Motivational interviewing to improve health screening uptake: A systematic review.
Sarah J Miller, Kelly Foran-Tuller, Jessica Ledergerber and 1 others
PMID 27599713WHAT IT FOUND
Motivational interviewing showed mixed results for increasing health screening uptake.
It outperformed no intervention in six studies, but failed to beat simple reminders or educational materials in others, suggesting it may not be more effective than standard care.
Key findings
01Six of the thirteen studies found motivational interviewing significantly improved health screening uptake compared to a control group.
02In two studies, motivational interviewing was better than minimal controls but provided no additional benefit when compared to active controls like reminder calls or tailored print materials.
03Three studies found no significant impact of motivational interviewing on health screening uptake.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Substantial variability in how motivational interviewing was defined and delivered across studies. Most studies combined motivational interviewing with other interventions, making it difficult to isolate the effect of motivational interviewing alone. Potential publication bias, as unpublished null results were not sought. Search was limited to three databases and English-language publications. Small number of included studies prevented a formal meta-analysis.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not assume motivational interviewing is the most effective or efficient way to improve screening uptake. Several studies found it no better than simple reminder calls or tailored print materials, suggesting it may not be the most parsimonious intervention option.