Effectiveness of Motivational Interviewing in Managing Overweight and Obesity

LettersSeptember 2022Effectiveness of Motivational Interviewing in Managing Overweight and ObesityMoscho Michalopoulou, MSc, Susan A. Jebb, PhD, Paul Aveyard, PhDMoscho Michalopoulou, MScNuffield Department of Primary Care Health Sciences, Radcliffe Primary Care Building, University of Oxford, and National Institute for Health Research Oxford Biomedical Research Centre, Oxford University Hospitals, Oxford, United Kingdom, Susan A. Jebb, PhDNuffield Department of Primary Care Health Sciences, Radcliffe Primary Care Building, University of Oxford, and National Institute for Health Research Oxford Biomedical Research Centre, Oxford University Hospitals, Oxford, United Kingdom, Paul Aveyard, PhDNuffield Department of Primary Care Health Sciences, Radcliffe Primary Care Building, University of Oxford, and National Institute for Health Research Oxford Biomedical Research Centre, Oxford University Hospitals, Oxford, United KingdomAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L22-0238 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE: We thank Dr. Dragomir and colleagues for their interest in our work. They contend that we may have missed an effect of MI because MI may have been imperfectly delivered. We recognized that only 26 studies assessed fidelity. In the 14 studies reporting the findings, all reported satisfactory fidelity assessed through observation of consultations, use of MI adherence or competence scores (1), or both. It is plausible that MI was not perfectly delivered; however, the typical study offered 2 full days of training, and several studies offered ongoing support and supervision to ensure fidelity. Confining the analysis to ...References1. Madson MB, Campbell TC, Barrett DE, et al. Development of the motivational interviewing supervision and training scale. Psychol Addict Behav. 2005;19:303-10. [PMID: 16187810] CrossrefMedlineGoogle Scholar2. Miller WR, Rollnick S. Ten things that motivational interviewing is not. Behav Cogn Psychother. 2009;37:129-40. [PMID: 19364414] doi:10.1017/S1352465809005128 CrossrefMedlineGoogle Scholar3. Lindson N, Thompson TP, Ferrey A, et al. Motivational interviewing for smoking cessation. Cochrane Database Syst Rev. 2019;7:CD006936. [PMID: 31425622] doi:10.1002/14651858.CD006936.pub4 CrossrefMedlineGoogle Scholar4. Butler CC, Simpson SA, Hood K, et al. Training practitioners to deliver opportunistic multiple behaviour change counselling in primary care: a cluster randomised trial. BMJ. 2013;346:f1191. [PMID: 23512758] doi:10.1136/bmj.f1191 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Moscho Michalopoulou, MSc; Susan A. Jebb, PhD; Paul Aveyard, PhDAffiliations: Nuffield Department of Primary Care Health Sciences, Radcliffe Primary Care Building, University of Oxford, and National Institute for Health Research Oxford Biomedical Research Centre, Oxford University Hospitals, Oxford, United KingdomDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M21-3128. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffectiveness of Motivational Interviewing in Managing Overweight and Obesity Moscho Michalopoulou , Anne E. Ferrey , Georgina Harmer , Lucy Goddard , Maryam Kebbe , Annika Theodoulou , Susan A. Jebb , and Paul Aveyard Effectiveness of Motivational Interviewing in Managing Overweight and Obesity Jonathan Smith Effectiveness of Motivational Interviewing in Managing Overweight and Obesity Anda I. Dragomir , Brigitte Voisard , Vincent Gosselin Boucher , Geneviève Szczepanik , Simon L. Bacon , Kim L. Lavoie Metrics September 2022Volume 175, Issue 9Page: W105KeywordsAdolescentsBehaviorClinical trialsExerciseMotivationObesityOverweightRandomized trialsSystematic reviewsWeight loss ePublished: 20 September 2022 Issue Published: September 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...