”
MethodInfluential
Patient-Provider Interactions: Promoting Effective Behavior and Providing Optimal Care
Liew, J. R., Cvengros, J. A., & Christensen, A. J. (2018) · Springer eBooks · doi:10.1007/978-0-387-93826-4_20 · Cited by 15
A nurse-based intervention for improving medication adherence in cardiovascular patients: an evaluation of a randomized controlled trial
Sieben, A., van Onzenoort, H. A. W., van Dulmen, S., van Laarhoven, C., & Bredie, S. J. H. (2019) · Patient Preference and Adherence · doi:10.2147/ppa.s197481 · Cited by 13
“The participating nurses were trained in motivational interviewing and had applied this as part of the usual care program for several years.(41) They received an extra training for this intervention.”
Method
Tobacco Control and Nicotine Addiction in Canada: Current trends, Management and Challenges
McIvor, A. (2009) · Canadian Respiratory Journal · doi:10.1155/2009/485953 · Cited by 13
“To that end, recent evidence in support of the concept of motivational interviewing, as an aid in smoking cessation, should be considered (18-20).”
Background
Evaluation of the FOCUS (Feedback on Counseling Using Simulation) Instrument for Assessment of Client-centered Nutrition Counseling Behaviors
Henry, B. W., & Smith, T. J. (2009) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2008.12.005 · Cited by 13
Counseling Patients to Make Cardioprotective Lifestyle Changes: Strategies for Success
Franklin, B. A., & Vanhecke, T. E. (2008) · Preventive Cardiology · doi:10.1111/j.1520-037x.2007.07662.x · Cited by 13
Attitudes and experiences towards the application of motivational interviewing by podiatrists working with people with diabetes at high‐risk of developing foot ulcers: a mixed‐methods study
Jongebloed-Westra, M., Bode, C., Bente, B. E., de Jonge, J. M., ten Klooster, P. M., Koffijberg, H., Exterkate, S. H., van Netten, J. J., & van Gemert‐Pijnen, J. E. W. C. (2022) · Journal of Foot and Ankle Research · doi:10.1186/s13047-022-00567-y · Cited by 12
Evaluate, assess, treat: development and evaluation of the EAT framework to increase effective communication regarding sensitive oral‐systemic health issues
DeBate, R. D., Cragun, D. L., Gallentine, A. A., Severson, H. H., Shaw, T., Cantwell, C., Christiansen, S., Koerber, A., Hendricson, W. D., Tomar, S. L., et al. (2012) · European Journal Of Dental Education · doi:10.1111/j.1600-0579.2012.00747.x · Cited by 12
Web-Based eHealth to Support Counseling in Routine Well-Child Care: Pilot Study of E-health4Uth Home Safety
van Beelen, M. E. J., Vogel, I., Beirens, T. M. J., Kloek, G. C., den Hertog, P., van der Veen, M. D., & Raat, H. (2013) · JMIR Research Protocols · doi:10.2196/resprot.1862 · Cited by 12
“Previous research has shown positive effects of motivational interviewing on health behavior [33-35].”
Efficacy of a brief multifactorial adherence-based intervention on reducing the blood pressure of patients with poor adherence: protocol for a randomized clinical trial
The ADHERENCE group, Leiva, A., Fajó‐Pascual, M., Escriche, L., Audera, F. J., López, S. M., Martín, M. C., González, R. C., Tamborero, G., García, E., et al. (2010) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-10-44 · Cited by 12
“The motivational interview, defined as a clinical patient-centered interview that helps to investigate and resolve ambivalence in unhealthy behaviors and/or habits to promote changes toward healthier lifestyles, is a recent method that can be used to promote behavioral changes in patients [19].”
Method
Motivational Interviewing
Sypniewski, R. L. (2015) · NASN School Nurse · doi:10.1177/1942602x15576777 · Cited by 12
Protocol for a randomised controlled trial to estimate the effects and costs of a patient centred educational intervention in glaucoma management
Cate, H., Bhattacharya, D., Clark, A., Fordham, R. J., Notley, C. J., & Broadway, D. C. (2012) · BMC Ophthalmology · doi:10.1186/1471-2415-12-57 · Cited by 12
“MI is defined as ‘a client-centred, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence’ and has been successfully applied to improving medication adherence [27-30].”
Method
Patients’ responses to the communication of vascular risk in primary care: a qualitative study
Honey, S., Hill, K. M., Murray, J., Craigs, C., & House, A. O. (2014) · Primary Health Care Research & Development · doi:10.1017/s1463423613000509 · Cited by 14
“information giving, and sign-posting to relevant programmes and activities (Britt et al., 2004).”
Background
Process for developing a culturally informed brief motivational intervention
Field, C. A., Ramirez, S. O., Juárez-Carrillo, P. M., & Castro, Y. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.03.002 · Cited by 13
The effect of Transtheoretical Model based motivational interviewing on smokeless tobacco cessation in high school students
Taş, F., Seviğ, E. Ü., & Güngörmüş, Z. (2020) · Journal of Substance Use · doi:10.1080/14659891.2020.1760372 · Cited by 12
Long-term effectiveness of web-based cognitive behavioral therapy for patients with eating disorders
ter Huurne, E. D., de Haan, H. A., Postel, M. G., DeJong, C. A. J., VanDerNagel, J., & van der Palen, J. A. M. (2020) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-020-00929-0 · Cited by 12
“The intervention consisted of 16 treatment modules with at least 21 online contact moments, with asynchronous communication with a personal therapist bi-weekly, and 10 assignments, based on the principles of CBT and motivational interviewing (MI) [23, 24].”
Method
Motivational Interviewing in Health Care: Results of a Brief Training in Endocrinology
Bean, M. K., Biskobing, D. M., Francis, G. L., & Wickham, E. P. (2012) · Journal of Graduate Medical Education · doi:10.4300/jgme-d-11-00166.1 · Cited by 12
Effects of Accessible Health Technology and Caregiver Support Posthospitalization on 30-Day Readmission Risk: A Randomized Trial
Piette, J. D., Striplin, D., Fisher, L., Aikens, J. E., Lee, A., Marinec, N. S., Mansabdar, M., Chen, J., Gregory, L. A., & Kim, C. S. (2019) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/j.jcjq.2019.10.009 · Cited by 12
Changes in Physical Activity and Psychological Variables Following a Web-Based Motivational Interviewing Intervention: Pilot Study
Karnes, S., Meyer, B. B., Berger, L., & Brondino, M. J. (2015) · JMIR Research Protocols · doi:10.2196/resprot.4623 · Cited by 11
“One barrier to feasibility is that health care providers have limited face-to-face time with patients to discuss strategies for increasing physical activity [3].”
Non-communicable disease prevention in Kosovo: quantitative and qualitative assessment of uptake and barriers of an intervention for healthier lifestyles in primary healthcare
Bytyçi-Katanolli, A., Merten, S., Kwiatkowski, M., Obas, K. A., Gerold, J., Zahorka, M., Jerliu, N., Ramadani, Q., Fota, N., & Probst-Hensch, N. M. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07969-5 · Cited by 12
“This is also supported by another study which showed that changing lifestyle behaviours such as diet, smoking and exercise is difficult since it requires time, great effort as well as motivation [39].”
BackgroundResultInfluential
An assessment of readiness for behaviour change in patients prescribed ocular hypotensive therapy
Schwartz, G. F., Plake, K. S. I., & Mychaskiw, M. (2008) · Eye · doi:10.1038/eye.2008.337 · Cited by 11
Investigating the influence of interaction modality on the communication patterns of spinal cord injury peer mentors
Shaw, R. B., Giroux, E. E., Gainforth, H. L., McBride, C. B., Vierimaa, M., & Ginis, K. A. M. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.09.008 · Cited by 12
The Handbook of Wellness Medicine
Snellings, J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182 · Cited by 11

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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