Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials

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Publication Type pre-print
School or College College of Social Work
Department Social Work (College of)
Creator Lundahl, Brad Ward
Other Author Moleni, Teena; Burke, Brian L.; Butters, Robert; Tollefson, Derrick; Butler, Christopher; Rollnick, Stephen
Title Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials
Date 2013-07-17
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 (9,618 participants) were included. The overall effect showed a statistically significant, modest advantage for MI: Odd Ratio = 1.55 (CI: 1.40 to 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. MI was robust across moderators such as delivery location and patient characteristics, and appears efficacious when delivered in brief consultations. Conclusion & 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.
Type Text
Publisher Elsevier
Journal Title Patient Education and Counseling
First Page 1
Last Page 54
Subject Motivational interviewing; Systematic review; Meta-analysis; Health care; Medicine; Medical; Behaviour; Behavior; Counseling; Consultation
Language eng
Bibliographic Citation Lundahl, B.W., Moleni, T., Burke, B.L., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013). Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling, 1-54.
Rights Management (c) Elsevier ; Authors pre-print from Lundahl, B.W., Moleni, T., Burke, B.L., Butters, R., Tollefson, D., Butler, C., & Rollnick, S. (2013). Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling. http://dx.doi.org/10.1016/j.pec.2013.07.012
Format Medium application/pdf
Format Extent 388,200 bytes
Identifier uspace/id/7398
ARK ark:/87278/s6rj53dc
Setname ir_uspace
Date Created 2013-10-16
Date Modified 2013-10-16
ID 709432
Reference URL https://collections.lib.utah.edu/ark:/87278/s6rj53dc
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