Motivational Interviewing: An Evidence-Based Approach for Use in Medical Practice

Bischof, Gallus; Bischof, Anja; Rumpf, Hans‐Jürgen

doi:10.3238/arztebl.m2021.0014

Cited by 37 publications

(34 citation statements)

References 16 publications

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“…The few existing telemedicine offerings for individuals with IUD are often defined by asynchronous communication via apps or support via e-mail ( Chebli, Blaszczynski, & Gainsbury, 2016 ; Lam & Lam, 2016 ). The effectiveness of Motivational Interviewing (MI) techniques in the treatment and counselling of individuals with addictive behaviours ( Bischof, G., Bischof, A., & Rumpf, 2021 ; Diclemente, Corno, Graydon, Wiprovnick, & Knoblach, 2017 ) and in particular IUD was verified (e.g. van Rooij, Zinn, Schoenmakers, & van de Mheen, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of short-term telemedicine motivation-based intervention for individuals with Internet Use Disorder – A pilot-study

Bottel

Brand

Dieris-Hirche

et al. 2021

JBA

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Background Internet Use Disorders (IUD) cover a range of online-related behavioral addictions, which are acknowledged and strengthened by the inclusion of (online) gaming disorder in the ICD-11 by the World Health Organization. Internet-based telemedicine interventions offer the possibility to reach out for individuals with IUD where the disorder emerges, in order to enhance their motivation to change their Internet use behavior. Methods In the course of the short-term telemedicine motivation-based intervention, adult participants took part in two webcam-based counselling sessions based on Motivational Interviewing techniques. Two weeks after the first webcam-based counselling session the second took place. Participants completed questionnaires regarding the motivation to change their Internet use behavior (iSOCRATES) and symptoms of IUD (s-IAT) at three times of measurement: t0 (pre-intervention), t1 (mid-intervention) and t2 (post-intervention). Results 73 affected individuals (83.6% male, average age 35 years (SD = 12.49) took part in the whole intervention including the questionnaire-based post intervention survey (t2). Over the course of the telemedicine intervention, a significant increase in the motivation to change with regard to the own Internet use behavior as well as a significant reduction in the symptom severity of an IUD and duration of Internet use (reduction of 2 hrs/d) were shown. Conclusion The telemedicine pilot study shows that online-based consultation can be effective and helpful for individuals with IUD. Therefore, such a telemedicine intervention may be a suitable extension to the already existing analogous care system.

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Section: Introductionmentioning

confidence: 99%

Efficacy of short-term telemedicine motivation-based intervention for individuals with Internet Use Disorder – A pilot-study

Bottel

Brand

Dieris-Hirche

et al. 2021

JBA

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“…Such individuals have been found to be significantly more likely to go for CRC screening ( 47 – 49 ), potentially displaying selection bias unreflective of people in the general population. Together, these may be factors that play a part in increasing heterogeneity and inter-study variance ( 50 , 51 ).…”

Section: Discussionmentioning

confidence: 99%

Motivational Interviewing to Improve the Uptake of Colorectal Cancer Screening: A Systematic Review and Meta-Analysis

et al. 2022

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IntroductionColorectal cancer screening when done early can significantly reduce mortality. However, screening compliance is still lower than expected even in countries with established screening programs. Motivational interviewing is an approach that has been explored to promote behavioral change including screening compliance. This review synthesizes the efficacy of motivational interviewing in promoting uptake of colorectal screening modalities and is the only review so far that examines motivational interviewing for colorectal cancer screening alone.MethodsA systematic review and meta-analysis was conducted to examine the effects of motivational interviewing for colorectal cancer screening. PubMed, EMBASE, CENTRAL, PsycINFO, and CINAHL were searched to identify eligible studies from inception to June 2021 and selection criteria was defined. Risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. The DerSimonian and Laird random effects model was used in the statistical analysis for studies included in the meta-analysis.ResultsFourteen studies from 14 randomized-controlled trials with a low to moderate risk of bias were analyzed. 8 studies in the systematic review showed that motivational interviewing is superior to a control group. Meta-analysis was conducted on 11 studies and showed that motivational interviewing is statistically significant in increasing colorectal cancer screening rates in both intention-to-treat and per-protocol analysis. Timing of data collection of colorectal cancer screening rates did not make a significant difference to the efficacy of motivational interviewing. Studies that offered and accepted a mixture of colorectal screening modalities such as colonoscopy and fecal immunochemical tests were significantly more likely to have favorable colorectal screening outcomes. Heterogeneity in intervention was noted between studies, specifically differences in the training of interventionists, intervention delivery and comparator components.ConclusionMotivational interviewing is a tailored intervention demonstrating mixed evidence in improving colorectal cancer screening attendance amongst individuals. More research is needed to rigorously compare the effect of motivational interviewing alone vs. in combination with other screening promotion strategies to enhance colorectal cancer screening compliance.

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“…A successful clinical approach typically involves reflective listening, acknowledgment and validation of the patient's feelings, absence of judgment, evident expertise, and use of gentle persuasion for the patient to choose to pursue collaborative and volitional change. Motivational interviewing is one evidence-based technique in which patients are encouraged to consider change without confrontation or power struggle, where the provider will "roll with resistance" expressed by the patient, and instead focus on the patient's strengths while projecting optimism regarding their ability to change with proper support [39,40].…”

Section: Diagnosis and Treatment Of Opioid Use Disorder Or Other Sud ...mentioning

confidence: 99%

Management of Co-Occurring SUD and Chronic Pain

Rudolf¹

2023

Substance Use Disorder - New Research Perspectives in the Diagnosis, Treatment, and Prognosis

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Though there has been a 44.4% decrease in the number of prescriptions written for opioid analgesics between the years 2011–2020 in the United States, drug overdose rates continue to climb sharply, reaching nearly 107,000 for a prior 12-months period as of early 2022, driven primarily by the use of illicit opioids. It is estimated that 80–90% of individuals with a substance use disorder (SUD) receive no treatment, and for those with opioid use disorder (OUD) who do find their way to treatment, less than half are offered potentially life-saving medication. Contemporaneously, chronic pain is one of the most common and most disabling health conditions, and frequently involves complex decision-making between the patient and the health care team regarding the treatment approach. Though prescribing trends have ebbed in recent years, opioids continue to be the most prescribed class of drug in the United States despite well-publicized associated harms. It is more critical than ever that stakeholders urgently work to facilitate and destigmatize evidence-based substance use disorder treatment, and promote safe, effective, and holistic care pathways for patients suffering from chronic pain.

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Motivational Interviewing: An Evidence-Based Approach for Use in Medical Practice

Cited by 37 publications

References 16 publications

Efficacy of short-term telemedicine motivation-based intervention for individuals with Internet Use Disorder – A pilot-study

Efficacy of short-term telemedicine motivation-based intervention for individuals with Internet Use Disorder – A pilot-study

Motivational Interviewing to Improve the Uptake of Colorectal Cancer Screening: A Systematic Review and Meta-Analysis

Management of Co-Occurring SUD and Chronic Pain

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