Motivational interviewing: a systematic review and meta-analysis.
Top Cited Papers
- 1 April 2005
- journal article
- research article
- Vol. 55 (513) , 305-12
Abstract
Motivational Interviewing is a well-known, scientifically tested method of counselling clients developed by Miller and Rollnick and viewed as a useful intervention strategy in the treatment of lifestyle problems and disease. To evaluate the effectiveness of motivational interviewing in different areas of disease and to identify factors shaping outcomes. A systematic review and meta-analysis of randomised controlled trials using motivational interviewing as the intervention. After selection criteria a systematic literature search in 16 databases produced 72 randomised controlled trials the first of which was published in 1991. A quality assessment was made with a validated scale. A meta-analysis was performed as a generic inverse variance meta-analysis. Meta-analysis showed a significant effect (95% confidence interval) for motivational interviewing for combined effect estimates for body mass index, total blood cholesterol, systolic blood pressure, blood alcohol concentration and standard ethanol content, while combined effect estimates for cigarettes per day and for HbA(1c) were not significant. Motivational interviewing had a significant and clinically relevant effect in approximately three out of four studies, with an equal effect on physiological (72%) and psychological (75%) diseases. Psychologists and physicians obtained an effect in approximately 80% of the studies, while other healthcare providers obtained an effect in 46% of the studies. When using motivational interviewing in brief encounters of 15 minutes, 64% of the studies showed an effect. More than one encounter with the patient ensures the effectiveness of motivational interviewing. Motivational interviewing in a scientific setting outperforms traditional advice giving in the treatment of a broad range of behavioural problems and diseases. Large-scale studies are now needed to prove that motivational interviewing can be implemented into daily clinical work in primary and secondary health care.Keywords
This publication has 66 references indexed in Scilit:
- Randomized controlled trial of brief cognitive‐behavioural interventions among regular users of amphetamineAddiction, 2001
- Effects of a brief motivational intervention with college student drinkers.Journal of Consulting and Clinical Psychology, 2000
- Helping smokers make decisions: the enhancement of brief intervention for general medical practicePatient Education and Counseling, 1997
- Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women.Journal of Consulting and Clinical Psychology, 1997
- Evaluation of a cognitive‐behavioural intervention for pregnant injecting drug users at risk of HIV infectionAddiction, 1996
- Assessing the quality of reports of randomized clinical trials: Is blinding necessary?Controlled Clinical Trials, 1996
- Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trialsJAMA, 1995
- Controlled evaluation of a brief intervention of HIV prevention among injecting drug users not in treatmentAIDS Care, 1994
- The physician-delivered smoking intervention project: Can short-term interventions produce long-term effects for a general outpatient population?Health Psychology, 1994
- Enhancing motivation for change in problem drinking: A controlled comparison of two therapist styles.Journal of Consulting and Clinical Psychology, 1993