Motivational interviewing
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Motivational interviewing is a "client-centered, directive method for eliciting intrinsic motivation to change using open-ended questions, reflective listening, and decisional balancing. This nonjudgmental, nonconfrontational interviewing style is designed to minimize a patient's resistance to change by creating an interaction that supports open discussion of risky or problem behavior."[1][2]
Effectiveness
| Trial | Patients | Intervention | Comparison | Outcome | Results | Comment | |
|---|---|---|---|---|---|---|---|
| After | Before | ||||||
| Cucciare[3] 2012 |
Staff in the United States Veterans Health Administration | "Three sessions—a half-day, in-person workshop, followed by a 60-minute virtual training, followed by a second, half-day, in-person training workshop. Each session was spaced two weeks apart" | Not applicable in this before-after study | Questionnaire asking knowledge, confidence, attitudes, and responses to vignettes | Increases in knowledge, confidence, and written
responses to the vignettes | ||
| Childers[4] 2012 |
Medical residents (third year of training) | "Groups of two to four residents met for a half-day session weekly for four weeks with a faculty internist trained in MI." 12 hours | Not applicable in this before-after study | Helpful Responses Questionnaire[8] | Increased residents’ use of core MI communication skills | ||
| Bell[5] 2008 |
Medical students | four 2-h sessions | Not applicable in this before-after study | • Video Assessment of Simulated Encounters-Revised (VASE-R) • Commitment to Change (CTC) statements[9] |
Improved knowledge, confidence, and skills | ||
| White[6] 2007 |
Medical students | Unclear number and duration of sessions. | Not applicable in this before-after study | Motivational Interviewing Treatment Integrity scoring tool (MITI)[10] | As compared to professional counselors, "students reached a proficiency level on the rate of reflections, were just below proficiency in assessment of empathy and motivational interviewing spirit and substantially below proficiency in the percent of open ended questions." | ||
| Martino[7] 2007 |
Medical students | Single 2-hour training session of 'brief motivational interviewing' (BMI | Not applicable in this before-after study | Helpful Response Questionnaire[8] | Students increased their knowledge, interest, confidence, and BMI-consistent behaviours | ||
The efficacy in older studies has been summarized in a meta-analysis.[11]
References
- ↑ Anonymous (2024), Motivational interviewing (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Rollnick S, Butler CC, Kinnersley P, Gregory J, Mash B (2010). "Motivational interviewing.". BMJ 340: c1900. DOI:10.1136/bmj.c1900. PMID 20423957. Research Blogging.
- ↑ 3.0 3.1 Cucciare MA, Ketroser N, Wilbourne P, Midboe AM, Cronkite R, Berg-Smith SM et al. (2012). "Teaching motivational interviewing to primary care staff in the Veterans Health Administration.". J Gen Intern Med 27 (8): 953-61. DOI:10.1007/s11606-012-2016-6. PMID 22370769. PMC PMC3403134. Research Blogging.
- ↑ 4.0 4.1 Childers JW, Bost JE, Kraemer KL, Cluss PA, Spagnoletti CL, Gonzaga AM et al. (2012). "Giving residents tools to talk about behavior change: a motivational interviewing curriculum description and evaluation.". Patient Educ Couns 89 (2): 281-7. DOI:10.1016/j.pec.2012.08.001. PMID 22910139. Research Blogging.
- ↑ 5.0 5.1 Bell K, Cole BA (2008). "Improving medical students' success in promoting health behavior change: a curriculum evaluation.". J Gen Intern Med 23 (9): 1503-6. DOI:10.1007/s11606-008-0678-x. PMID 18592322. PMC PMC2518029. Research Blogging.
- ↑ 6.0 6.1 White LL, Gazewood JD, Mounsey AL (2007). "Teaching students behavior change skills: description and assessment of a new Motivational interviewing curriculum.". Med Teach 29 (4): e67-71. DOI:10.1080/01421590601032443. PMID 17786734. Research Blogging.
- ↑ 7.0 7.1 Martino S, Haeseler F, Belitsky R, Pantalon M, Fortin AH (2007). "Teaching brief motivational interviewing to Year three medical students.". Med Educ 41 (2): 160-7. DOI:10.1111/j.1365-2929.2006.02673.x. PMID 17269949. Research Blogging.
- ↑ 8.0 8.1 Miller WR, Hedrick KE, Orlofsky DR (1991). "The Helpful Responses Questionnaire: a procedure for measuring therapeutic empathy.". J Clin Psychol 47 (3): 444-8. PMID 2066417. [e]
- ↑ Green ML, Gross CP, Kernan WN, Wong JG, Holmboe ES (2003). "Integrating teaching skills and clinical content in a faculty development workshop.". J Gen Intern Med 18 (6): 468-74. PMID 12823654. PMC PMC1494873. [e]
- ↑ Moyers TB, Martin T, Manuel JK, Hendrickson SM, Miller WR (2005). "Assessing competence in the use of motivational interviewing.". J Subst Abuse Treat 28 (1): 19-26. DOI:10.1016/j.jsat.2004.11.001. PMID 15723728. Research Blogging.
- ↑ Burke BL, Arkowitz H, Menchola M (2003). "The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials.". J Consult Clin Psychol 71 (5): 843-61. DOI:10.1037/0022-006X.71.5.843. PMID 14516234. Research Blogging. Review in: Evid Based Ment Health. 2004 May;7(2):52