Evidence map›Paper›PMID 37144242›Full record

SynthesisBritish journal of health psychology2023

Adapted motivational interviewing for brief healthcare consultations: A systematic review and meta-analysis of treatment fidelity in real-world evaluations of behaviour change counselling.

Alison K Beck, Amanda L Baker, Ben Britton, Alistair Lum, Sonja Pohlman, Erin Forbes, Lyndell Moore, Ditte Barnoth, Sarah J Perkes, Chris Oldmeadow and 1 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in British journal of health psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Alison K BeckSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID 0000-0002-9031-2117
Amanda L BakerSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Ben BrittonHunter New England Health, New Lambton, New South Wales, Australia.
Alistair LumSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Sonja PohlmanSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Erin ForbesSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Lyndell MooreSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Ditte BarnothSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Sarah J PerkesSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Chris OldmeadowClinical Research Design and Statistical Service, Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.
Gregory CarterSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
University of Newcastle Australia · AUHunter Medical Research Institute · AUHunter New England Local Health District · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBehaviour change counselling (BCC) is an adaptation of motivational interviewing (MI) designed to maximize the effectiveness of time-limited health behaviour change consultations. To improve intervention quality and understanding of treatment effects, it is recommended that evaluations of health behaviour change interventions incorporate existing fidelity frameworks (e.g. The National Institutes of Health [NIH] Behaviour Change Consortium) and ensure that treatment fidelity is assessed and reported. PURPOSE: This systematic review was designed to examine (a) adherence to NIH fidelity recommendations, (b) provider fidelity to BCC and (c) impact of these variables on the real-world effectiveness of BCC for adult health behaviours and outcomes. METHODS AND

resultsSearches of 10 electronic databases yielded 110 eligible publications describing 58 unique studies examining BCC delivered within real-world healthcare settings by existing providers. Mean study adherence to NIH fidelity recommendations was 63.31% (Range 26.83%-96.23%). Pooled effect size (Hedges g) for short-term and long-term outcomes was .19 (95% CI [.11, .27]) and .09 (95% CI [.04, .13]), respectively. In separate, random-effects meta-regressions, neither short-term nor long-term effect sizes were significantly modified by adherence to NIH fidelity recommendations. For the subgroup of short-term alcohol studies (n = 10), a significant inverse relationship was detected (Coefficient = -.0114, 95% CI [-.0187, -.0041], p = .0021). Inadequate and inconsistent reporting within the included studies precluded planned meta-regression between provider fidelity and BCC effect size.

conclusionsFurther evidence is needed to clarify whether adherence to fidelity recommendations modifies intervention effects. Efforts to promote transparent consideration, evaluation and reporting of fidelity are urgently needed. Research and clinical implications are discussed.

Indexed as

Motivational InterviewingAdultCounselingDelivery of Health CareHealth BehaviorHumansReferral and Consultationadapted motivational interviewingbehaviour change counsellingcomplex interventionreal worldsystematic reviewtreatment fidelity

Identifiers

PMID37144242
PMCPMC10947272
OpenAlexW4372331961

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.