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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, Morris, Meg E, Taylor, Nicholas F·2014·Clinical Rehabilitation

DOI 10.1177/0269215514536210

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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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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)
ORCID: O’Halloran, Paul D
Blackstock, Felicity
Shields, Nora
Holland, Anne
Iles, Ross
Bernhardt, Julie
Lannin, Natasha
Morris, Meg E
Taylor, Nicholas F
Venue: Clinical Rehabilitation
Publisher: SAGE Publications
Published: 2014-06-18
Volume: 28
Issue: 12
Pages: 1159-1171
ISSN: 0269-2155 (ISSN-L)
1477-0873
DOI: 10.1177/0269215514536210
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
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Clinical Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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Motivational interviewing to increase physical activity in people with chronic health conditions: a systematic review and meta-analysis

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