Motivational interviewing: a useful approach to improving cardiovascular health?

Thompson, David R., Chair, Sek Y., Chan, Sally W., Astin, Felicity, Davidson, Patricia M. and Ski, Chantal F. (2011) Motivational interviewing: a useful approach to improving cardiovascular health?. Journal of Clinical Nursing, 20 9-10: 1236-1244. doi:10.1111/j.1365-2702.2010.03558.x

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Author Thompson, David R.
Chair, Sek Y.
Chan, Sally W.
Astin, Felicity
Davidson, Patricia M.
Ski, Chantal F.
Title Motivational interviewing: a useful approach to improving cardiovascular health?
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2011-05
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2010.03558.x
Open Access Status
Volume 20
Issue 9-10
Start page 1236
End page 1244
Total pages 9
Place of publication Oxford, United Kingdom.
Publisher Wiley-Blackwell Publishing
Collection year 2012
Language eng
Formatted abstract
To review and synthesise, systematically, the research findings regarding motivational interviewing and to inform education, research and practice in relation to cardiovascular health.


Motivational interviewing is designed to engage ambivalent or resistant clients in the process of health behaviour change, and it has been widely used in different clinical conditions such as substance abuse, dietary adherence and smoking cessation. Motivational interviewing has also been proposed as a method for improving modifiable coronary heart disease risk factors of patients.

Systematic review.


Eligible studies published in 1999–2009 were identified from the following databases: CINAHL, Medline, PsycINFO, Cochrane Library, EBSCO, Web of Science, Embase and British Nursing Index. A manual search was conducted of bibliographies of the identified studies and relevant journals. Two researchers independently reviewed the studies.


Four meta-analyses, one systematic review and three literature reviews of motivational interviewing and five primary studies of motivational interviewing pertaining to cardiovascular health were identified. Despite a dearth of primary studies in cardiovascular health settings, there appears to be strong evidence that motivational interviewing is an effective approach focusing on eliciting the person’s intrinsic motivation for change of behaviour.


Motivational interviewing is an effective approach to changing behaviour. It offers promise in improving cardiovascular health status.

Relevance to clinical practice.

This review indicates that motivational interviewing is a useful method to help nurses improve health behaviour in people with coronary risk factors.
Keyword Coronary heart disease
Health behaviour change
Motivational interviewing
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes First published online: 15 April 2011.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 41 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 11 May 2011, 13:29:29 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work