A Meta-Analysis of Motivational Interviewing: Twenty-Five Years of Empirical Studies

被引：635

作者：

Lundahl, Brad W. ^{[1
]}

Kunz, Chelsea ^{[1
]}

Brownell, Cynthia ^{[1
]}

Tollefson, Derrik ^{[2
]}

Burke, Brian L. ^{[3
]}

机构：

[1] Univ Utah, Salt Lake City, UT 84112 USA

[2] Utah State Univ, Logan, UT 84322 USA

[3] Ft Lewis Coll, Durango, CO USA

来源：

RESEARCH ON SOCIAL WORK PRACTICE | 2010年 / 20卷 / 02期

关键词：

motivational interviewing; meta-analysis; review; RANDOMIZED CONTROLLED-TRIAL; BRIEF ALCOHOL INTERVENTION; PROMOTE PHYSICAL-ACTIVITY; ENHANCEMENT THERAPY; TREATMENT RETENTION; SMOKING-CESSATION; SUBSTANCE USE; PREPARING CLIENTS; IMPROVE ADHERENCE; COLLEGE-STUDENTS;

D O I：

10.1177/1049731509347850

中图分类号：

C916 [社会工作、社会管理、社会规划];

学科分类号：

1204 ;

摘要：

Objective: The authors investigated the unique contribution motivational interviewing (MI) has on counseling outcomes and how MI compares with other interventions. Method: A total of 119 studies were subjected to a meta-analysis. Targeted outcomes included substance use (tobacco, alcohol, drugs, marijuana), health-related behaviors (diet, exercise, safe sex), gambling, and engagement in treatment variables. Results: Judged against weak comparison groups, MI produced statistically significant, durable results in the small effect range (average g = 0.28). Judged against specific treatments, MI produced nonsignificant results (average g = 0.09). MI was robust across many moderators, although feedback (Motivational Enhancement Therapy [MET]), delivery time, manualization, delivery mode (group vs. individual), and ethnicity moderated outcomes. Conclusions: MI contributes to counseling efforts, and results are influenced by participant and delivery factors.

引用

页码：137 / 160

页数：24

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