Use of motivational interviewing in behavioural interventions among adults with obesity: A systematic review and meta‐analysis

Makin, Harriet; Chisholm, Anna; Fallon, Victoria; Goodwin, Laura

doi:10.1111/cob.12457

Cited by 9 publications

(8 citation statements)

References 58 publications

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“…We searched for studies in the Cochrane Central Register of Controlled Trials, Medline, PubMed, and PsychINFO from 1 January 2018 to 19 August 2021 (see supplementary file 1). Reference lists of previous reviews 16 17 18 19 20 21 and included trials were hand searched.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomised controlled trials

Madigan

Graham

Sturgiss

et al. 2022

BMJ

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Objective To examine the effectiveness of behavioural weight management interventions for adults with obesity delivered in primary care. Design Systematic review and meta-analysis of randomised controlled trials. Eligibility criteria for selection of studies Randomised controlled trials of behavioural weight management interventions for adults with a body mass index ≥25 delivered in primary care compared with no treatment, attention control, or minimal intervention and weight change at ≥12 months follow-up. Data sources Trials from a previous systematic review were extracted and the search completed using the Cochrane Central Register of Controlled Trials, Medline, PubMed, and PsychINFO from 1 January 2018 to 19 August 2021. Data extraction and synthesis Two reviewers independently identified eligible studies, extracted data, and assessed risk of bias using the Cochrane risk of bias tool. Meta-analyses were conducted with random effects models, and a pooled mean difference for both weight (kg) and waist circumference (cm) were calculated. Main outcome measures Primary outcome was weight change from baseline to 12 months. Secondary outcome was weight change from baseline to ≥24 months. Change in waist circumference was assessed at 12 months. Results 34 trials were included: 14 were additional, from a previous review. 27 trials (n=8000) were included in the primary outcome of weight change at 12 month follow-up. The mean difference between the intervention and comparator groups at 12 months was −2.3 kg (95% confidence interval −3.0 to −1.6 kg, I 2 =88%, P<0.001), favouring the intervention group. At ≥24 months (13 trials, n=5011) the mean difference in weight change was −1.8 kg (−2.8 to −0.8 kg, I 2 =88%, P<0.001) favouring the intervention. The mean difference in waist circumference (18 trials, n=5288) was −2.5 cm (−3.2 to −1.8 cm, I 2 =69%, P<0.001) in favour of the intervention at 12 months. Conclusions Behavioural weight management interventions for adults with obesity delivered in primary care are effective for weight loss and could be offered to members of the public. Systematic review registration PROSPERO CRD42021275529.

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Section: Methodsmentioning

confidence: 99%

Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomised controlled trials

Madigan

Graham

Sturgiss

et al. 2022

BMJ

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“…One option is to examine HCP’s use of intervention methods, such as behavior change techniques and motivational interviewing. However, such studies yielded mixed and partially inconclusive results, likely linked to this complexity [ 22 ]. For example, feedback on behavior by the HCP is a very frequent intervention element, yet varying definitions, intensities, and delivery styles complicate comparisons [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

What Intervention Elements Drive Weight Loss in Blended-Care Behavior Change Interventions? A Real-World Data Analysis with 25,706 Patients

Schirmann¹,

Kanehl²,

Jones³

2022

Nutrients

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Background: Blended-care behavior change interventions (BBCI) are a combination of digital care and coaching by health care professionals (HCP), which are proven effective for weight loss. However, it remains unclear what specific elements of BBCI drive weight loss. Objectives: This study aims to identify the distinct impact of HCP-elements (coaching) and digital elements (self-monitoring, self-management, and education) for weight loss in BBCI. Methods: Long-term data from 25,706 patients treated at a digital behavior change provider were analyzed retrospectively using a ridge regression model to predict weight loss at 3, 6, and 12 months. Results: Overall relative weight loss was −1.63 kg at 1 month, −3.61 kg at 3 months, −5.28 kg at 6 months, and −6.55 kg at 12 months. The four factors of BBCI analyzed here (coaching, self-monitoring, self-management, and education) predict weight loss with varying accuracy and degree. Coaching, self-monitoring, and self-management are positively correlated with weight losses at 3 and 6 months. Learn time (i.e., self-guided education) is clearly associated with a higher degree of weight loss. Number of appointments outside of app coaching with a dietitian (coach) was negatively associated with weight loss. Conclusions: The results testify to the efficacy of BBCI for weight loss-with particular positive associations per time point-and add to a growing body of research that characterizes the distinct impact of intervention elements in real-world settings, aiming to inform the design of future interventions for weight management.

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“…Particularly, weight management is a productive area in the use of MI, but systematic reviews failed to prove that MI provide relevant weight reduction or any reduction at all. 32,33 This seems to be relevant considering the connection between obesity and oral morbidities in children, 34 and adults. 35 Thus, it seems reasonable to expect minor or non-positive results using MI for preventing oral morbidities.…”

Section: Discussionmentioning

confidence: 99%

“…They found a large volume of low‐quality evidence, and some moderate quality evidence favouring MI for short‐terms evaluations. Particularly, weight management is a productive area in the use of MI, but systematic reviews failed to prove that MI provide relevant weight reduction or any reduction at all 32,33 . This seems to be relevant considering the connection between obesity and oral morbidities in children, 34 and adults 35 .…”

Section: Discussionmentioning

confidence: 99%

Motivational interviewing for preventing oral morbidities in adults: Systematic review and meta‐analysis

Cartes‐Velásquez,

Varnet‐Pérez,

Martínez‐Delgado

et al. 2023

Comm Dent Oral Epid

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ObjectiveThis systematic review with meta‐analysis was performed to assess whether motivational interviewing (MI) effectively prevents oral morbidities in adults.MethodsStudies considered were randomized controlled trials, cluster‐randomized controlled trials and community‐based randomized trials assessing interventions based on MI or indicating that a counselling technique based on the principles developed by Miller and Rollnick was used. Controls were any type of oral health education or negative controls. Participants were 18–60 years old. The main outcome was any oral morbidity. From 602 studies identified in MEDLINE, Scopus, Web of Science and LILACS databases, seven studies were included in the synthesis.ResultsStudies included only evaluated periodontal outcomes, no studies were found for other oral morbidities. Patients' mean age was 43.7 years, and the follow‐up time after MI or MI‐based intervention varied between 1 month and 1 year. The total study population was 272 people with moderate‐to‐severe periodontitis; other groups analysed were pregnant women (n = 112) and patients with mental disorders and alcohol problems (n = 60). Meta‐analysis for the plaque index (four studies, n = 267), bleeding on probing (two studies, n = 177) and gingival index (two studies, n = 166) were carried out. The summary effects for the random‐effects model were estimated respectively as −3.59 percentage points (CI: [−11.44; 4.25] for plaque index, −6.41 percentage points (CI: [−12.18, −0.65]) for bleeding on probing and −0.70 (CI: [−1.87; 0.48]) for gingival index, marginally favouring the MI group. The reduced number of studies, the non‐disclosure of some aspects of the data and the heterogeneity among them undermine the precision of the estimates.ConclusionThe current evidence available is limited to periodontal outcomes, and it is not possible to determine whether MI effectively prevents oral morbidities in adults.

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Use of motivational interviewing in behavioural interventions among adults with obesity: A systematic review and meta‐analysis

Cited by 9 publications

References 58 publications

Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomised controlled trials

Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomised controlled trials

What Intervention Elements Drive Weight Loss in Blended-Care Behavior Change Interventions? A Real-World Data Analysis with 25,706 Patients

Motivational interviewing for preventing oral morbidities in adults: Systematic review and meta‐analysis

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