stephenrollnick

There's a new review and meta-analysis out on MI for weight loss, the subject of a large current study and training effort here in our Department in Cardiff.

Here's the link http://onlinelibrary.wiley.com/doi/10.1111/j.1467-789X.2011.00892.x/full, and here's the summary:

Motivational interviewing to improve weight loss in overweight and/or obese patients: a systematic review and meta-analysis of randomized controlled trials. Obesity Review, 21 Jun 2011, DOI: 10.1111/j.1467-789X.2011.00892.x

Summary

Motivational interviewing, a directive, patient-centred counselling approach focused on exploring and resolving ambivalence, has emerged as an effective therapeutic approach within the addictions field. However, the effectiveness of motivational interviewing in weight-loss interventions is unclear. Electronic databases were systematically searched for randomized controlled trials evaluating behaviour change interventions using motivational interviewing in overweight or obese adults. Standardized mean difference (SMD) for change in body mass, reported as either body mass index (BMI; kg m⁻²) or body weight (kg), was the primary outcome, with weighted mean difference (WMD) for change in body weight and BMI as secondary outcomes. The search strategy yielded 3540 citations and of the 101 potentially relevant studies, 12 met the inclusion criteria and 11 were included for meta-analysis. Motivational interviewing was associated with a greater reduction in body mass compared to controls (SMD = −0.51 [95% CI −1.04, 0.01]). There was a significant reduction in body weight (kg) for those in the intervention group compared with those in the control group (WMD = −1.47 kg [95% CI −2.05, −0.88]). For the BMI outcome, the WMD was −0.25 kg m⁻² (95% CI −0.50, 0.01). Motivational interviewing appears to enhance weight loss in overweight and obese patients.

Dear Steve

The review sounds very interesting, obviously a subject close to my heart.  I will have a look at that. 

On another note, there was a video clip that you played at a workshop in Cardiff a couple of years ago with Chris Butler discussing heart disease with a patient.  Is that clip available anywhere?

Many thanks

Orla

Dear Orla

that video clip!   Its part of an old video that weve stopped selling, I think. You could email Jo Sloan (sloanjmatcardiff.ac.uk - I spelled out the at sign to avoid spammers locating her email address). She sellls the video apparently, but I dont get any of the proceeds..... if you fail, contact me and maybe I can download it from my machine and pass it on to you somehow.

Steve

Dear Steve

Thank-you very much for that, I will e-mail her this morning.

All the best

Orla