Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials.
OBJECTIVE: Motivational Interviewing (MI) is a method for encouraging people to make behavioral changes to improve health outcomes. We used systematic review and meta-analysis to investigate MI's efficacy in medical care settings. METHODS: Database searches located randomized clinical trials th...
| Huvudupphovsmän: | , , , , , , |
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| Materialtyp: | Journal article |
| Språk: | English |
| Publicerad: |
2013
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| _version_ | 1826285817370247168 |
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| author | Lundahl, B Moleni, T Burke, B Butters, R Tollefson, D Butler, C Rollnick, S |
| author_facet | Lundahl, B Moleni, T Burke, B Butters, R Tollefson, D Butler, C Rollnick, S |
| author_sort | Lundahl, B |
| collection | OXFORD |
| description | OBJECTIVE: Motivational Interviewing (MI) is a method for encouraging people to make behavioral changes to improve health outcomes. We used systematic review and meta-analysis to investigate MI's efficacy in medical care settings. METHODS: Database searches located randomized clinical trials that compared MI to comparison conditions and isolated the unique effect of MI within medical care settings. RESULTS: Forty-eight studies (9618 participants) were included. The overall effect showed a statistically significant, modest advantage for MI: Odd ratio=1.55 (CI: 1.40-1.71), z=8.67, p<.001. MI showed particular promise in areas such as HIV viral load, dental outcomes, death rate, body weight, alcohol and tobacco use, sedentary behavior, self-monitoring, confidence in change, and approach to treatment. MI was not particularly effective with eating disorder or self-care behaviors or some medical outcomes such as heart rate. CONCLUSION: MI was robust across moderators such as delivery location and patient characteristics, and appears efficacious when delivered in brief consultations. PRACTICE IMPLICATIONS: The emerging evidence for MI in medical care settings suggests it provides a moderate advantage over comparison interventions and could be used for a wide range of behavioral issues in health care. |
| first_indexed | 2024-03-07T01:34:30Z |
| format | Journal article |
| id | oxford-uuid:94b036e5-e4ef-456e-8e59-1d5b17c95fc6 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T01:34:30Z |
| publishDate | 2013 |
| record_format | dspace |
| spelling | oxford-uuid:94b036e5-e4ef-456e-8e59-1d5b17c95fc62022-03-26T23:41:10ZMotivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:94b036e5-e4ef-456e-8e59-1d5b17c95fc6EnglishSymplectic Elements at Oxford2013Lundahl, BMoleni, TBurke, BButters, RTollefson, DButler, CRollnick, SOBJECTIVE: Motivational Interviewing (MI) is a method for encouraging people to make behavioral changes to improve health outcomes. We used systematic review and meta-analysis to investigate MI's efficacy in medical care settings. METHODS: Database searches located randomized clinical trials that compared MI to comparison conditions and isolated the unique effect of MI within medical care settings. RESULTS: Forty-eight studies (9618 participants) were included. The overall effect showed a statistically significant, modest advantage for MI: Odd ratio=1.55 (CI: 1.40-1.71), z=8.67, p<.001. MI showed particular promise in areas such as HIV viral load, dental outcomes, death rate, body weight, alcohol and tobacco use, sedentary behavior, self-monitoring, confidence in change, and approach to treatment. MI was not particularly effective with eating disorder or self-care behaviors or some medical outcomes such as heart rate. CONCLUSION: MI was robust across moderators such as delivery location and patient characteristics, and appears efficacious when delivered in brief consultations. PRACTICE IMPLICATIONS: The emerging evidence for MI in medical care settings suggests it provides a moderate advantage over comparison interventions and could be used for a wide range of behavioral issues in health care. |
| spellingShingle | Lundahl, B Moleni, T Burke, B Butters, R Tollefson, D Butler, C Rollnick, S Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. |
| title | Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. |
| title_full | Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. |
| title_fullStr | Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. |
| title_full_unstemmed | Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. |
| title_short | Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. |
| title_sort | motivational interviewing in medical care settings a systematic review and meta analysis of randomized controlled trials |
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