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

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Title: Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials.
Authors: Lundahl, Brad1 Brad.Lundahl@socwk.utah.edu, Moleni, Teena1, Burke, Brian L.2, Butters, Robert1, Tollefson, Derrik3, Butler, Christopher4, Rollnick, Stephen4
Source: Patient Education & Counseling. Nov2013, Vol. 93 Issue 2, p157-168. 12p.
Subject Terms: Medical care, Motivational interviewing, Body weight, Medical consultation, Treatment effectiveness, Meta-analysis, Randomized controlled trials
Abstract: Abstract: 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. [Copyright &y& Elsevier]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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DbLabel: Education Research Complete
An: 91266896
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
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  Data: Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lundahl%2C+Brad%22&quot;&gt;Lundahl, Brad&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; Brad.Lundahl@socwk.utah.edu&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Moleni%2C+Teena%22&quot;&gt;Moleni, Teena&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Burke%2C+Brian+L%2E%22&quot;&gt;Burke, Brian L.&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Butters%2C+Robert%22&quot;&gt;Butters, Robert&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tollefson%2C+Derrik%22&quot;&gt;Tollefson, Derrik&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Butler%2C+Christopher%22&quot;&gt;Butler, Christopher&lt;/searchLink&gt;&lt;relatesTo&gt;4&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rollnick%2C+Stephen%22&quot;&gt;Rollnick, Stephen&lt;/searchLink&gt;&lt;relatesTo&gt;4&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+care%22&quot;&gt;Medical care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Motivational+interviewing%22&quot;&gt;Motivational interviewing&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Body+weight%22&quot;&gt;Body weight&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+consultation%22&quot;&gt;Medical consultation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Treatment+effectiveness%22&quot;&gt;Treatment effectiveness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Meta-analysis%22&quot;&gt;Meta-analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Randomized+controlled+trials%22&quot;&gt;Randomized controlled trials&lt;/searchLink&gt;
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  Data: Abstract: 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&#39;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 &lt;.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. [Copyright &amp;y&amp; Elsevier]
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  Data: &lt;i&gt;Copyright of Patient Education &amp; Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=91266896
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1016/j.pec.2013.07.012
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      – Code: eng
        Text: English
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        PageCount: 12
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        Type: general
      – SubjectFull: Motivational interviewing
        Type: general
      – SubjectFull: Body weight
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      – SubjectFull: Medical consultation
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Meta-analysis
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      – SubjectFull: Randomized controlled trials
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      – TitleFull: Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials.
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              Text: Nov2013
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