The DOI matches its Crossref record; 59 of the 60 references it cites were found in a registry or an index.
Motivational interviewing, enhancement, and brief interventions over the last decade: A review of reviews of efficacy and effectiveness.
Abstract
Motivation is a well-established predictor of recovery for addictive behaviors. Treatments aimed at changing substance use and gambling frequently employ motivational enhancing strategies, based in the principles of Motivational Interviewing (MI). Evidence for these approaches across addictive behaviors does not always paint a clear picture. The purpose of this review was to examine existing reviews of motivational-based interventions for various substances of abuse and gambling in the last decade to gain a deeper understanding of the current evidence and implications for future research and clinical practice. Literature searches were conducted to identify review articles from January 1, 2007 to January 30, 2017 for motivational enhancing interventions for alcohol, tobacco, drugs, marijuana, cocaine, opioids, methamphetamines, and gambling. Of the 144 articles assessed we included a total of 34 review articles in our review, including 6 Cochrane reviews. This review supports use of motivationally enhancing interventions across addictive behaviors with strongest evidence supporting use in alcohol and tobacco, with brief interventions showing strong efficacy. There is strong support for MI with marijuana and some support for gambling. Insufficient evidence is available for methamphetamine or opiate use. There are important caveats. In most cases, MI is more effective than no treatment and as effective (but not necessarily more effective) than other active treatments. Findings for effectiveness of more intensive motivational interventions or combinations are mixed. Treatment fidelity assessments, limited subpopulation analyses, and differences in dose, outcomes, and protocol specification continue to pose significant problems for reviews. (PsycINFO Database Record
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“A brief intervention (BI) is an important tool that incorporates motivational interviewing to provide individual-centered counseling for people with AUD [8,9].”
In the citing paper
“Early responsiveness to SUD treatment is predictive of long-term outcomes [36], and brief addiction treatments are efficacious [37].”
From A Therapeutic Relational Agent for Reducing Problematic Substance Use (Woebot): Development and Usability Study (2021) · cites this paper as [37]
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“This is particularly relevant in the context of motivational interviewing (Diclemente et al., 2017).”
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“…motivational therapies that redirect reward-seeking behavior toward non-substance-related goals could benefit “ reward ” subtype patients, while those with high alcohol cue reactivity might respond better to cue exposure therapies (DiClemente et al., 2017; Vollst ¨ adt--Klein et al., 2011).”
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“These codes have shown to be effective means of assessing the quality of the session, training therapists, and estimating clients’ behavioral outcomes (Lundahl et al., 2010; Diclemente et al., 2017; Magill et al., 2018).”
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“This person-centered, non-confrontational approach fosters a strong therapeutic alliance and focuses on exploring and overcoming ambivalence about change (DiClemente et al., 2017).”
Yaden, D. B., Berghella, A. P., Hendricks, P. S., Yaden, M. E., Levine, M., Rohde, J. S., Nayak, S. M., Johnson, M. W., & Garcia‐Romeu, A. (2023) · Pharmacological Research · doi:10.1016/j.phrs.2023.106998 · Cited by 13
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Morse, A. K., Sercombe, J., Askovic, M., Fisher, A., Marel, C., Chatterton, M.-L., Kay-Lambkin, F., Barrett, E., Sunderland, M., Harvey, L., et al. (2023) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2022.108928 · Cited by 12
Beck, A. K., Baker, A., Britton, B., Lum, A., Pohlman, S., Forbes, E., Moore, L., Barnoth, D., Perkes, S. J., Oldmeadow, C. J., et al. (2023) · British Journal of Health Psychology · doi:10.1111/bjhp.12664 · Cited by 12
“Consistent with the current findings, the benefits may attenuate over time (Lundahl & Burke, 2009), and be larger for smoking and alcohol use relative to other health behaviours (DiClemente et al., 2017; Frost et al., 2018).”
BackgroundResultSarabia‐Cobo, C., Pérez, V. A. F., de Lorena, P., Sáenz‐Jalón, M., & Alconero‐Camarero, A. R. (2021) · International Journal of Older People Nursing · doi:10.1111/opn.12398 · Cited by 14
Professionally delivered interventions for gambling disorder
Abbott, M. (2019) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000516 · Cited by 12
Characterizing Symptoms of Cannabis Use Disorder in a Sample of College Students
Pellegrino, A. J., Duck, K. D., Kriescher, D. P. J., Shrake, M. E., Phillips, M. M., Lalonde, T. L., & Phillips, K. T. (2020) · Journal of Drug Issues · doi:10.1177/0022042620936655 · Cited by 12
“This approach, with its motivational underpinnings and nonconfrontational features, is effective in reducing cannabis use in young adults (DiClemente et al., 2017).”
BackgroundThe Feasibility and Impact of a Brief Internet Intervention for Pornography Reduction
Rodda, S. N., & Luoto, S. (2022) · Sexual Health & Compulsivity · doi:10.1080/26929953.2022.2153772 · Cited by 13
Variation in SBIRT delivery among acute care facilities
Keen, A., Thoele, K., & Newhouse, R. P. (2019) · Nursing Outlook · doi:10.1016/j.outlook.2019.09.001 · Cited by 13
McKelvey, K., Gaiha, S. M., Delucchi, K., & Halpern‐Felsher, B. L. (2021) · Humanities and Social Sciences Communications · doi:10.1057/s41599-021-00765-2 · Cited by 12
Park, J. J., King, D. L., Wilkinson‐Meyers, L., & Rodda, S. N. (2023) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-023-01010-4 · Cited by 10
“In other areas of addiction studies, motivational approaches are frequently delivered as brief interventions which have been shown to improve symptoms and increase treatment readiness (DiClemente et al., 2017).”
Expósito-Álvarez, C., Gilchrist, G., Gracia, E., & Lila, M. (2024) · Victims & Offenders · doi:10.1080/15564886.2024.2322960 · Cited by 10
“Our results could also help inform facilitators to encourage participants to set goals to help them reduce their hostility toward the intervention and increase retention (DiClemente et al., 2017), which is of particular relevance to reducing IPV recidivism rates.”
The Transdiagnostic Mechanisms of Behavioral Addictions and Their Treatment
Kim, H. S. A., & Hodgins, D. C. (2020) · Springer eBooks · doi:10.1007/978-3-030-36391-8_64 · Cited by 12
Cross-cultural adaptation of motivational interviewing for use in rural Nepal
Rimal, P., Khadka, S., Bogati, B., Chaudhury, J., Rawat, L. K., Bhat, K. C., Manandhar, P., Citrin, D., Maru, D., Ekstrand, M. L., et al. (2021) · BMC Psychology · doi:10.1186/s40359-021-00557-y · Cited by 10
“Briefly, the CHW training is structured in three forms: [1] pre-service training, [2] program-based training, and [3] continuing education to conduct home visits to collect health related data (e.”
The Development and Evaluation of a Statewide Training Center for Home Visitors and Supervisors
Schultz, D. A., Schacht, R. L., Shanty, L. M., Dahlquist, L. M., Barry, R. A., Wiprovnick, A. E., Groth, E. C., Gaultney, W. M., Hunter, B. A., & DiClemente, C. C. (2019) · American Journal of Community Psychology · doi:10.1002/ajcp.12320 · Cited by 10
Self-citation(2021) · The Journal of Spinal Cord Medicine · doi:10.1080/10790268.2021.1863738 · Cited by 9
Navigating Evidence, Challenges, and Caution in the Treatment of Stimulant Use Disorders
Bahji, A., Danilewitz, M., & Crockford, D. (2023) · Brain Sciences · doi:10.3390/brainsci13101416 · Cited by 9
Maurage, P., Rolland, B., Pitel, A., & D’Hondt, F. (2023) · Neuropsychology Review · doi:10.1007/s11065-023-09623-1 · Cited by 11
A Self-Guided Internet-Based Intervention for the Reduction of Gambling Symptoms
Rolvien, L., Buddeberg, L., Gehlenborg, J., Borsutzky, S., & Moritz, S. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.17282 · Cited by 9
Berube, M., Dupuis, S., Leduc, S., Roy, I., Turcotte, V., Côté, C. L., Grzelak, S., Clairoux, S., Panic, S., & Lauzier, F. (2021) · Pain Management Nursing · doi:10.1016/j.pmn.2021.08.001 · Cited by 9
Forman, D. P., Moyers, T. B., & Houck, J. M. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108642 · Cited by 9
May, A. C., Meyerhoff, D. J., & Durazzo, T. C. (2023) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.15169 · Cited by 9
Scharer, J. L., Arnold, R., Wald, R. L., Nichols, J., Medoff, D. R., Himelhoch, S. S., & Bennett, M. E. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02759-3 · Cited by 9
Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities
Sissingh, N. J., Umans, D. S., Goudriaan, A. E., Sijbom, M., Verdonk, R. C., van Hooft, J. E., & for the Dutch Pancreatitis Study Group (2021) · Alcohol and Alcoholism · doi:10.1093/alcalc/agab014 · Cited by 9
“This results in leaving patients at risk of resuming drinking after discharge and further harm (DiClemente et al., 2017).”
BackgroundLawrence, S. A., Cicale, C., Wharton, T., Chapple, R. L., Stewart, C., & Burg, M. A. (2021) · Journal of Social Work Practice in the Addictions · doi:10.1080/1533256x.2021.1922038 · Cited by 9
“The effectiveness of MI in substance abuse treatment has been strongly supported in the literature (see for example: DiClemente et al., 2017), and it is a method that can be applied rapidly and fully in a brief time period.”
MethodStreet-Level Meta-Strategies: Evidence on Restorative Justice and Responsive Regulation
Braithwaite, J. B. (2021) · Annual Review of Law and Social Science · doi:10.1146/annurev-lawsocsci-111720-013149 · Cited by 9
“Meta-analyses of 119 studies, more than half of which were randomized controlled trials, show motivational interviewing’s effectiveness as a meta-strategy for selecting what to do about health objectives, such as conquering addiction (DiClemente et al. 2017; Lundahl et al. 2010, 2013).”
BackgroundNichol, B., Rodrigues, A., Wilson, R., & Haighton, C. (2024) · Health & Social Care in the Community · doi:10.1155/2024/6786899 · Cited by 8
Metadata
- Authors
- DiClemente, C. C., Corno, C. M., Graydon, M. M., Wiprovnick, A. E., & Knoblach, D. J.
- Affiliations
- University of Maryland, Baltimore County (US)
- Venue
- Psychology of Addictive Behaviors
- Published
- 2017-12
- Volume
- 31
- Issue
- 8
- Pages
- 862-887
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- OpenAlex
- W2772342693
- Cited by
- 294
- References
- 60
- Citations by year
- 2026: 20 · 2025: 35 · 2024: 39 · 2023: 43 · 2022: 33 · 2021: 50 · 2020: 35 · 2019: 29 · 2018: 10
- FWCI
- 15.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology of Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- motivational interviewing, motivation enhancement, brief intervention, addictive behavior, substance use disorders, gambling, alcohol consumption, tobacco use, cannabis, cocaine, opioids, methamphetamine, treatment efficacy, treatment effectiveness, intervention fidelity
- MeSH terms
- Gambling, Humans, Review Literature as Topic, Behavior, Addictive, Treatment Outcome, Substance-Related Disorders, Motivational Interviewing
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