Faculty of Nursing, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada.
Library and Cultural Resources, University of Calgary, Calgary, AB, Canada.
J Immigr Minor Health. 2020 Aug;22(4):816-851. doi: 10.1007/s10903-019-00940-3.
Motivational interviewing (MI) is an effective means of facilitating behavior change in a variety of health conditions. However, given its origins in western psychology, its utility in ethnic populations is unclear. Our objective was to examine the effectiveness of MI and its components in people of varying ethnicities and how they may experience MI. We undertook a narrative systematic review of the literature, searching only peer-reviewed research up until February, 2019 with participants who were: ≥ 18 years of age, belonging to an ethnic origin relevant to Canada's population, and had a health related concern (e.g. drug and alcohol addictions, chronic illness). Four thousand seven hundred and sixty-one citations were retrieved, and ultimately 61 met the inclusion criteria. Cultural acknowledgment and considerations with MI, when described, enhanced effectiveness of MI in most ethnic groups. The length and the number of sessions had no apparent influence on the success of MI. When examined, most study participants reported acceptance of the intervention; however, there were challenges, most notably for Chinese patients. MI can be effective in a variety of ethnic groups, particularly when cultural acknowledgement is included in the process.
动机性访谈（MI）是促进各种健康状况下行为改变的有效手段。然而，鉴于它起源于西方心理学，其在少数民族群体中的效用尚不清楚。我们的目的是研究 MI 及其组成部分在不同种族的人群中的有效性，以及他们可能经历 MI 的方式。我们对文献进行了叙述性系统综述，仅检索了截至 2019 年 2 月的同行评审研究，参与者必须满足以下条件：年龄≥18 岁，属于与加拿大人口有关的种族起源，并且有与健康相关的问题（例如，药物和酒精成瘾，慢性病）。共检索到 4761 条引文，最终有 61 条符合纳入标准。在大多数少数民族群体中，当描述 MI 时，对其进行文化认可和考虑可以增强 MI 的效果。MI 的长度和会话次数对 MI 的成功似乎没有明显影响。在研究中，大多数研究参与者报告接受了干预措施；然而，也存在一些挑战，尤其是对于中国患者。MI 在各种族群体中都可能有效，尤其是在纳入文化认可的情况下。
