Nutrition Counseling

NC: Motivational Interviewing (2008)

• Intervention
  What is the evidence that nutrition counseling based on the Motivational Interviewing alone results in health/food behavior change in adults counseled in an outpatient/clinic setting?

  • Conclusion

    Two studies (one positive- and one neutral-quality) employed motivational interviewing as the sole style of intervention with little added effect, compared to standard therapy. Further research is warranted with larger sample sizes, longer follow-up periods and measurement of readiness to change diet behaviors.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: Motivational Interviewing alone and health/food behavior change
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Brug J, Spikmans F, Aartsen C., Breedveld B, Bes R, Fereira I. Training dietitians in basic motivational interviewing skills results in changes in their counseling style and in lower saturated fat intakes in their patients. Journal of Nutrition Education Behavior. 2007; 39: 8-12.
      • Brug J, Spikmans F, Aartsen C., Breedveld B, Bes R, Fereira I. Training dietitians in basic motivational interviewing skills results in changes in their counseling style and in lower saturated fat intakes in their patients. Journal of Nutrition Education Behavior. 2007; 39: 8-12.
      • Mhurchu CN, Margetts BM, Speller V. Randomized clinical trial comparing the effectiveness of two dietary interventions for patients with hyperlipidemia. Clinical Science. 1998; 95: 479-487.
      • Mhurchu CN, Margetts BM, Speller V. Randomized clinical trial comparing the effectiveness of two dietary interventions for patients with hyperlipidemia. Clinical Science. 1998; 95: 479-487.
  • Search Plan and Results: NC: Strategies 2007
     
  What is the evidence that Motivational Interviewing, used as an adjunct to a cognitive-behavioral program, results in health/food behavior change in adults counseled in an outpatient/clinic setting?

  • Conclusion

    Four RCTs of positive quality assessed the effect of motivational interviewing as an added component to cognitive-behavioral programs (three studies) or a self-help intervention (one study) and found motivational interviewing significantly enhanced adherence to program recommendations and improved targeted diet-related outcomes including glycemic control, percentage of energy intake from fat, fruit and vegetable intake and weight-loss.

  • Grade: I
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: Motivational Interviewing as an adjunct to Cognitive Behavioral Therapy
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Bowen D, Ehret C, Pedersen M, Snetselaar L, Johnson M, Tinker L, Hollinger D, Lichty I, Bland K, Sivertsen D, Ocken D, Staats L, Beedoe J W. Results of an adjunt dietary intervention program in the Women's Health Initiative. Journal of the American Dietetic Association, 2002; 102 (11): 1,631-1,637.
      • Bowen D, Ehret C, Pedersen M, Snetselaar L, Johnson M, Tinker L, Hollinger D, Lichty I, Bland K, Sivertsen D, Ocken D, Staats L, Beedoe J W. Results of an adjunt dietary intervention program in the Women's Health Initiative. Journal of the American Dietetic Association, 2002; 102 (11): 1,631-1,637.
      • Resnicow K, Jackson A, Wang T, De AK, McCarty F, Dudley WN, Baranowski T. A motivational interviewing intervention to increase fruit and vegetable intake through black churches: results of the Eat for Life Trial. American Journal of Public Health. 2001; 91 (10): 1,686-1,692.
      • Resnicow K, Jackson A, Wang T, De AK, McCarty F, Dudley WN, Baranowski T. A motivational interviewing intervention to increase fruit and vegetable intake through black churches: results of the Eat for Life Trial. American Journal of Public Health. 2001; 91 (10): 1,686-1,692.
      • Smith DE, Heckemeyer CM, Kratt PP, Mason DA. Motivational interviewing to improve adherence to behavioral weight-cotnrol program for older obese women with NIDDM. Diabetes Care.1997; 20 (1): 52-54.
      • Smith DE, Heckemeyer CM, Kratt PP, Mason DA. Motivational interviewing to improve adherence to behavioral weight-cotnrol program for older obese women with NIDDM. Diabetes Care.1997; 20 (1): 52-54.
      • West DS, DiLillo V, Bursac Z, Gore SA, Greene PG. Motivational interviewing improves weight loss in women with type 2 diabetes.Diabetes Care. 2007; 30 (5): 1,081-1,087.
      • West DS, DiLillo V, Bursac Z, Gore SA, Greene PG. Motivational interviewing improves weight loss in women with type 2 diabetes.Diabetes Care. 2007; 30 (5): 1,081-1,087.
  • Search Plan and Results: NC: Counseling Theories 2007