Motivational interviewing techniques can be effectively self-administered without a counselor
Evidence regarding the effectiveness of self-administered motivational interviewing techniques without a counselor is mixed. While digital self-guided interventions show promise for general health behavior change, randomized trials often find that counselor-led or clinician-guided motivational interviewing significantly outperforms unguided alternatives.
The claim posits that motivational interviewing can be effectively self-administered without a counselor. The provided literature features mixed evidence: some studies (e.g., [0], [4] regarding general self-guided digital tools) show that self-guided behavior change interventions can be effective, but others directly test unguided versus counselor-led approaches and find the clinical interaction crucial (e.g., [2]) or note that adding motivational interviewing elements to self-guided software yields no added benefit over baseline [4]. Consequently, the verdict is CONTESTED as self-guided digital tools exist, but specifically self-administering motivational interviewing without a counselor lacks robust, consistent support compared to counselor-led methods.
V. Stavric, N. Kayes, Usman Rashid, Nicola L. Saywell. The Effectiveness of Self-Guided Digital Interventions to Improve Physical Activity and Exercise Outcomes for People With Chronic Conditions: A Systematic Review and Meta-Analysis. 2022. https://doi.org/10.3389/fresc.2022.925620
Paper [0] indicates that self-guided digital interventions incorporating behavioral strategies can successfully improve health outcomes with minimal human contact.
T. Fried, Manshu Yang, Steve Martino, L. Iannone, M. Zenoni, Laura Blakley, J. O'leary, Colleen A Redding, A. Paiva. Effect of Computer-Tailored Print Feedback, Motivational Interviewing, and Motivational Enhancement Therapy on Engagement in Advance Care Planning: A Randomized Clinical Trial.. 2022. https://doi.org/10.1001/jamainternmed.2022.5074
Paper [2] highlights that clinician-led motivational interviewing significantly outperforms unguided or self-administered tools in encouraging behavior change.
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Brad W. Brazeau, John A. Cunningham, D. Hodgins. Evaluating the impact of motivational interviewing on engagement and outcomes in a web-based self-help intervention for gambling disorder: A randomised controlled trial. 2024. https://doi.org/10.1016/j.invent.2023.100707
Paper [4] demonstrates that self-guided web-based self-help programs can achieve similar behavioral improvements when adapted from traditional formats.
Brad W. Brazeau, John A. Cunningham, D. Hodgins. Evaluating the impact of motivational interviewing on engagement and outcomes in a web-based self-help intervention for gambling disorder: A randomised controlled trial. 2024. https://doi.org/10.1016/j.invent.2023.100707
Paper [4] explicitly concludes that adding a motivational interview to a self-guided online program failed to improve user engagement or overall treatment outcomes.
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