Cited by 402Physical Activity and HealthBehavioral Health and InterventionsMotivation and Self-Concept in Sports

Motivational interviewing to increase physical activity in people with chronic health conditions: a systematic review and meta-analysis

O’Halloran, Paul D, Blackstock, Felicity, Shields, Nora, Holland, Anne, Iles, Ross, Kingsley, Mike, Bernhardt, Julie, Lannin, Natasha +2 more·2014·Clinical Rehabilitation

Abstract

Objective: A systematic review and meta-analysis of randomized controlled trials to determine if motivational interviewing leads to increased physical activity, cardiorespiratory fitness or functional exercise capacity in people with chronic health conditions. Data sources: Seven electronic databases (MEDLINE, PsychINFO, EMBASE, AMED, CINHAL, SPORTDiscus and the Cochrane Central Register of Controlled trials) were searched from inception until January 2014. Trial selection: Two reviewers independently examined publications for inclusion. Trials were included if participants were adults (>18 years), had a chronic health condition, used motivational interviewing as the intervention and examined physical activity, cardiorespiratory fitness or functional exercise capacity. Data extraction: Two reviewers independently extracted data. Risk of bias within trials was assessed using the Physiotherapy Evidence Database Scale. Data synthesis: Meta-analyses were conducted with standardized mean differences and 95% confidence intervals (CIs) were calculated. The Grades of Recommendation, Assessment, Development and Evaluation approach was used to evaluate the quality of the evidence. Results: Eleven publications (of ten trials) were included. There was moderate level evidence that motivational interviewing had a small effect in increasing physical activity levels in people with chronic health conditions relative to comparison groups (standardized mean differences = 0.19, 95% CI 0.06 to 0.32, p = 0.004). Sensitivity analysis based on trials that confirmed treatment fidelity produced a larger effect. No conclusive evidence was observed for cardiorespiratory fitness or functional exercise capacity. Conclusion: The addition of motivational interviewing to usual care may lead to modest improvements in physical activity for people with chronic health conditions.

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Crossref · 10.1177/0269215514536210

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Authors
O’Halloran, P. D., Blackstock, F., Shields, N., Holland, A., Iles, R., Kingsley, M., Bernhardt, J., Lannin, N., Morris, M. E., & Taylor, N. F.
Affiliations
  • La Trobe University (AU)
  • Northern Health (AU)
  • Monash University (AU)
Venue
Clinical Rehabilitation
Published
2014-06-18
Volume
28
Issue
12
Pages
1159-1171
ISSN
  • 0269-2155 (ISSN-L)
  • 1477-0873
OpenAlex
W2105149876
Cited by
398
References
42
Citations by year
2026: 19 · 2025: 26 · 2024: 37 · 2023: 36 · 2022: 48 · 2021: 37 · 2020: 44 · 2019: 35 · 2018: 29 · 2017: 47 · 2016: 20 · 2015: 16 · 2014: 2
FWCI
3.32
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Social Sciences › Psychology › Social Psychology › Motivation and Self-Concept in Sports
Keywords
motivational interviewing, physical activity, chronic disease, cardiorespiratory fitness, functional exercise capacity, intervention fidelity, usual care, exercise adherence
MeSH terms
Adult, Cardiovascular Physiological Phenomena, Chronic Disease, Humans, Middle Aged, Motor Activity, Physical Fitness, Randomized Controlled Trials as Topic, Databases, Bibliographic, Exercise Tolerance, Motivational Interviewing

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