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The Efficacy of Motivational Interviewing: A Meta-Analysis of Controlled Clinical Trials
A meta-analysis was conducted on controlled clinical trials investigating adaptations of motivational interviewing (AMIs), a promising approach to treating problem behaviors. AMIs were equivalent to other active treatments and yielded moderate effects (from.25 to.57) compared with no treatment and/o...
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Published in: | Journal of consulting and clinical psychology 2003-10, Vol.71 (5), p.843-861 |
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container_title | Journal of consulting and clinical psychology |
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creator | Burke, Brian L Arkowitz, Hal Menchola, Marisa |
description | A meta-analysis was conducted on controlled clinical trials investigating adaptations of motivational interviewing (AMIs), a promising approach to treating problem behaviors. AMIs were equivalent to other active treatments and yielded moderate effects (from.25 to.57) compared with no treatment and/or placebo for problems involving alcohol, drugs, and diet and exercise. Results did not support the efficacy of AMIs for smoking or HIV-risk behaviors. AMIs showed clinical impact, with 51% improvement rates, a 56% reduction in client drinking, and moderate effect sizes on social impact measures (
d
= 0.47). Potential moderators (comparative dose, AMI format, and problem area) were identified using both homogeneity analyses and exploratory multiple regression. Results are compared with other review results and suggestions for future research are offered. |
doi_str_mv | 10.1037/0022-006X.71.5.843 |
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d
= 0.47). Potential moderators (comparative dose, AMI format, and problem area) were identified using both homogeneity analyses and exploratory multiple regression. Results are compared with other review results and suggestions for future research are offered.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.71.5.843</identifier><identifier>PMID: 14516234</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Alcohol Abuse ; Behavior modification ; Behavior Problems ; Behavior therapy. Cognitive therapy ; Behavioural problems ; Biological and medical sciences ; Clinical outcomes ; Clinical psychology ; Clinical trials ; Cognitive therapy ; Controlled Clinical Trials as Topic ; Desintoxication. Drug withdrawal ; Disorders ; Drug Abuse ; Eating Behavior ; Effect Size (Statistical) ; Exercise ; Experiments ; Human ; Humans ; Interview, Psychological ; Interviewing ; Interviews ; Medical sciences ; Medical treatment ; Meta-analysis ; Motivation ; Motivational Interviewing ; Pharmaceuticals ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Sexual Risk Taking ; Social behaviour ; Systematic review ; Tobacco Smoking ; Treatment ; Treatments</subject><ispartof>Journal of consulting and clinical psychology, 2003-10, Vol.71 (5), p.843-861</ispartof><rights>2003 American Psychological Association</rights><rights>2004 INIST-CNRS</rights><rights>Copyright American Psychological Association Oct 2003</rights><rights>2003, American Psychological Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a633t-3bdfeb55e8ab4b93e4fe1824aa4dd608863d5a5ce5c76209eb738fa41e55abf13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923,30997,30998,33221,33222</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15179745$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14516234$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Burke, Brian L</creatorcontrib><creatorcontrib>Arkowitz, Hal</creatorcontrib><creatorcontrib>Menchola, Marisa</creatorcontrib><title>The Efficacy of Motivational Interviewing: A Meta-Analysis of Controlled Clinical Trials</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>A meta-analysis was conducted on controlled clinical trials investigating adaptations of motivational interviewing (AMIs), a promising approach to treating problem behaviors. AMIs were equivalent to other active treatments and yielded moderate effects (from.25 to.57) compared with no treatment and/or placebo for problems involving alcohol, drugs, and diet and exercise. Results did not support the efficacy of AMIs for smoking or HIV-risk behaviors. AMIs showed clinical impact, with 51% improvement rates, a 56% reduction in client drinking, and moderate effect sizes on social impact measures (
d
= 0.47). Potential moderators (comparative dose, AMI format, and problem area) were identified using both homogeneity analyses and exploratory multiple regression. Results are compared with other review results and suggestions for future research are offered.</description><subject>Alcohol Abuse</subject><subject>Behavior modification</subject><subject>Behavior Problems</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Behavioural problems</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Clinical psychology</subject><subject>Clinical trials</subject><subject>Cognitive therapy</subject><subject>Controlled Clinical Trials as Topic</subject><subject>Desintoxication. Drug withdrawal</subject><subject>Disorders</subject><subject>Drug Abuse</subject><subject>Eating Behavior</subject><subject>Effect Size (Statistical)</subject><subject>Exercise</subject><subject>Experiments</subject><subject>Human</subject><subject>Humans</subject><subject>Interview, Psychological</subject><subject>Interviewing</subject><subject>Interviews</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Meta-analysis</subject><subject>Motivation</subject><subject>Motivational Interviewing</subject><subject>Pharmaceuticals</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Sexual Risk Taking</subject><subject>Social behaviour</subject><subject>Systematic review</subject><subject>Tobacco Smoking</subject><subject>Treatment</subject><subject>Treatments</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><recordid>eNqF0UFrFDEUwPEgil2rX8CDLKKCh1nfm-RNJsdSqi209FLBW3iTSTRldmZMZiv77Z1lFxc8tKdcfu89yF-ItwgrBKm_AJRlAVD9WGlc0apW8plYoJGmKBH1c7H4B07Eq5zvAQAroJfiBBVhVUq1EJ_vfvnlRQjRsdsuh7C8Gab4wFMceu6WV_3k00P0f2L_87V4EbjL_s3hPRXfv17cnV8W17ffrs7PrguupJwK2bTBN0S-5kY1RnoVPNalYlZtW0FdV7IlJufJ6aoE4xst68AKPRE3AeWp-LTfO6bh98bnya5jdr7ruPfDJltNGo0B8yQkPV8jgCehrElKrfQM3_8H74dNmj8i2wqVNEbjo6hEqKQm2KFyj1wack4-2DHFNaetRbC7eHbXxu7aWI2W7BxvHnp32Lxp1r49jhxqzeDjAXB23IXEvYv56Ai10Ypm92HveGQ75q3jNEXX-WydG4_3_gI0jKtm</recordid><startdate>20031001</startdate><enddate>20031001</enddate><creator>Burke, Brian L</creator><creator>Arkowitz, Hal</creator><creator>Menchola, Marisa</creator><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>20031001</creationdate><title>The Efficacy of Motivational Interviewing</title><author>Burke, Brian L ; Arkowitz, Hal ; Menchola, Marisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a633t-3bdfeb55e8ab4b93e4fe1824aa4dd608863d5a5ce5c76209eb738fa41e55abf13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Alcohol Abuse</topic><topic>Behavior modification</topic><topic>Behavior Problems</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Behavioural problems</topic><topic>Biological and medical sciences</topic><topic>Clinical outcomes</topic><topic>Clinical psychology</topic><topic>Clinical trials</topic><topic>Cognitive therapy</topic><topic>Controlled Clinical Trials as Topic</topic><topic>Desintoxication. Drug withdrawal</topic><topic>Disorders</topic><topic>Drug Abuse</topic><topic>Eating Behavior</topic><topic>Effect Size (Statistical)</topic><topic>Exercise</topic><topic>Experiments</topic><topic>Human</topic><topic>Humans</topic><topic>Interview, Psychological</topic><topic>Interviewing</topic><topic>Interviews</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Meta-analysis</topic><topic>Motivation</topic><topic>Motivational Interviewing</topic><topic>Pharmaceuticals</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Sexual Risk Taking</topic><topic>Social behaviour</topic><topic>Systematic review</topic><topic>Tobacco Smoking</topic><topic>Treatment</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Burke, Brian L</creatorcontrib><creatorcontrib>Arkowitz, Hal</creatorcontrib><creatorcontrib>Menchola, Marisa</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>PsycArticles (via ProQuest)</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Burke, Brian L</au><au>Arkowitz, Hal</au><au>Menchola, Marisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Efficacy of Motivational Interviewing: A Meta-Analysis of Controlled Clinical Trials</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>2003-10-01</date><risdate>2003</risdate><volume>71</volume><issue>5</issue><spage>843</spage><epage>861</epage><pages>843-861</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>A meta-analysis was conducted on controlled clinical trials investigating adaptations of motivational interviewing (AMIs), a promising approach to treating problem behaviors. 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d
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source | Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); PsycARTICLES |
subjects | Alcohol Abuse Behavior modification Behavior Problems Behavior therapy. Cognitive therapy Behavioural problems Biological and medical sciences Clinical outcomes Clinical psychology Clinical trials Cognitive therapy Controlled Clinical Trials as Topic Desintoxication. Drug withdrawal Disorders Drug Abuse Eating Behavior Effect Size (Statistical) Exercise Experiments Human Humans Interview, Psychological Interviewing Interviews Medical sciences Medical treatment Meta-analysis Motivation Motivational Interviewing Pharmaceuticals Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Sexual Risk Taking Social behaviour Systematic review Tobacco Smoking Treatment Treatments |
title | The Efficacy of Motivational Interviewing: A Meta-Analysis of Controlled Clinical Trials |
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