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Review and special article| Volume 20, ISSUE 1, P68-74, January 2001

Motivational interviewing in health care settings

Opportunities and limitations
  • Karen M Emmons
    Correspondence
    Address correspondence and reprint requests to: Karen M. Emmons, PhD, Dana-Farber Cancer Institute, Center for Community-Based Research, 44 Binney Street, Boston MA 02115
    Affiliations
    Dana-Farber Cancer Institute, Department of Adult Oncology, Harvard School of Public Health, Department of Health and Social Behavior (Emmons), Boston, Massachusetts, USA
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  • Stephen Rollnick
    Affiliations
    Department of General Practice, University of Wales, College of Medicine (Rollnick), Cardiff, Wales, United Kingdom
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      Abstract

      Abstract: Motivational interviewing (MI) has been well studied in specialist settings. There has been considerable interest in applying MI to community health care settings. Such settings represent a significant departure from the more traditional, specialist settings in which MI has been developed and tested.
      The purpose of this paper is to provide a brief overview of MI and to identify and discuss the key issues that are likely to arise when adapting this approach to health care and public health settings. This paper provides an overview of important issues to consider in adapting an effective counseling strategy to new settings, and is intended to begin a dialogue about the use of MI in community health care settings.

      Keywords

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      References

        • Bandura A
        Social foundations of thought and action. Prentice-Hall, Englewood Cliffs, NJ1986
        • Janz N.K
        • Becker M.H
        The health belief model.
        Health Educ Q. 1984; 11: 11-47
        • Ajzen I
        • Fishbein M
        Understanding attitudes and social behavior. Prentice-Hall, Englewood Cliffs, NJ1980
        • Prochaska J.O
        • Di Clemente C.C
        Stages and processes of self-change of smoking.
        J Consult Clin Psychol. 1983; 51: 390-395
        • Prochaska J.O
        • Di Clemente C.C
        • Norcross J.C
        In search of how people change. Applications to addictive behaviors.
        Am Psychol. 1992; 47: 1102-1114
        • Weinstein N
        The precaution adoption process.
        Health Psychol. 1988; 7: 355-386
        • Miller W
        Motivational interviewing with problem drinkers.
        Behav Psychother. 1983; 11: 147-172
        • Miller W
        • Benefield R
        • Tonigan S
        Enhancing motivation for change in problem drinking.
        J Consult Clin Psychol. 1993; 61: 455-461
        • Miller W
        • Rollnick S
        Motivational interviewing. Guilford Press, New York1991
        • Miller W
        • Sovereign G
        • Krege B
        Motivational interviewing with problem drinkers II.
        Behav Psychother. 1988; 16: 251-268
        • Rollnick S
        • Miller W
        What is motivational interviewing?.
        Behav Cognitive Psychother. 1995; 23: 325-334
        • Rollnick S
        • Mason P
        • Butler C
        Health behavior change. Churchill Livingston, Edinburgh, Scotland1999
        • Miller W
        The addictive behaviors. Pergamon Press, New York1980
        • Hovell M
        • Meltzer E
        • Zakarian J
        • et al.
        Reduction of environmental tobacco smoke exposure among asthmatic children.
        Chest. 1994; 106: 440-446
        • Risser N.L
        • Belcher D.W
        Adding spirometry, carbon monoxide, and pulmonary symptom results to smoking cessation counseling.
        J Gen Intern Med. 1990; 5: 16-22
      1. Fiore M. AHCPR smoking cessation guideline: a fundamental review. Tob Control 1997(suppl 6):S4–S8.

      2. Emmons KM, Hammond SK, Fava JL, Velicer WF, Evans JL, Monroe AD. A randomized trial to reduce passive smoke exposure in low income households with young children. Pediatrics. In press.

        • Rollnick S
        • Heather N
        • Bell A
        Negotiating behaviour change in medical settings.
        J Ment Health. 1992; 1: 25-37
        • Heather N
        • Rollnick S
        • Bell A
        • Richmond R
        Effects of brief counseling among male heavy drinkers identified on general hospital wards.
        Drug Alcohol Rev. 1996; 15: 29-38
        • Senft R
        • Polen R
        • Freeborn D
        • Hollis J
        Drinking patterns and health. Center for Health Research, Portland, OR1995
        • Rollnick S
        • Butler C.C
        • Stott N
        Helping smokers make decisions.
        Patient Educ Couns. 1997; 31: 191-203
        • Butler C
        • Rollnick S
        • Cohen D
        • Russell I
        • Bachmann M
        • Stott N
        Motivational counseling versus belief advice for smokers in general practice.
        Br J Gen Pract. 1999; 49: 611-616
      3. D’Onofrio G, Bernstein E, Rollnick S. Motivating patients for change: a brief strategy for negotiation. In: Bernstein E, Bernstein J, eds. Case studies in emergency medicine and the health of the public. Boston, MA: Jones and Bartlett, 1996: Unit IV, Chapter 31.

        • Gritz E.R
        • Berman B.A
        • Bastani R
        • Wu M
        A randomized trial of a self-help smoking cessation intervention in a nonvolunteer female population.
        Health Psychol. 1992; 11: 280-289
        • Strecher V.J
        • Kreuter M
        • Den Boer D.J
        • Kobrin S
        • Hospers H.J
        • Skinner C.S
        The effects of computer-tailored smoking cessation messages in family practice settings.
        J Fam Pract. 1994; 39: 262-270
        • Velicer W.F
        • Prochaska J.O
        • Bellis J.M
        • Di Clemente C.C
        • Rossi J.S
        • Fava J.L
        • Steiger J.H
        An expert system intervention for smoking cessation.
        Addict Beh. 1993; 18: 269-290
        • Lando H.A
        • Hellerstedt W.L
        • Pirie P.L
        • McGovern P.G
        Brief supportive telephone outreach as a recruitment and intervention strategy for smoking cessation.
        Am J Public Health. 1992; 82: 41-46
        • Lichtenstein E
        • Glasgow R
        • Lando H
        • Ossip Klein D
        • Boles S
        Telephone counseling for smoking cessation.
        Health Educ Res Theory Pract. 1996; 11: 243-257
        • Orleans C
        • Slade J
        Nicotine addiction. Oxford University Press, New York1993
        • Manfredi C
        • Crittenden K.S
        • Warnecke R
        • Engler J
        • Cho Y.I
        • Shaligram C
        Evaluation of a motivational smoking cessation intervention for women in public health clinics.
        Prev Med. 1999; 28: 51-60
        • Emmons K
        Health behaviors in social context.
        in: Berkman L Kawachi I Social epidemiology. Oxford University Press, New York2000: 242-246
        • Sorensen G
        • Emmons K
        • Hunt M
        • Johnston D
        Implications of the results of community intervention trials.
        Ann Rev Public Health. 1998; 19: 379-416
        • Stott N
        • Rees M
        • Rollnick S
        • Pill R
        • Hackett P
        Innovation in clinical method.
        Family Pract. 1995; 12: 413-418
        • Stott N
        • Rees M
        • Rollnick S
        • Pill R
        • Hackett P
        Professional responses to innovation in clinical method.
        Client Educ Counseling. 1996; 29: 67-73
        • Smyth N
        Motivating persons with dual disorders.
        Families Soc. 1996; 77: 605-614
        • Carey K.B
        Substance use reduction in the context of outpatient psychiatric treatment.
        Community Ment Health J. 1996; 32: 291-306
        • Marlatt G.A
        Harm reduction.
        Addict Behav. 1996; 21: 779-788
      4. Monti P, Colby S, Barnett N, et al. Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department. J Consult Clin Psychol. In press.

        • Handmaker N
        • Hester R
        • Delaney H
        Videotaped training in alcohol counseling for obstetric care practitioners.
        Obstet Gynecol. 1999; 93: 213-217
        • Skinner C
        • Campbell M
        • Rimer B
        • Curry S
        • Prochaska J
        How effective is tailored print communication?.
        Ann Behav Med. 1999; 21: 290-298