The Effect of Motivational Interviewing on Adolescent Risk Behaviors: A Literature Review


Motivational interviewing is a client-centered counseling method that is used to promote behavior change by eliciting client motivations for change and analyzing conflicting client motivations. The purpose of this literature review was to summarize the effect of motivational interviewing on adolescent risk behaviors. Articles published in English between 2015-2020 were searched in MEDLINE, CINAHL, and the Cochrane Library. The reviewers extracted and summarized the data using the Joanna Briggs Institute ( JBI) data extraction tool. A total of six articles were included in this review. It can be concluded from the results that counseling combined with motivational interviewing is beneficial at reducing risky sexual behavior in teenagers and in preventing HIV transmission.

Keywords: adolescent, motivational interviewing, risk behaviors, review

[1] Flickinger TE, Rose G, Wilson IB, et al. Motivational interviewing by HIV care providers is associated with patient intentions to reduce unsafe sexual behavior. Patient education and counseling,. 2013;93(1):122–9.

[2] Shafii T, Benson SK, Morrison DM. Brief motivational interviewing delivered by clinician or computer to reduce sexual risk behaviors in adolescents: Acceptability study. Journal of medical internet research. 2019;21(7):e13220.

[3] Miller WR, Rollnick S. Motivational interviewing: Helping people change. 3rd ed. New York: Guilford Press; 2013.

[4] Gibson LP, Gust CJ, Gillman AS, Bryan AD, Feldstein Ewing SW. Mechanisms of action for empirically supported interventions to reduce adolescent sexual risk behavior: A randomized controlled trial. Journal Adolescent Health. 2020;67(1):53–60.

[5] Gold MA, Tzilos GK, Stein LAR, et al. A randomized controlled trial to compare computer-assisted motivational intervention with didactic educational counseling to reduce unprotected sex in female adolescents. Journal of Pediatric and Adolescent Gynecology. 2016;29(1):26–32.

[6] Starks TJ, Robles G, Pawson M, et al. Motivational interviewing to reduce drug use and HIV incidence among young men who have sex with men in relationships and are high priority for pre-exposure prophylaxis (Project PARTNER): Randomized controlled trial protocol. JMIR Res Protoc. 2019;8(7):13015.

[7] Apodaca TR, Magill M, Longabaugh R, Jackson KM, Monti PM. Effect of a significant other on client change talk in motivational interviewing. Journal of consulting and clinical psychology. 2013;81(1):35–46.

[8] Chen J, Li X, Xiong Y, Fennie KP, Wang H, Williams AB. Reducing the risk of HIV transmission among men who have sex with men: A feasibility study of the motivational interviewing counseling method. Nursing Health of Science. 2016;18(3):400–7.

[9] Monti PM, Mastroleo NR, Barnett NP, Colby SM, Kahler CW, Operario D. Brief motivational intervention to reduce alcohol and HIV/sexual risk behavior in emergency department patients: A randomized controlled trial. Journal of consulting and clinical psychology,. 2016;84(7):580–91.

[10] Naar-King S, Parsons J, Johnson A. motivational interviewing targeting risk reduction for people with HIV: A systematic review. Current HIV/AIDS Reports 9. 2012;9.

[11] Grodensky C, Golin C, Parikh MA, et al. Does the quality of safetalk motivational interviewing counseling predict sexual behavior outcomes among people living with HIV? Patient education and counseling. 2017;100(1):147–53.

[12] Salvo MC, Cannon-Breland ML. Motivational interviewing for medication adherence. Journal of the American Pharmacists Association. 2015;55(4):354-61.

[13] Pettifor A, Corneli A, Kamanga G, et al. HPTN 062: A pilot randomized controlled trial exploring the effect of a motivational-interviewing intervention on sexual behavior among individuals with acute HIV Infection in Lilongwe, Malawi. PLoS One. 2015;10(5):0124452.

[14] Harijanto W, Rudijanto A, Alamsyah A. Pengaruh konseling motivational interviewing terhadap kepatuhan minum obat penderita hipertensi. Jurnal Kedokteran Brawijaya. 2015;28:353–4.

[15] Cook PF, Bradley, Springer L, Corwin MA. Motivational interviewing and HIV: Reducing risk, inspiring change. 2009;(Aug).

[16] Miller WR, Rollnick S. Motivational interviewing: Helping people change. Guilford Press; 2012.

[17] Erford BT. Teknik yang harus diketahui setiap konselor. Yogyakarta: Pustaka Pelajar.