A systematic review of motivational interviewing for weight loss among adults in primary care.
A systematic review of motivational interviewing for weight loss among adults in primary care.
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DOI：
10.1111/obr.12264
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发表时间：
2015-04
期刊：
影响因子：
--
通讯作者：
Ivezaj V
中科院分区：
文献类型：
--
作者：
Barnes RD;Ivezaj V
动机访谈（MI）是一种以客户为中心的干预方法，侧重于提高内在动机和行为改变。先前的文献综述和荟萃分析支持MI减肥的有效性。然而，这些研究都没有关注在初级保健环境中检查MI对成人体重减轻的新兴文献，这为提供减肥治疗带来了独特的障碍。此外，本次综述包括19项未纳入既往综述或荟萃分析的研究。我们对PubMed、MI综述论文和相关论文的引文进行了全面审查。共确定了24项成人随机对照试验。MI干预通常由一系列临床医生单独提供，并与常规护理进行比较。很少有研究提供关于MI治疗保真度的充分信息。与对照组相比，9项研究（37.5%）报告了MI疾病治疗后评估时的显著体重减轻。13项研究（54.2%）报告MI患者的初始体重减轻至少5%。MI有可能帮助初级保健患者减肥。然而，必须谨慎地得出结论，因为超过一半的回顾性研究显示，与常规护理相比，体重没有显著减轻，而且很少报告MI治疗的保真度。
Motivational interviewing (MI) is a client-centred method of intervention focused on enhancing intrinsic motivation and behaviour change. A previous review of the literature and meta-analyses support the effectiveness of MI for weight loss. None of these studies, however, focused on the bourgeoning literature examining MI for weight loss among adults within primary care settings, which confers unique barriers to providing weight loss treatment. Further, the current review includes 19 studies not included in previous reviews or meta-analyses. We conducted a comprehensive review of PubMed, MI review papers, and citations from relevant papers. A total of 24 adult randomized controlled trials were identified. MI interventions typically were provided individually by a range of clinicians and compared with usual care. Few studies provided adequate information regarding MI treatment fidelity. Nine studies (37.5%) reported significant weight loss at post-treatment assessment for the MI condition compared with control groups. Thirteen studies (54.2%) reported MI patients achieving at least 5% loss of initial body weight. There is potential for MI to help primary care patients lose weight. Conclusions, however, must be drawn cautiously as more than half of the reviewed studies showed no significant weight loss compared with usual care and few reported MI treatment fidelity.
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影响因子：
4.5
作者：
Groeneveld IF;Proper KI;van der Beek AJ;van Duivenbooden C;van Mechelen W
通讯作者：
van Mechelen W
影响因子：
3.5
作者：
Bleich, Sara N.;Pickett-Blakely, Octavia;Cooper, Lisa A.
通讯作者：
Cooper, Lisa A.
影响因子：
--
作者：
Christian, James G.;Bessesen, Daniel H.;Bock, Beth C.
通讯作者：
Bock, Beth C.
影响因子：
5.1
作者：
Heinrich, Evelien;Candel, Math J. J. M.;de Vries, Nanne K.
通讯作者：
de Vries, Nanne K.
影响因子：
3.9
作者：
Davis, Nichola J.;Emerenini, Ada;Wylie-Rosett, Judith
通讯作者：
Wylie-Rosett, Judith