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Titolo:
The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review
Autore:
Dunn, C; Deroo, L; Rivara, FP;
Indirizzi:
Univ Washington, Dept Psychiat, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 Dept Psychiat, Seattle, WA 98195 USA Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 ept Epidemiol, Seattle, WA 98195 USA Univ Washington, Dept Pediat, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 , Dept Pediat, Seattle, WA 98195 USA Univ Washington, Harborview Injury Prevent & Res Ctr, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 ent & Res Ctr, Seattle, WA 98195 USA
Titolo Testata:
ADDICTION
fascicolo: 12, volume: 96, anno: 2001,
pagine: 1725 - 1742
SICI:
0965-2140(200112)96:12<1725:TUOBIA>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
INJECTING DRUG-USERS; PROBLEM DRINKERS; ENHANCING MOTIVATION; HIV PREVENTION; RISK; REDUCTION; TRIAL;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
47
Recensione:
Indirizzi per estratti:
Indirizzo: Dunn, C 325 9th Ave,Box 359911, Seattle, WA 98104 USA 325 9th Ave,Box 359911 Seattle WA USA 98104 Seattle, WA 98104 USA
Citazione:
C. Dunn et al., "The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review", ADDICTION, 96(12), 2001, pp. 1725-1742

Abstract

Aims. To examine the effectiveness of brief behavioral interventions adapting the principles and techniques of Motivational Interviewing (MI) to fourbehavioral domains: substance abuse, smoking, HIV risk and diet/exercise. Design. We conducted a systematic review of 29 randomized trials of MI interventions. Data on methodological quality were extracted and tabulated. Between-group behavior change effect sizes and confidence intervals were calculated for each study. Findings. Due to varying intervention time lengths, targeted problem behaviors, settings and interventionists' backgrounds and skill levels, outcomes were not combined meta-analytically. Sixty per cent of the 29 studies yielded at least one significant behavior change effect size. No significant association between length of follow-up time and magnitude of effect sizes was found across studies. There was substantial evidencethat MI is an effective substance abuse intervention method when used by clinicians who are non-specialists in substance abuse treatment, particularly when enhancing entry to and engagement in more intensive substance abuse treatment treatment-as-usual. Data were inadequate to judge the effect of MI in the other domains. Client attribute-treatment interactions were understudied and the sparse and inconsistent findings revealed little about the mechanism by which MI works or for whom it works best. Conclusion. To determine more effectively how well MI works in domains other than substance abuse and for whom it works best in all domains, researchers should study MI with risk behaviors other than substance abuse, while examining both interactions and the theoretical components of MI.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 22:59:02