Motivational Interviewing and Health Behavior Change in Individuals with Health Complexity

  • Roger G. Kathol
  • Rachel L. Andrew
  • Michelle Squire
  • Peter J. Dehnel

Chapter Objectives

  • To review research on the effectiveness of motivational interviewing.

  • To clarify the importance of strong initial and ongoing training in motivational interviewing.

  • To define motivational interviewing processes and key skills in managing complex individuals.


Motivational interviewing Complex reflections Change talk OARS DARN Engagement Traps for disengagement PACE 


  1. 1.
    Miller W, Rollnick S. Motivational interviewing: helping people change. New York: The Guifford Press; 2013.Google Scholar
  2. 2.
    Arkowitz H, Westra HA, Miller WR, Rollnick S. Motivational interviewing in the treatment of psychological problems. New York: The Guilford Press; 2008.Google Scholar
  3. 3.
    Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992;47(9):1102–14.CrossRefPubMedGoogle Scholar
  4. 4.
    Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51(3):390–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Miller WR, Rollnick S. Ten things that motivational interviewing is not. Behav Cogn Psychother. 2009;37(2):129–40.CrossRefPubMedGoogle Scholar
  6. 6.
    Stotts AL, Schmitz JM, Rhoades HM, Grabowski J. Motivational interviewing with cocaine-dependent patients: a pilot study. J Consult Clin Psychol. 2001;69(5):858–62.CrossRefPubMedGoogle Scholar
  7. 7.
    Gabbay RA, Anel-Tiangco RM, Dellasega C, Mauger DT, Adelman A, Van Horn DH. Diabetes nurse case management and motivational interviewing for change (DYNAMIC): results of a 2-year randomized controlled pragmatic trial. J Diabetes. 2013;5(3):349–57.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Vong SK, Cheing GL, Chan F, So EM, Chan CC. Motivational enhancement therapy in addition to physical therapy improves motivational factors and treatment outcomes in people with low back pain: a randomized controlled trial. Arch Phys Med Rehabil. 2011;92(2):176–83.CrossRefPubMedGoogle Scholar
  9. 9.
    Mirkarim K, Kabir MJ, Honarvar MR, Ozouni-Davaji RB, Eri M. Effect of motivational interviewing on weight efficacy lifestyle among women with overweight and obesity: a randomized controlled trial. Iran J Med Sci. 2017;42(2):187–93.Google Scholar
  10. 10.
    Oddo V, Gerolamo A, DesRoches CM. Descriptive study of three disability competent managed care plans for medicaid enrollees. In: DHHS, editor. Executive report for the U.S. Department of Health and Human Services Office of Disability, Aging and Long-Term Care Policy; 2014.Google Scholar
  11. 11.
    Brown R. The promise of care coordination: models that decrease hospitalizations and improve outcomes for beneficiaries with chronic illnesses. Princeton, NJ: Mathematica Policy Research; 2009.Google Scholar
  12. 12.
    Hall K, Staiger PK, Simpson A, Best D, Lubman DI. After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing? Addiction. 2016;111(7):1144–50.CrossRefPubMedGoogle Scholar
  13. 13.
    Rollnick S, Miller WR, Butler CC. Motivational interviewing in healthcare: helping patients change behavior. New York: The Guilford Press; 2008.Google Scholar
  14. 14.
    Martino S, Canning-Ball M, Carroll KM, Rounsaville BJ. A criterion-based stepwise approach for training counselors in motivational interviewing. J Subst Abus Treat. 2011;40(4):357–65.CrossRefGoogle Scholar
  15. 15.
    Miller WR, Yahne CE, Moyers TB, Martinez J, Pirritano M. A randomized trial of methods to help clinicians learn motivational interviewing. J Consult Clin Psychol. 2004;72(6):1050–62.CrossRefPubMedGoogle Scholar
  16. 16.
    Miller WR, Moyers TB. Asking better questions about clinical skills training. Addiction. 2017;111(7):1151–2.CrossRefGoogle Scholar
  17. 17.
    Rogers C, Kramer P. On becoming a person: a therapist’s view of psychotherapy. New York: Houghton Mifflin Company; 1961.Google Scholar
  18. 18.
    Miller WR, Rollnick S. Motivational interviewing. Preparing people for change. New York: Guilford; 2002.Google Scholar
  19. 19.
    Rosengren DB. Building motivational interviewing skills: a practitioner workbook. New York: The Guilford Press; 2009.Google Scholar
  20. 20.
    Schumacher JA, Madson MB. Fundamentals of motivational interviewing: tips and strategies for addressing clinical challenges. New York: Oxford University Press; 2015.Google Scholar
  21. 21.
    Berger BA, Villaume WA. Motivational interviewing for healthcare professionals: a sensible approach. American Pharmacists Association: Washington, DC; 2013.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Roger G. Kathol
    • 1
  • Rachel L. Andrew
    • 2
  • Michelle Squire
    • 3
  • Peter J. Dehnel
    • 4
  1. 1.Cartesian Solutions, Inc.™ and University of MinnesotaBurnsvilleUSA
  2. 2.Premera Blue Cross Mountlake TerraceUSA
  3. 3.ManahawkinUSA
  4. 4.Twin Cities Medical SocietyEdinaUSA

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