Motivational interviewing: an evidence-based approach to counseling helps patients follow treatment recommendations

Am J Nurs. 2007 Oct;107(10):50-8; quiz 58-9. doi: 10.1097/01.NAJ.0000292202.06571.24.


Motivational interviewing is an evidenced-based counseling approach that health care providers can use to help patients adhere to treatment recommendations. It emphasizes using a directive, patient-centered style of interaction to promote behavioral change by helping patients explore and resolve ambivalence. This article will help nurses learn how to use motivational interviewing to encourage patients to adhere to treatment recommendations. The basic theoretical underpinnings, principles, and methods of motivational interviewing are discussed, with an emphasis on acting in accordance with the "spirit" of the approach.

Publication types

  • Review

MeSH terms

  • Communication
  • Conflict, Psychological
  • Directive Counseling / methods*
  • Empathy
  • Evidence-Based Medicine
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Health Promotion
  • Helping Behavior
  • Humans
  • Interviews as Topic / methods*
  • Life Style
  • Models, Psychological
  • Motivation*
  • Nurse's Role* / psychology
  • Nurse-Patient Relations*
  • Nursing Assessment / methods
  • Patient Compliance / psychology*
  • Patient-Centered Care
  • Philosophy, Nursing
  • Problem Solving
  • Reinforcement, Verbal
  • Self Efficacy
  • Social Support