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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].”
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“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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“In an umbrella review, scholars noted that motivation represents “a wellestablished predictor of recovery” for people with SUD (DiClemente et al., 2017, p. 862).”
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“While brief alcohol interventions were found to be more effective than assessment-only control groups, evidence demonstrating that these brief alcohol interventions are more effective than active or sham control groups remains sparse (Das et al., 2016; DiClemente et al., 2017).”
InfluentialTechnology-based interventions to address internet addictive behaviors: systematic review
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“Motivational Interviewing (MI) is a person-centered, collaborative approach with robust evidence supporting its utility to elicit and strengthen an individual’s own motivation and commitment to change (DiClemente et al. 2017).”
Zoorob, R., Kim-Vences, S. I. H., Hirth, J. M., Schaper, K., Grigoryan, L., González, S., & Kowalchuk, A. A. (2024) · Preventive Medicine · doi:10.1016/j.ypmed.2024.108038 · Cited by 4
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“…and dietary quality in pregnant individuals (Adam et al., 2020), the justification for MECC builds upon the effectiveness of brief interventions to address smoking (DiClemente et al., 2017), alcohol (Chisholm et al., 2018), physical activity (Vijay et al., 2016), and diet (Whatnall et al., 2018).”
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BackgroundPsychotherapy for substance use disorders
MYERS, B. J. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-814932-4.00011-2 · Cited by 4
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“The literature has also demonstrated that the use of MI within patient interactions supports behaviour change related to smoking, alcohol consumption and substance misuse (DiClemente et al. 2017).”
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“Limited subpopulation analyses pose significant problems for reviews [159].”
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“16 For older adults, the reasons for change may include maintaining independence, optimal health, and mental capacity.”
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“The training was based on motivational interviewing (MI), a specific behaviour-change counselling approach that is widely used within health services, including for adolescent patients in primary care [15–17].”
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“Positiveoutcomes can also enhance motivational interviewing (MI) techniques commonly embedded in cannabis dependence treatment (DiClemente et al., 2017; Walker et al., 2006).”
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Neurobiological subtypes in alcohol use disorder and their phenotypic and clinical profiles
Brucar, L. R., Rawls, E., & Zilverstand, A. (2026) · Molecular Psychiatry · doi:10.1038/s41380-026-03748-4 · Cited by 1
A Bayesian Optimal Adaptive Clinical Trial Design for Sequentially Integrated Therapies
Li, Y., Guo, J., Gawrieh, S., Shen, W., Zang, Y., & Tu, W. (2026) · Statistics in Medicine · doi:10.1002/sim.70684 · Cited by 1
“…AH (treatment B) with usual AH care (treatment A, corticosteroids), followed by a novel pharmacological – behavioral intervention for AUD (treat-ment D) [ 42, 43] versus usual care for AUD (treatment C, consisting of encouragement of abstinence and referral to substance use treatment services).”
Health care consumption for somatic patients following a brief outreach alcohol intervention
Schwarz, A.-S., Kruse, M., Nielsen, A. S., Nielsen, B., & Søgaard, J. (2020) · Nordic Journal of Health Economics · doi:10.5617/njhe.6470 · Cited by 1
Alcohol, other psychoactive substance use disorders, and suicide
Maes, T., & Dom, G. (2021) · doi:10.1093/med/9780198834441.003.0033 · Cited by 1
Hazardous Drinking Interventions Delivered During Medical-Surgical Care: Patient and Provider Views
Timko, C., Lewis, M., Lor, M. C., Aldaco-Revilla, L., Blonigen, D. M., & Ilgen, M. A. (2023) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-023-09954-4 · Cited by 1
“…aid informs patients about the evidence behind different help sources so they can choose their preferred help source based on their needs; and telemonitoring continues to work with ambivalence as needed and provide support for patients’ choices (DiClemente et al., 2017; Donovan et al., 2015).”
The Narrative-Crisis Model of Suicide as a Framework for Suicide Prevention
Goncearenco, I., Chennapragada, L., & Rogers, M. L. (2023) · Oxford University Press eBooks · doi:10.1093/med/9780197582718.003.0010 · Cited by 3
Langwerden, R. J., Morris, S. L., Fernandez, S. B., Contreras-Pérez, M. E., & Wagner, E. F. (2023) · Cannabis · doi:10.26828/cannabis/2023/000173 · Cited by 1
“…are rooted in motivational interviewing (MI; Miller & Rollnick, 2012) because of their 1) person-centered and concrete approach, 2) known effectiveness across different health outcomes (Magill et al., 2018), and 3) demonstrated effectiveness in reducing substance misuse (DiClemente et al., 2017).”
Motivational telephone intervention to risk gamblers by a state-owned gambling operator in Sweden
Håkansson, A., Franklin, K., Dahlström, M., & Lyckberg, A. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1343733 · Cited by 1
Evaluating Two Brief Motivational Interventions for Excessive-Drinking University Students
Hogan, L., & Cox, W. M. (2024) · Behavioral Sciences · doi:10.3390/bs14050381 · Cited by 1
“Over the years, various programs have, in fact, been developed to help students control their drinking, but issues have emerged concerning whether the intended techniques have been properly implemented [8,9], and the problems associated with university students’ drinking persist.”
BackgroundStone, B. M., & Sherman, B. J. (2024) · Current Addiction Reports · doi:10.1007/s40429-024-00578-8 · Cited by 1
“Other benefits include stigma reduction [63], addressing comorbidity [64], and benefits from harm reduction [65].”
Fisher, D. A., Grube, J. W., Lilliott-González, L., Elias, M., Sturm, R., Ringwalt, C. L., Miller, T. R., Vargas, E. C., Achoki, T., & Rizzo, A. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1416190 · Cited by 1
Self-stigma and treatment motivation in inpatient with substance use disorders: Westside of Turkey
Sükut, Ö., Sarıkaya, N. A., & Albal, E. (2025) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2025.2457622 · Cited by 1
“Research shows that individuals with SUD with high treatment motivation are more likely to start and stay in treatment (DiClemente et al., 2017).”
Memória, C. M., Caverni, J. L. T., & Figlie, N. B. (2025) · Springer eBooks · doi:10.1007/978-3-031-82614-6_32 · Cited by 1
Motivational interviewing for improving functional and psychosocial outcomes among stroke survivors
Mou, H., Chien, W. T., Cheng, H. Y., Lo, S. H. S., Chan, M. W. M., Kong, S., & Choi, K. C. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd016110 · Cited by 1
Newhouse, R., Agley, J., Bakoyannis, G., Ferren, M. D., Mullins, C., Keen, A., & Parker, E. (2025) · BMC Nursing · doi:10.1186/s12912-025-03079-9 · Cited by 1
“For alcohol, screening scores may vary by clinical setting (outpatient vs. inpatient) [13], brief intervention efficacy may vary by severity of alcohol use [14, 15], and there is debate about whether and how brief interventions facilitate patients’ use of treatment services [16, 17].”
Motivation to Quit Drinking in Individuals Coinfected with HIV and Hepatitis C
Hayaki, J., Anderson, B. J., Herman, D. S., Moitra, E., Pinkston, M. M., Kim, H. N., & Stein, M. D. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02709-z · Cited by 1
Milhausen, R. R., Graham, C. A., Crosby, R. A., Ingram, H., Tetro, M., Bransfield, N., Sanders, S. A., & Yarber, W. L. (2020) · Tourism Recreation Research · doi:10.1080/02508281.2019.1697549 · Cited by 1
Rumo aos 40 anos de entrevista motivacional: evolução da abordagem
Serebrenic, F., & Lima, D. R. (2019) · Mudanças - Psicologia da Saúde · doi:10.15603/2176-1019/mud.v27n2p45-52 · Cited by 1
Behavioral Health Interventions for CRPS
Richardson, P. A., Poupore‐King, H., Griffin, A. T., Cooley, C., & Bhandari, R. P. (2021) · Springer eBooks · doi:10.1007/978-3-030-75373-3_6 · Cited by 1
Alkoholkonsum – Bedeutung für Prävention und Gesundheitsförderung
John, U., Meyer, C., Baumann, S., Rumpf, H., & Freyer‐Adam, J. (2019) · Springer Reference Pflege, Therapie, Gesundheit · doi:10.1007/978-3-662-55793-8_33-1 · Cited by 1
Discussing Sex as Both a Goal and Context
Dellucci, T. V., & Starks, T. J. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197549643.003.0011 · Cited by 1
Advanced Methodologies in Oral Health Research
Feine, J. S. (2018) · JDR Clinical & Translational Research · doi:10.1177/2380084418796813 · Cited by 1
Hoffmann, J. P. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-96023-6.00072-5 · Cited by 1
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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