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      Motivational interviewing in health promotion: It sounds like something is changing.

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          Abstract

          Motivational interviewing (MI), initially developed for addiction counseling, has increasingly been applied in public health, medical, and health promotion settings. This article provides an overview of MI, outlining its philosophic orientation and essential strategies. Major outcome studies are reviewed, nuances associated with the use of MI in health promotion and chronic disease prevention are described, and future directions are offered.

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          Most cited references28

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          Matching Alcoholism Treatments to Client Heterogeneity: Project MATCH posttreatment drinking outcomes.

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            The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review

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              Compliance therapy in psychotic patients: randomised controlled trial.

              To determine whether compliance therapy, a cognitive-behavioural intervention, could improve compliance with treatment and hence social adjustment in acutely psychotic inpatients, and if so, whether the effect persisted six months later. Randomised controlled trial of compliance therapy and non-specific counselling, each comprising 4-6 sessions lasting 10-60 minutes. Acute psychiatric admissions ward serving an inner London catchment area. 47 patients with psychosis. Informant and observer reported measure of compliance; observer assessed global functioning after intervention and three and six months later; self-rated attitudes to drug treatment after the intervention and one month later; symptom scores after intervention and six months later. 25 patients received compliance therapy and showed significantly greater improvements in their attitudes to drug treatment and in their insight into illness and compliance with treatment compared with the control group. These gains persisted for six months. The intervention group was 5.2 times more likely than the control group to reach a criterion level of compliance (95% confidence interval 1.5 to 18.3). Global functioning showed a tendency to improve more in the intervention group after a delay (odds ratio 3.0 (0.8 to 11.5) to reach the criterion level at six months). Four subjects given compliance therapy and six in the control group were readmitted during follow up (odds ratio 2.0 (0.48 to 8.2)). Compliance therapy is a pragmatic method for improving compliance with drug treatment in psychotic inpatients and its gains persist for at least six months. Overall functioning may also be enhanced.
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                Author and article information

                Journal
                Health Psychology
                Health Psychology
                American Psychological Association (APA)
                1930-7810
                0278-6133
                2002
                2002
                : 21
                : 5
                : 444-451
                Article
                10.1037/0278-6133.21.5.444
                12211511
                32a54d12-1848-402c-b426-e9db6ecb76ec
                © 2002
                History

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