Knight K M, McGowan L, Dickens C, Bundy C
School of Nursing, Midwifery & Social Work, University of Manchester, UK.
Br J Health Psychol. 2006 May;11(Pt 2):319-32. doi: 10.1348/135910705X52516.
Motivational interviewing (MI), a method of augmenting an individual's motivation to change problematic behaviours, is a patient-centred counselling style that seeks to help patients resolve ambivalence about behaviour change. MI has successfully been used in the field of addictions and has recently received increased interest as a means of promoting treatment adherence in physical health care settings. This systematic review is aimed to evaluate the effectiveness of MI interventions in physical health care settings.
Electronic databases were searched for articles specifying the use of 'motivational interviewing' in physical health care settings between 1966 and April 2004. Fifty-one relevant abstracts were yielded and data was extracted from eight relevant selected studies.
Eight studies were identified in the fields of diabetes, asthma, hypertension, hyperlipidaemia, and heart disease. The majority of studies found positive results for effects of MI on psychological, physiological, and life-style change outcomes. Problems with research in this area include: small sample sizes, lack of power, use of disparate multiple outcomes, inadequate validation of questionnaires, poorly-defined therapy and training.
While MI has high face validity across a number of domains in physical health care settings, the general quality of trials in this area is inadequate and therefore recommendations for its dissemination in this area cannot yet be made. More research into MI applied to health behaviour change is urgently required.
动机性访谈（MI）是一种增强个体改变问题行为动机的方法，是一种以患者为中心的咨询方式，旨在帮助患者解决行为改变的矛盾心理。MI已成功应用于成瘾领域，最近作为促进身体健康护理环境中治疗依从性的一种手段而受到越来越多的关注。本系统评价旨在评估MI干预在身体健康护理环境中的有效性。
检索电子数据库，查找1966年至2004年4月期间在身体健康护理环境中使用“动机性访谈”的文章。共获得51篇相关摘要，并从8项相关的选定研究中提取数据。
在糖尿病、哮喘、高血压、高脂血症和心脏病领域确定了8项研究。大多数研究发现MI对心理、生理和生活方式改变结果有积极影响。该领域研究存在的问题包括：样本量小、缺乏效力、使用不同的多种结果、问卷验证不足、治疗和培训定义不明确。
虽然MI在身体健康护理环境的多个领域具有较高的表面效度，但该领域试验的总体质量不足，因此尚不能就其在该领域的推广提出建议。迫切需要对应用于健康行为改变的MI进行更多研究。
