Effective parts of built-in motivational interviewing and cognitive behavioural remedy for life-style behaviour change: a modified Delphi examine

TY – JOUR

T1 – Effective parts of built-in motivational interviewing and cognitive behavioural remedy for life-style behaviour change

T2 – a modified Delphi examine

AU – Barrett, Stephen

AU – Begg, Stephen

AU – Dunford, Ashley R.

AU – O’Halloran, Paul

AU – Breckon, Jeff

AU – Denniss, Emily

AU – Rodda, Kane

AU – Hardcastle, Sarah

AU – Marshall, Paul W.

AU – Anstiss, Tim

AU – Kwasnicka, Dominika

AU – Bohman, Benjamin

AU – Atkinson, Cathy

AU – Taylor, Nicholas F.

AU – Randall, Cameron

AU – Greaves, Colin

AU – Hall, Kate

AU – Kunstler, Brea

AU – Lakerveld, Jeroen

AU – Goodwin, Denise

AU – Harrison, Cheryce

AU – Devlieger, Roland

AU – Halliwell, Dane

AU – Faustino-Silva, Daniel

AU – Kingsley, Michel

PY – 2025/11/3

Y1 – 2025/11/3

N2 – Background: There are excessive ranges of unwell well being internationally, largely as a result of life-style danger elements akin to insufficient bodily exercise, unhealthy weight loss plan, and smoking. Behaviour change interventions are extensively beneficial for addressing many of those danger elements. While built-in motivational interviewing and cognitive behavioural remedy (MI-CBT) is more and more used to assist behaviour change, there may be presently no established consensus on its core efficient parts. The intention of this examine was to ascertain professional consensus on the important parts of MI-CBT interventions for life-style behaviour change. Methods: A modified Delphi examine comprised of three iterative on-line surveys involving worldwide consultants in MI-CBT and life-style behaviour change was performed. Using key literature and follow guides, an inventory of 63 generally used parts in individually delivered motivational interviewing (MI) and cognitive behavioural remedy (CBT) interventions had been developed. In every spherical, consultants rated their settlement with every element utilizing a Likert scale. Components reaching no less than 80% settlement in Rounds 2 or 3 had been included within the ultimate listing of important MI-CBT parts. Results: Thirty consultants with a median of 13 years of expertise in behaviour change intervention design and supply participated in Round 1, with 28 (93%) finishing Round 2, and 25 (83%) finishing Round 3. Consensus was achieved for 26 parts. Of these, eight had been relational parts which included open-ended questions, affirmations, reflections, summaries, emphasising autonomy and providing emotional assist. Sixteen parts had been based mostly on cognitive behavioural content material, and included exploring change expectations, figuring out and exploring avoidant behaviour, figuring out previous successes, and technical methods akin to exercise scheduling and relapse prevention. Finally, two course of parts emphasised the significance of scheduling periods flexibly based mostly on consumer wants, and making certain that the therapist meets recognised requirements for MI-CBT coaching and follow. Conclusions: Expert consensus was established concerning the important parts of MI-CBT interventions for life-style behaviour change. This consensus supplies steering on important parts to incorporate in built-in MI-CBT interventions, which can strengthen MI-CBT coaching, enhance intervention constancy, and improve real-world and analysis functions concentrating on bodily exercise, dietary consumption, and smoking cessation. The proposed consensus framework gives a basis for future trials assessing the effectiveness and implementation of built-in MI-CBT interventions.

AB – Background: There are excessive ranges of unwell well being internationally, largely as a result of life-style danger elements akin to insufficient bodily exercise, unhealthy weight loss plan, and smoking. Behaviour change interventions are extensively beneficial for addressing many of those danger elements. While built-in motivational interviewing and cognitive behavioural remedy (MI-CBT) is more and more used to assist behaviour change, there may be presently no established consensus on its core efficient parts. The intention of this examine was to ascertain professional consensus on the important parts of MI-CBT interventions for life-style behaviour change. Methods: A modified Delphi examine comprised of three iterative on-line surveys involving worldwide consultants in MI-CBT and life-style behaviour change was performed. Using key literature and follow guides, an inventory of 63 generally used parts in individually delivered motivational interviewing (MI) and cognitive behavioural remedy (CBT) interventions had been developed. In every spherical, consultants rated their settlement with every element utilizing a Likert scale. Components reaching no less than 80% settlement in Rounds 2 or 3 had been included within the ultimate listing of important MI-CBT parts. Results: Thirty consultants with a median of 13 years of expertise in behaviour change intervention design and supply participated in Round 1, with 28 (93%) finishing Round 2, and 25 (83%) finishing Round 3. Consensus was achieved for 26 parts. Of these, eight had been relational parts which included open-ended questions, affirmations, reflections, summaries, emphasising autonomy and providing emotional assist. Sixteen parts had been based mostly on cognitive behavioural content material, and included exploring change expectations, figuring out and exploring avoidant behaviour, figuring out previous successes, and technical methods akin to exercise scheduling and relapse prevention. Finally, two course of parts emphasised the significance of scheduling periods flexibly based mostly on consumer wants, and making certain that the therapist meets recognised requirements for MI-CBT coaching and follow. Conclusions: Expert consensus was established concerning the important parts of MI-CBT interventions for life-style behaviour change. This consensus supplies steering on important parts to incorporate in built-in MI-CBT interventions, which can strengthen MI-CBT coaching, enhance intervention constancy, and improve real-world and analysis functions concentrating on bodily exercise, dietary consumption, and smoking cessation. The proposed consensus framework gives a basis for future trials assessing the effectiveness and implementation of built-in MI-CBT interventions.

KW – Smoking cessation

KW – Health promotion

KW – Physical exercise

KW – Dietary adjustments

KW – Behaviour change

U2 – 10.1186/s12966-025-01816-6

DO – 10.1186/s12966-025-01816-6

M3 – Article

SN – 1479-5868

VL – 22

JO – International Journal of Behavioral Nutrition and Physical Activity

JF – International Journal of Behavioral Nutrition and Physical Activity

IS – 1

M1 – 135

ER –