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Cited by 30Behavioral Health and InterventionsSubstance Abuse Treatment and OutcomesBehavioral and Psychological Studies

Realist-informed review of motivational interviewing for adolescent health behaviors.

Open access
Mutschler, Christina, Naccarato, Erica, Rouse, Jen, Davey, Caitlin, McShane, Kelly·2018·Systematic Reviews
DOI 10.1186/s13643-018-0767-9PMC PMC6064084

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Abstract

BACKGROUND: Clinical research investigating effective intervention strategies for adolescents to improve health behaviors has shifted to the application of motivational interviewing (MI). Evidence indicates that MI is an effective intervention for improving health behaviors as related to diet, exercise, and diabetes among adolescents. However, there is a lack of understanding about the mechanisms through which MI works and the contextual factors impacting MI effectiveness. The purpose of this review was to understand how, for whom, and under what circumstances MI works for adolescent health behavior change, which will inform future implementation of this intervention. To provide this in-depth understanding, a realist-informed systematic review was conducted in order to synthesize the evidence on the use of MI for health behaviors. Self-determination theory (SDT) was chosen as the candidate theory for testing in the present review. METHODS: Databases including PsycINFO, Healthstar, Cochrane, and PubMed were searched for articles published until March 2017. The search strategy included studies that examined or reviewed the effectiveness or efficacy of MI to change health behaviors among adolescent populations. The search identified 185 abstracts, of which 28 were included in the review. The literature was synthesized qualitatively (immersion/crystallization) and tested SDT as the candidate theory. RESULTS: Based on SDT, three mechanisms were found within reviewed studies, including competence, relatedness, and autonomy. The following contexts were found to impact mechanisms: school setting, clinician MI proficiency, parental involvement, and peer involvement. CONCLUSIONS: This realist-informed systematic review provides advances in understanding the mechanisms involved in MI for adolescent health behavior change. Additionally, it provides important practical information as to which contexts create the conditions for these mechanisms to occur, leading to health behavior change. The results can inform future MI interventions for adolescent health behavior change. Future research should continue to test this realist theory and also examine mechanism variables not extensively documented in order to improve our understanding of MI in this population.

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  • Published data suggest that MI can be implemented into clinical routines to improve young patients' mental health care services utilization.

    “Published data suggest that MI can be implemented into clinical routines to improve young patients’ mental health care services utilization.35,36”

    From Efficacy of Motivational Interviewing to Improve Utilization of Mental Health Services Among Youths With Chronic Medical Conditions: A Cluster Randomized Clinical Trial (2021) · cites this paper as [35]

    The Results (Outcomes; no page available) report that adolescents receiving MI had greater adherence to dietitian and behavioral support visits at three and six months. The Background and Results (Summary of studies; no pages available) place this evidence in adolescent diet, exercise, and obesity care, including some clinical settings. They do not establish that incorporating MI into clinical routines improves mental health care service utilization. (LLM, conf=0.86)

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Research works printed but not linked: 2

  1. [10]World Health Organization. (2000). Obesity: preventing and managing the global epidemic (No. 894). World Health Organization. 11234459
  2. [59]Crabtree BF, Miller WL. Doing qualitative research. Thousand Oaks: Sage Publications; 1999.

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Authors
Mutschler, C., Naccarato, E., Rouse, J., Davey, C., & McShane, K.
Affiliations
  • Toronto Metropolitan University (CA)
  • University of Waterloo (CA)
Corresponding author
Mutschler, Christina
ORCID
Venue
Systematic Reviews
Publisher
Springer Science and Business Media LLC
Published
2018-07-27
Volume
7
Issue
1
Pages
109-109
ISSN
2046-4053 (ISSN-L)
DOI
10.1186/s13643-018-0767-9
PMC
PMC6064084
OpenAlex
W2884481173
Cited by
30
References
109
Citations by year
2026: 5 · 2025: 1 · 2024: 6 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 5
FWCI
3.15
Type
journal article
Language
en
Open access
Licence
Locations
  • Systematic Reviews (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords
motivational interviewing, adolescent health behavior, health behavior change, self-determination theory, competence, relatedness, autonomy, school-based intervention, parental involvement, peer engagement, diabetes mellitus, diet, physical activity
MeSH terms
Adolescent Health, Adolescent, Adolescent Behavior, Diet, Health Promotion, Humans, Health Behavior, Exercise, Motivational Interviewing

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