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Motivational interviewing to increase physical activity in people with chronic health conditions: a systematic review and meta-analysis
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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“however, evidence regarding their long-term effectiveness is limited [15-17].”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [16]
In the citing paper
“Issues with long-term adherence to lifestyle and behavioral change interventions are well recognized [16,17,97].”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [16]
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Metadata
- 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
- Venue
- Clinical Rehabilitation
- Publisher
- SAGE Publications
- 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 › 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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