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Motivational interviewing in a web-based physical activity intervention: Questions and reflections

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Author: Friederichs, S.A.H. · Oenema, A. · Bolman, C. · Guyaux, J. · Keulen, H.M. van · Lechner, L.
Source:Health Promotion International, 3, 30, 803-815
Identifier: 527982
doi: doi:10.1093/heapro/dat069
Keywords: Sports · Internet · Motivational interviewing · Healthy for Life · Healthy Living · Life · LS - Life Style · ELSS - Earth, Life and Social Sciences


The purpose of this study was to identify which question/reflection format leads to the most favorable results in terms of effect on autonomous motivation and appreciation for the intervention in a web-based computer-tailored physical activity (PA) intervention, based on principles from self-determination theory (SDT) and motivational interviewing (MI). For this purpose, a randomized trial was conducted among 465 Dutch adults, comparing three web-based computer-tailored MI/SDT PA interventions, including (i) exclusively open-ended questions (without skillful reflections), (ii) exclusively multiple choice questions (with skillful reflections) and (iii) including both question types (with skillful reflections). Measurements included motivation-related determinants of PA and process variables, measured at baseline, directly following the intervention and 1-month post-intervention. Results suggest that open-ended questions represent an important element in web-based MI in terms of effect on autonomous motivation. In order to optimize appreciation of the intervention, a combination of both open-ended and multiple choice question types seems to hold most promise. The findings of this study suggest that both open-ended and multiple choice questions should be included in web-based computer-tailored SDT/MI PA interventions. More research is needed to reveal the optimal configuration of this novel intervention type. © 2013 The Author (2013).