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Establishing Theoretical Stability and Treatment Integrity for Motivational Interviewing

Published online by Cambridge University Press:  12 April 2017

Cathy Atkinson  and
Kevin Woods
Cathy Atkinson*
Affiliation:
Manchester Institute of Education, University of Manchester
Kevin Woods
Affiliation:
Manchester Institute of Education, University of Manchester
*
*Correspondence to Cathy Atkinson, Manchester Institute of Education, Ellen Wilkinson Building, University of Manchester, Oxford Road, Manchester M13 9PL. E-mail: cathy.atkinson@manchester.ac.uk
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Abstract

Background: There is increasing evidence claiming the effectiveness of motivational interviewing (MI) in promoting behavioural change. However, ongoing changes to MI theory and practice have implications for its transferability, accessibility and for the validity of previous findings. Lack of practice consistency may make its effectiveness difficult to evaluate. Aims: This paper explores the complexity of MI and issues in the development of evidence-based practice in delivery, before describing issues related to practitioner application. Method: Theoretical and practice developments over the last 30 years are reviewed under the headings theory, practice and efficacy. Specifically, developments across the three editions of the core MI texts are examined. Results: Findings from the literature suggest a lack of theoretical stability and practice integrity, with recent fundamental changes to the underpinning structure of MI. Issues relating to the transferability and acquisition of MI skills, consistency of delivery and mechanisms underlying change are discussed. Conclusions: The authors call for greater theoretical stability, more transparency over how developments are based on theoretical principles and empirical outcomes, and clearer guidance about how this informs practice development and delivery of MI.

Keywords

Evidence-based practicemotivational interviewingpractitionertheory
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 45 , Issue 4 , July 2017 , pp. 337 - 350
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

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