• Br J Gen Pract · Apr 2005

    Review Meta Analysis

    Motivational interviewing: a systematic review and meta-analysis.

    • Sune Rubak, Annelli Sandbaek, Torsten Lauritzen, and Bo Christensen.
    • Department and Research Unit of General Practice, University of Aarhus, Denmark. sr@alm.au.dk
    • Br J Gen Pract. 2005 Apr 1; 55 (513): 305312305-12.

    BackgroundMotivational 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.AimTo evaluate the effectiveness of motivational interviewing in different areas of disease and to identify factors shaping outcomes.Design Of StudyA systematic review and meta-analysis of randomised controlled trials using motivational interviewing as the intervention.MethodAfter 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.ResultsMeta-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.ConclusionMotivational 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.

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