Motivational Interviewing for Weight Management Among Women: a Meta-Analysis and Systematic Review of RCTs

Suire, Kameron; Kavookjian, Jan; Feiss, Robyn; Wadsworth, Danielle D.

doi:10.1007/s12529-020-09934-0

Cited by 14 publications

(19 citation statements)

References 41 publications

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“…46 Suire et al 20 found a significant difference of 2.43 BF% in favor of the MI, which is comparable to the 3% difference found in the current study. Suire et al 20 also found a nonsignificant difference of 0.01 g/cm 2 in BMD between groups, which is less than the significant difference of 0.07 g/cm 2 found in the current study. When comparing these results, it is important to mention the prior intervention by Suire et al 20 utilized six MI sessions over 6 months and was the only aspect of the intervention.…”

Section: Discussionsupporting

confidence: 88%

“… 19 Another meta-analysis specifically focusing on women, found MI groups lost 1.36 kg more in weight and 1.22 kg/m 2 more in BMI more than control groups. 20 Within the current intervention, females in the MI group had a difference of about −3 BF% and −5.23 cm in WC when compared to the SRM group. This adds to the growing evidence base demonstrating the potential of MI and weight management.…”

Section: Discussionmentioning

confidence: 80%

“…Using the most recent meta-analysis/systematic review for weight management-based MI among women, more successful interventions had five sessions of MI, whereas studies that were not as successful had an average of three sessions. 20 Another review found interventions that employed at least three sessions, lasting 4–5 h tended to be more impactful. 47 The literature could be improved by further investigation on dosage so that a standard can be established for future interventions.…”

Section: Discussionmentioning

confidence: 99%

“…16 MI has demonstrated success in several areas related to metabolic syndrome including type 2 diabetes management, 17 weight management for overweight children, 18 overweight adults in primary care, 19 and overweight women. 20 Because of its person-centered, tailored approach, MI is complex and requires evidence-based training to achieve a beginner-level proficiency (90% MI adherent). In addition to training, optimal methods in a study based on MI intervention must include implementation of MI intervention fidelity assessment to examine the consistency of MI in study encounters to make claims for validity for the MI basis of the intervention.…”

Section: Introductionmentioning

confidence: 99%

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Impact of motivational interviewing as a follow-up to an exercise intervention among women with or at risk for metabolic syndrome: A randomized controlled trial

et al. 2022

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Objectives: Women have a higher prevalence of metabolic syndrome than their male counterparts, and interventions should target women with or at risk for metabolic syndrome. The objective of this study was to compare two intervention strategies on long-term outcomes following the completion of an exercise intervention. Methods: Twenty-six women ( M age = 43.35 ± 9.03) with at least one risk factor for metabolic syndrome were randomized into either a motivational interviewing group ( n = 10) or self-regulation-based mobile messaging control group ( n = 16) as a 12-week follow-up to a 10-week, 30-session exercise intervention. Outcomes of interest were body fat percentage, bone mineral density, waist circumference, systolic blood pressure, diastolic blood pressure, triglycerides, high-density cholesterol, and fasting blood glucose. Results: Mixed ANOVAs revealed a significant effect for group × time for body fat percentage F(1, 24) = 8.30, p = 0.01, [Formula: see text] = 0.26, bone mineral density F(1, 24) = 6.68, p = 0.02, [Formula: see text] = 0.22, waist circumference F(1, 24) = 10.35, p = 0.01, [Formula: see text] = 0.30, triglycerides F(1, 24) = 5.06, p = 0.03, [Formula: see text] = 0.17, and systolic blood pressure F(1, 24) = 5.39, p = 0.03, [Formula: see text] = 0.18 all in favor of the motivational interviewing group after 12 weeks when compared to the self-regulation-based mobile messaging group. No significant effect for group × time was noted for diastolic blood pressure p = 0.36, [Formula: see text] = 0.04, high-density cholesterol p = 0.08, [Formula: see text] = 0.12, or fasting blood glucose p = 0.85, [Formula: see text] = 0.01 when comparing the motivational interviewing and self-regulation-based mobile messaging groups. Conclusions: Motivational interviewing may be a more impactful solution to extend the effects of exercise intervention studies compared to a self-regulation-based mobile messaging control group. Future interventions should focus on increasing sample size, utilizing more objective measures of body composition, utilizing booster sessions, and increasing the length of follow-up periods.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of motivational interviewing as a follow-up to an exercise intervention among women with or at risk for metabolic syndrome: A randomized controlled trial

et al. 2022

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“…54 To further improve the quality of evidence for practice, an intervention fidelity check should be always performed, and results need to be reported. 36,52,54 Although most studies used trained interveners to deliver MI interventions, only a few reported details about the training duration and type. To improve reproducibility, training information should be reported.…”

Section: Grade Quality Of Evidencementioning

confidence: 99%

Motivational interviewing to reduce anthropometrics among children: A meta‐analysis, moderation analysis and Grading of Recommendations Assessment, Development and Evaluation assessment

Ling

Wen²,

Robbins

et al. 2022

Pediatric Obesity

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Summary Background Limited systematic reviews exist to evaluate the effects of motivational interviewing (MI) on children's anthropometric factors. Objective This review examined the effects of MI interventions for children and/or parents on children's anthropometric factors and included moderation analyses and Grading of Recommendations Assessment, Development and Evaluation (GRADE) assessment. Methods Following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement, we searched Cochrane Library, PubMed, CINAHL, EMBASE, PsycINFO, Sociological Abstracts, SPORTDiscus, Education Resources Information Center, and Web of Science in December 2020. A two‐step double screening approach was applied: (1) screening titles and abstracts, and (2) screening full‐text articles obtained in step 1. At each step, discussion occurred until reaching consensus. The Cochrane risk‐of‐bias tool was used to evaluate risk of bias, and GRADE system was applied to assess overall quality of evidence. We performed meta‐analyses using the Comprehensive Meta‐Analysis software. Results A total of 2209 records were found, and 45 eligible articles were retained. MI interventions had a pooled effect of −0.15 on body mass index (BMI; 95% confidence interval [CI]: −0.24 to −0.06), −0.36 on waist circumference (WC; 95% CI: −0.71 to −0.01) and −0.22 on percent body fat (95% CI: −0.41 to −0.03). Child baseline weight status and percent low‐income families were identified as significant intervention moderators. According to the GRADE assessment, the quality of evidence on BMI percentile, BMI z‐score and percent body fat was moderate, while quality on BMI and WC was low. Conclusions In conclusion, culturally appropriate clinic‐ or home‐based MI interventions with adequate duration, dose and active parental involvement are promising in reducing anthropometrics among children.

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Lifestyle modifications for nonalcohol-related fatty liver disease: a network meta-analysis

Buzzetti

Linden

Best

et al. 2021

Cochrane Database of Systematic Reviews

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Motivational Interviewing for Weight Management Among Women: a Meta-Analysis and Systematic Review of RCTs

Cited by 14 publications

References 41 publications

Impact of motivational interviewing as a follow-up to an exercise intervention among women with or at risk for metabolic syndrome: A randomized controlled trial

Impact of motivational interviewing as a follow-up to an exercise intervention among women with or at risk for metabolic syndrome: A randomized controlled trial

Motivational interviewing to reduce anthropometrics among children: A meta‐analysis, moderation analysis and Grading of Recommendations Assessment, Development and Evaluation assessment

Lifestyle modifications for nonalcohol-related fatty liver disease: a network meta-analysis

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