THE EFFICACY OF MOTIVATIONAL INTERVIEWING AS A BRIEF INTERVENTION FOR EXCESSIVE DRINKING: A META-ANALYTIC REVIEW

VASILAKI, EIRINI I.; HOSIER, STEVEN G.; COX, W. MILES

doi:10.1093/alcalc/agl016

Cited by 581Substance Abuse Treatment and OutcomesBehavioral Health and InterventionsPsychotherapy Techniques and Applications

THE EFFICACY OF MOTIVATIONAL INTERVIEWING AS A BRIEF INTERVENTION FOR EXCESSIVE DRINKING: A META-ANALYTIC REVIEW

VASILAKI, EIRINI I., HOSIER, STEVEN G., COX, W. MILES·2006·Alcohol and Alcoholism

DOI 10.1093/alcalc/agl016

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Abstract

AIMS: (1) To examine whether or not motivational interviewing (MI) is more efficacious than no intervention in reducing alcohol consumption; (2) to examine whether or not MI is as efficacious as other interventions. METHOD: A literature search followed by a meta-analytic review of randomized control trials of MI interventions. Aggregated between-group effect sizes and confidence intervals were calculated for each study. RESULTS: Literature search revealed 22 relevant studies, of which nine compared brief MI with no treatment, and met methodological criteria for inclusion. In these, the aggregate effect size was 0.18 (95% C.I. 0.07, 0.29), but was greater 0.60 (95% C.I. 0.36, 0.83) when, in a post-hoc analysis, the follow-up period was three months or less. Its efficacy also increased when dependent drinkers were excluded. There were nine studies meeting methodological criteria for inclusion which compared brief MI with another treatment (one of a diverse set of interventions), yielding an aggregate effect size of 0.43(95% C.I. 0.17, 0.70). The literature review pointed to several factors which may influence MI's long-term efficacy effectiveness of MI. CONCLUSIONS: Brief MI is effective. Future studies should focus on possible predictors of efficacy such as gender, age, employment status, marital status, mental health, initial expectations, readiness to change, and whether the population is drawn from treatment-seeking or non-treatment-seeking populations. Also, the components of MI should be compared to determine which are most responsible for maintaining long-term changes.

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A brief intervention incorporates motivational interviewing to provide individual-centered counseling for people with alcohol use disorder.
“A brief intervention (BI) is an important tool that incorporates motivational interviewing to provide individual-centered counseling for people with AUD [8,9].”
From Effectiveness of a brief intervention and text-based booster in the emergency department to reduce harmful and hazardous alcohol use: A pragmatic randomized adaptive clinical trial in Moshi, Tanzania (2025) · cites this paper as [8]
Effects of brief interventions diminish over time-frames longer than 3 months.
“there is evidence from the screening and brief intervention literature that the effects of brief interventions diminish over time-frames longer than 3-months (Vasilaki et al., 2006).”
From Effectiveness of Nurse-Practitioner-Delivered Brief Motivational Intervention for Young Adult Alcohol and Drug Use in Primary Care in South Africa: A Randomized Clinical Trial (2014) · cites this paper as Vasilaki et al., 2006

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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].”
Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol-related problems: a randomized single-blind clinical trial
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Authors: VASILAKI, E. I., HOSIER, S. G., & COX, W. M.
Affiliations: Bangor University (GB)
Corresponding author: VASILAKI, EIRINI I.
ORCID: COX, W. MILES
Venue: Alcohol and Alcoholism
Publisher: Oxford University Press (OUP)
Published: 2006-03-17
Volume: 41
Issue: 3
Pages: 328-335
ISSN: 0735-0414 (ISSN-L)
1464-3502
DOI: 10.1093/alcalc/agl016
OpenAlex: W2112454287
Cited by: 581
References: 10
Citations by year: 2026: 9 · 2025: 13 · 2024: 16 · 2023: 28 · 2022: 12 · 2021: 25 · 2020: 21 · 2019: 27 · 2018: 36 · 2017: 33 · 2016: 33 · 2015: 49 · 2014: 48 · 2013: 39 · 2012: 47
FWCI: 2.64
Type: journal article
Language: en
Open access: closed
Locations: Alcohol and Alcoholism (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, brief intervention, excessive drinking, alcohol consumption reduction, treatment efficacy, predictors of treatment outcome, long-term efficacy
MeSH terms: Adult, Aging, Alcoholism, Attitude, Clinical Trials as Topic, Female, Humans, Interview, Psychological, Male, Middle Aged, Motivation, Psychotherapy, Brief, Sex Characteristics, Treatment Outcome

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Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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THE EFFICACY OF MOTIVATIONAL INTERVIEWING AS A BRIEF INTERVENTION FOR EXCESSIVE DRINKING: A META-ANALYTIC REVIEW

Abstract

Integrity signals

Claims the paper makes

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Cites

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About these checks