Premium
Effectiveness of motivational interviewing to reduce illicit drug use in adolescents: a systematic review and meta‐analysis
Author(s) -
Li Lili,
Zhu Shimin,
Tse Nick,
Tse Samson,
Wong Paul
Publication year - 2016
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.13285
Subject(s) - motivational interviewing , moderation , meta analysis , funnel plot , randomized controlled trial , publication bias , clinical psychology , confidence interval , medicine , psychology , intervention (counseling) , psychiatry , social psychology
Aims Motivational interviewing (MI) is a commonly used intervention approach to promote reduction or cessation of substance abuse. Effects may be different for adolescents, so it is useful to assess the state of the evidence in this subpopulation. This paper aimed to assess evidence for MI effectiveness in adolescents. Method EBSCOhost, ProQuest and Digital Dissertation Consortium were searched using keywords. Ten randomized trials from the United Kingdom , United States and Taiwan , including 1466 participants, were identified and analysed using a random effects model. Primary outcome measures captured were: the extent of drug use, intention to use drugs and readiness to change. Each study received a high‐quality score based on the Miller Quality Scoring Coding System. Moderator analyses were also conducted to examine the impacts of follow‐up period, delivery setting and study design on the effectiveness of MI. Results No statistically significant effect of MI on was found change of drug use behaviours [ d = 0.05, 95% confidence interval (CI) = −0.06, 0.17, P = 0.36]. A significant effect was found on attitude change ( d = 0.44, 95% CI = 0.20, 0.67, P = 0.0002). The funnel plot was asymmetrical, suggesting publication bias favouring small studies with higher effect sizes. Conclusion Motivational interviewing has not been found thus far to reduce adolescent use of illicit drugs. It may influence intentions to change, but evidence of publication bias weakens confidence in this conclusion.