Identifying content-based and relational techniques to change behaviour in motivational interviewing

Abstract

Motivational interviewing (MI) is a complex intervention comprising multiple techniques

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

“…This is in contrast with other systematic reviews (Cheng et al, ; O'Halloran et al, ) that limited their intervention to one technique, such as motivational interviewing, thus limiting their pool of data and their potential to develop a deeper understanding of the important active ingredients of conversational methodologies for facilitating behaviour change. Using relational techniques as a distinguishing feature of the included interventions helps to build evidence to support the hypotheses that relational techniques are important in facilitating behaviour change for people with chronic health issues (Hardcastle et al, ). These key components of behavioural counselling are currently not captured in Michie et al’s Behaviour Change Technique Taxonomy (Michie et al, ).…”

“…Trials providing a limited description of their intervention make it difficult not only to interpret the results, but also to replicate the intervention in a clinical setting. Behaviour change interventions need to be described in detail, so that the key “active ingredients” can be better understood, and the interventions delivered reliably and able to be refined and developed further (Hardcastle et al, ; Michie et al, ).…”

“…Behavioural counselling refers to a patient‐centred, collaborative, conversational approach between equals—the patient and therapist—to achieve a specific goal (Miller & Rollnick, ). Behavioural counselling typically includes “relational” techniques, such as empathy and building patient autonomy, as well as “content” techniques, such as information sharing, goal setting and exploring the pros and cons of change (Hardcastle, Fortier, Blake, & Hagger, ). The use of behavioural counselling in healthcare settings has grown alongside the rise in lifestyle‐related chronic diseases (Keogh, Tully, Matthews, & Hurley, ).…”

Self‐management support in routine primary care by nurses

“…Other BCTs that are likely to be effective were rarely applied, such as goal setting (Bravata et al ., ; Greaves et al ., ; Hankonen et al ., ), action planning (Williams & French, ), problem‐solving (French, Olander, Chisholm, & Mc Sharry, ; Greaves et al ., ), self‐monitoring (Greaves et al ., ; Michie, Abraham, Whittington, McAteer, & Gupta, ), social support (Greaves et al ., ; Hankonen et al ., ), demonstration of behaviour (French et al ., ), and prompts/cues (Hankonen et al ., ). Although some similarities might exist in motivational interviewing techniques and BCTs (Hardcastle et al ., ), the participating nurses were not specifically trained in applying and tailoring BCTs. Therefore, it could not be expected that they would apply these BCTs explicitly and consistently in their consultations.…”

Motivational interviewing in periodontology and development of a mHealth concept for prevention and health promotion: project GoPerio

“…Etant donné que près de la moitié des techniques identifiées est centrée sur l'aspect relationnel, il apparaît que lorsqu'un praticien conduit un entretien motivationnel, il se doit de prêter une grande attention aux aspects relationnels de celui-ci (151,152). …”