The potential for motivational interviewing to improve outcomes in the management of diabetes and obesity in paediatric and adult populations: a clinical review
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Having good intentions to engage in healthy behaviours, to change our lives in a positive direction and make substantial, lasting changes may not always translate into actions or behaviour that is maintained. Motivational Interviewing is a directive person‐centred approach designed to explore ambivalence and activate motivation for change [Miller WR, Rollnick S. Motivational Interviewing: Preparing People to Change Addictive Behaviour. London: Guilford Press, 1991]. A key component of a motivational interviewing conversation is to acknowledge that clients have every right to make no change. It uses a guiding communication style which invites people to consider their own situation and find their own solutions to situations that they identify as problematic that are preventing change. Motivational Interviewing was first introduced in adult health addiction services in the early 1980s. It has developed in the physical health specialties, and in the last 20 years or so attention has turned to the potential of Motivational Interviewing in the paediatric setting and the challenges of using it in families with children at differing ages and developmental stages. This article summarizes studies published from 2006 to 2011 of Motivational Interviewing in individuals across the lifespan with type 1 and type 2 diabetes and obesity.
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MI has been successfully used to target physical activity and other health behaviors in T2D patients in several studies, but MI alone may not always be sufficient to effect change.
“MI has been successfully used to target physical activity and other health behaviors in T2D patients in several studies [114], but MI alone may not always be sufficient to effect change.”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [114]
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- Authors
- Christie, D., & Channon, S.
- Affiliations
- University College London Hospitals NHS Foundation Trust (GB)
- South Wales Doctoral Programme in Clinical Psychology Park Place Cardiff UK
- Corresponding author
- Christie, D.
- Venue
- Diabetes, Obesity and Metabolism
- Publisher
- Wiley
- Published
- 2013-09
- Volume
- 16
- Issue
- 5
- Pages
- 381-387
- ISSN
- 1462-8902 (ISSN-L)
- 1463-1326
- PMC
- PMC4237607
- OpenAlex
- W2153590915
- Cited by
- 180
- References
- 83
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 5 · 2023: 4 · 2022: 13 · 2021: 19 · 2020: 24 · 2019: 19 · 2018: 18 · 2017: 19 · 2016: 18 · 2015: 20 · 2014: 10
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Diabetes Obesity and Metabolism (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- motivational interviewing, diabetes management, obesity treatment, type 1 diabetes, type 2 diabetes, pediatric patients, family intervention, ambivalence, behavior change, person-centred communication, lifespan
- MeSH terms
- Adolescent, Adult, Child, Communication, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Obesity, Physician-Patient Relations, Health Behavior, Outcome Assessment, Health Care, Risk Reduction Behavior, Motivational Interviewing, Pediatric Obesity
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