Motivational Interviewing as Evidence-Based Practice? An Example from Sexual Risk Reduction Interventions Targeting Adolescents and Young Adults
Bahner, Julia LU
and Stenqvist, Karin
(2020)
In Sexuality Research and Social Policy
17(2).
p.301-313
- Abstract
This paper critically examines sexual risk reduction interventions, more specifically how they are evaluated and the implications that this has for sexual health policy. The focus is on motivational interviewing (MI) interventions which aim to promote protective behaviors related to sexual risk on the part of young people. MI has become increasingly popular, largely due to it being a highly flexible counseling approach that may, with adequate staff training, and fidelity in implementation, be tailored to many different settings (e.g., health care, schools and in community work). Following a scoping review that comprised 34 papers, of which 29 were unique studies, the range and type of existing research were examined. The results show a... (More)
This paper critically examines sexual risk reduction interventions, more specifically how they are evaluated and the implications that this has for sexual health policy. The focus is on motivational interviewing (MI) interventions which aim to promote protective behaviors related to sexual risk on the part of young people. MI has become increasingly popular, largely due to it being a highly flexible counseling approach that may, with adequate staff training, and fidelity in implementation, be tailored to many different settings (e.g., health care, schools and in community work). Following a scoping review that comprised 34 papers, of which 29 were unique studies, the range and type of existing research were examined. The results show a wide range of study designs and evaluation procedures, MI conceptualizations, modes of MI delivery, and the particular sub-populations of youth and sexual risk behaviors targeted. While this makes it difficult to draw any generalized conclusions about “what works” in prevention, it provides important insights about the complexity of sexual risk behavior as well as complex behavioral treatment approaches like MI. We therefore problematize the political drive to implement evidence-based methods without adequate resource allocation and contextual adaptation.
(Less)- Abstract (Swedish)
- This paper critically examines sexual risk reduction interventions, more specifically how they are evaluated and the implications that this has for sexual health policy. The focus is on motivational interviewing (MI) interventions which aim to promote protective behaviors related to sexual risk on the part of young people. MI has become increasingly popular, largely due to it being a highly flexible counseling approach that may, with adequate staff training, and fidelity in implementation, be tailored to many different settings (e.g., health care, schools and in community work). Following a scoping review that comprised 34 papers, of which 29 were unique studies, the range and type of existing research were examined. The results show a... (More)
- This paper critically examines sexual risk reduction interventions, more specifically how they are evaluated and the implications that this has for sexual health policy. The focus is on motivational interviewing (MI) interventions which aim to promote protective behaviors related to sexual risk on the part of young people. MI has become increasingly popular, largely due to it being a highly flexible counseling approach that may, with adequate staff training, and fidelity in implementation, be tailored to many different settings (e.g., health care, schools and in community work). Following a scoping review that comprised 34 papers, of which 29 were unique studies, the range and type of existing research were examined. The results show a wide range of study designs and evaluation procedures, MI conceptualizations, modes of MI delivery, and the particular sub-populations of youth and sexual risk behaviors targeted. While this makes it difficult to draw any generalized conclusions about “what works” in prevention, it provides important insights about the complexity of sexual risk behavior as well as complex behavioral treatment approaches like MI. We therefore problematize the political drive to implement evidence-based methods without adequate resource allocation and contextual adaptation. (Less)
- author
- Bahner, Julia
LU
and Stenqvist, Karin
- organization
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Evidence-based practice, Motivational interviewing, Scoping review, Sexual health policy, SRHR, Youth and young adults, motiverande samtal, sexuell hälsa, evidensbaserad praktik, intervention and prevention, Intervention theory, Sexuality
- in
- Sexuality Research and Social Policy
- volume
- 17
- issue
- 2
- pages
- 301 - 313
- publisher
- Springer
- external identifiers
-
- scopus:85063316654
- ISSN
- 1868-9884
- DOI
- 10.1007/s13178-019-00388-y
- project
- Motiverande samtal inom området sexuell hälsa – ger metoden effekt?
- language
- English
- LU publication?
- yes
- additional info
- Artikeln är baserad på rapporten "Motiverande samtal med unga om sexuell hälsa. En kartläggande litteraturöversikt inom området hivprevention samt sexuell och reproduktiv hälsa och rättigheter (SRHR)" som utfördes på uppdrag av Folkhälsomyndigheten: https://www.folkhalsomyndigheten.se/publicerat-material/publikationsarkiv/m/motiverande-samtal-med-unga-om-sexuell-halsa/
- id
- 8cf84ec1-0f85-4630-89cf-3eb127551666
- date added to LUP
- 2019-10-22 10:37:42
- date last changed
- 2025-04-04 14:58:40
@article{8cf84ec1-0f85-4630-89cf-3eb127551666,
abstract = {{<p>This paper critically examines sexual risk reduction interventions, more specifically how they are evaluated and the implications that this has for sexual health policy. The focus is on motivational interviewing (MI) interventions which aim to promote protective behaviors related to sexual risk on the part of young people. MI has become increasingly popular, largely due to it being a highly flexible counseling approach that may, with adequate staff training, and fidelity in implementation, be tailored to many different settings (e.g., health care, schools and in community work). Following a scoping review that comprised 34 papers, of which 29 were unique studies, the range and type of existing research were examined. The results show a wide range of study designs and evaluation procedures, MI conceptualizations, modes of MI delivery, and the particular sub-populations of youth and sexual risk behaviors targeted. While this makes it difficult to draw any generalized conclusions about “what works” in prevention, it provides important insights about the complexity of sexual risk behavior as well as complex behavioral treatment approaches like MI. We therefore problematize the political drive to implement evidence-based methods without adequate resource allocation and contextual adaptation.</p>}},
author = {{Bahner, Julia and Stenqvist, Karin}},
issn = {{1868-9884}},
keywords = {{Evidence-based practice; Motivational interviewing; Scoping review; Sexual health policy; SRHR; Youth and young adults; motiverande samtal; sexuell hälsa; evidensbaserad praktik; intervention and prevention; Intervention theory; Sexuality}},
language = {{eng}},
number = {{2}},
pages = {{301--313}},
publisher = {{Springer}},
series = {{Sexuality Research and Social Policy}},
title = {{Motivational Interviewing as Evidence-Based Practice? An Example from Sexual Risk Reduction Interventions Targeting Adolescents and Young Adults}},
url = {{http://dx.doi.org/10.1007/s13178-019-00388-y}},
doi = {{10.1007/s13178-019-00388-y}},
volume = {{17}},
year = {{2020}},
}