The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment

DiMarco, Ilyse Dobrow; Klein, Dena A.; Clark, Vicki L. Plano; Wilson, G. Terence

doi:10.1016/j.eatbeh.2009.02.001

Cited by 50 publications

(42 citation statements)

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“…The results of this research are somewhat mixed. Five studies found an advantage for MI over comparison or control conditions [71-74]. Interestingly, Carels et al [73] speculated that the observed weight loss benefits for an MI condition in their study could have been due to an increase in intrinsic motivation for behavior change.…”

Section: Introductionmentioning

confidence: 99%

“…However, in these studies the number of MI sessions was generally fewer than those with more positive outcomes. Furthermore, a number of studies have found advantages for MI in terms of weight-related outcomes other than weight loss, including physical activity [72,73], dietary behaviors [77], eating concerns and unrestrained eating [74], program adherence and glycemic control among type II diabetics [71,76], and a reduction in CHD risk factors [72]. Overall the evidence is at least suggestive that MI can be useful in weight control interventions but it remains unclear just how effective it is, and the extent to which it is effective in different populations [80].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Motivation, self-determination, and long-term weight control

Teixeira

Silva

Mata

et al. 2012

Int J Behav Nutr Phys Act

320

255

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This article explores the topics of motivation and self-regulation in the context of weight management and related behaviors. We focus on the role of a qualitative approach to address motivation - not only considering the level but also type of motivation - in weight control and related behaviors. We critically discuss the operationalization of motivation in current weight control programs, present a complementary approach to understanding motivation based on self-determination theory, and review empirical findings from weight control studies that have used self-determination theory measures and assessed their association with weight outcomes. Weight loss studies which used Motivational Interviewing (MI) are also reviewed, considering MI's focus on enhancing internal motivation. We hypothesize that current weight control interventions may have been less successful with weight maintenance in part due to their relative disregard of qualitative dimensions of motivation, such as level of perceived autonomy, often resulting in a motivational disconnect between weight loss and weight-related behaviors. We suggest that if individuals fully endorse weight loss-related behavioral goals and feel not just competent but also autonomous about reaching them, as suggested by self-determination theory, their efforts are more likely to result in long-lasting behavior change.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Motivation, self-determination, and long-term weight control

Teixeira

Silva

Mata

et al. 2012

Int J Behav Nutr Phys Act

320

255

View full text Add to dashboard Cite

show abstract

“…However, of the five studies that examined the effect of adding MI to a BWLP in this meta-analysis, three failed to find any weight-loss benefit for MI [19–21]. Proposed reasons for these null findings included socioeconomic barriers to change faced by certain samples [19], inadequate sample size, lack of or uncertain treatment fidelity, and inadequate long-term follow-up [20, 21]. Another study investigating MI as an adjunct to an Internet-based BWLP also failed to find an effect of MI on weight loss [22].…”

Section: Introductionmentioning

confidence: 99%

Behavioral weight-loss treatment plus motivational interviewing versus attention control: lessons learned from a randomized controlled trial

Moss

Tobin

Campbell

et al. 2017

Trials

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BackgroundStudies evaluating the benefit of adding motivational interviewing (MI) to behavioral weight-loss programs (BWLPs) have yielded mixed findings.MethodsThe aims of this randomized controlled trial were to: (1) assess the efficacy of adding MI to a BWLP on weight loss and adherence among 135 individuals with overweight and obesity (77.8% female; mean BMI = 33.6 kg/m2) enrolled in a 12-week BWLP and (2) explore levels of importance, confidence, and readiness for change ratings.ResultsParticipants, who were randomized to receive two MI sessions or two attention control sessions, were assessed at baseline, the end of the BWLP, and 6 months post BWLP. Both groups decreased their weight from baseline to the end of the BWLP; however, there was no weight change in either group when measured between baseline and 6 months post BWLP. We observed no group differences in importance, confidence, and readiness for change after each session.ConclusionsWe highlight some important lessons learned from the present trial that can be applied to MI + BWLP research. Participants may not have benefited from MI because they were already highly motivated to change, which highlights the importance of pretreatment assessment. Findings also suggest that treatment monitoring may help to enhance MI + BWLP efficacy by guiding a stepped-care approach that identifies individuals for whom additional MI sessions are needed, and when. A focus on refining elements of treatment remains an important direction.Trial registrationClinicalTrials.gov, Identifier: NCT02649634. Retrospectively registered on 5 January 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-2094-1) contains supplementary material, which is available to authorized users.

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“…Carels et al (29) explained that motivational interviewing was effective for people who failed to achieve weight loss through standard programmes, and that they participated in the PA programme, which is in line with our results. Di Marco et al (30) presented a medium effect of motivational interviewing on BMI, and concluded that it had greater efficacy than traditional treatments. We showed that anthropometric changes in the motivational interviewing group were more stable than those in the control group, which has also been shown in other studies (20,31).…”

Section: Discussionmentioning

confidence: 99%

Modifying attitude and intention toward regular physical activity using protection motivation theory: a randomized controlled trial

Eri

Ghanbari

Kabir

et al. 2017

East Mediterr Health J

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Modification de l'attitude et de l'intention vis-à-vis d'une activité physique régulière à l'aide de la théorie de la motivation à la protection : essai contrôlé randomisé RÉSUMÉ Nous nous sommes servis de la théorie à la motivation à la protection pour tester l'impact des entretiens motivationnels sur l'attitude et l'intention des femmes obèses et en surcharge pondérale vis-à-vis de la pratique d'une activité physique régulière. Lors d'un essai contrôlé randomisé, 60 femmes obèses et en surcharge pondérale se présentant dans des centres de santé ont été sélectionnées par échantillonnage de commodité. Les femmes ont été réparties en deux groupes, chaque groupe comprenant 30 femmes suivant un programme standard de gestion du poids ou assistant à des entretiens motivationnels. Les composantes de la théorie (vulnérabilité perçue, gravité, auto-efficacité et efficacité de la réponse) ainsi que les caractéristiques anthropométriques (sauf l'indice de masse corporelle) étaient toutes significativement différentes entre les groupes à trois moments de l'étude. Les indicateurs de l'intention les plus forts concernant la pratique régulière de l'exercice physique étaient l'efficacité de réponse perçue et l'attitude lors du suivi à deux et six mois. Nous avons prouvé que la réalisation des entretiens motivationnels en mettant l'accent sur la théorie de la motivation à la protection s'est avérée profitable pour la conception et l'élaboration des interventions appropriées afin d'améliorer le statut de l'activité physique chez les femmes obèses et en surcharge pondérale. ABSTRACT We were guided by the Protection Motivation Theory to test the motivational interviewing effects on attitude and intention of obese and overweight women to do regular physical activity. In a randomized controlled trial, we selected using convenience sampling 60 overweight and obese women attending health centres. The women were allocated to 2 groups of 30 receiving a standard weight-control programme or motivational interviewing. All constructs of the theory (perceived susceptibility, severity, self-efficacy and response efficacy) and all anthropometric characteristics (except body mass index) were significantly different between the groups at 3 study times. The strongest predictors of intention to do regular physical exercise were perceived response efficacy and attitude at 2-and 6-months follow-up. We showed that targeting motivational interviewing with an emphasis on Protection Motivation Theory constructs appeared to be beneficial for designing and developing appropriate intervention to improve physical activity status among women with overweight and obesity. ‫شواهد‬ ‫ذات‬ ‫معشاة‬ ‫جتربة‬

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The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment

Cited by 50 publications

References 58 publications

Motivation, self-determination, and long-term weight control

Motivation, self-determination, and long-term weight control

Behavioral weight-loss treatment plus motivational interviewing versus attention control: lessons learned from a randomized controlled trial

Modifying attitude and intention toward regular physical activity using protection motivation theory: a randomized controlled trial

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