Motivational interviewing for individuals with autism or intellectual disabilities

Individuals with autism or intellectual disabilities may occasionally require modifications to their habits and behaviors. Motivational interviewing is a therapeutic approach designed to enhance motivation for these behavioral changes."

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SBU Enquiry Service

Consists of structured literature searches to highlight studies that can address questions received by the SBU Enquiry Service from Swedish healthcare or social service providers. We assess the risk of bias in systematic reviews and when needed also quality and transferability of results in health economic studies. Relevant references are compiled by an SBU staff member, in consultation with an external expert when needed.

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Published: Report no: Ut202419 Registration no: SBU 2024/747

Question

What systematic reviews have been published regarding motivational interviewing for individuals with autism or mild to moderate intellectual disability?

Method

A systematic literature search was performed using the following databases: Medline (via Ovid), Scopus, and PsycInfo.
Two authors independently assessed the abstracts of all identified studies.
Risk of bias in relevant systematic reviews was assessed using an assessment tool based on AMSTAR.

Identified literature

No relevant systematic reviews with low to moderate risk of bias were identified. In one relevant systematic review, the risk of bias was considered to be high, therefore the results and conclusions are not reported [1] .

References

  1. Van Duijvenbode N, Vandernagel JEL. A systematic review of substance use (disorder) in individuals with mild to borderline intellectual disability. Eur Addict Res. 2019;25(6):263-82. Available from: https://doi.org/10.1159/000501679.

Search strategy

Medline via OvidSP 4 November 2024

Title: MI/IF
/ = Term from the MeSH controlled vocabulary; .sh = Term from the MeSH controlled vocabulary; exp = Term from MeSH including terms found below this term in the MeSH hierarchy; .ti,ab = Title or abstract; .tw = Title or abstract; .kf = Keywords; .kw = Keywords, exact; .bt = Book title. NLM Bookshelf; .pt = Publication type; .ja = Journal abbreviation; .af = All fields; adjn = Adjacent. Proximity operator retrieving adjacent words, adj3 retrieves records with search terms within two terms from each other; * or $ = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population:
1. exp Intellectual Disability/ 108 502
2. (((intellectual* or development* or learning) adj3 (disab* or disorder*)) or ((mental or intellectual* or cognitive) adj3 (handicap or impair*))).ab,bt,kf,ti. 203 444
3. exp Brain Injuries/ 86 931
4. ((acquired or traumatic) adj2 ("brain injur*" or "brain damage*" or "cerebral damage*" or "cerebral injur*" or "cranial injur*" or "brainstem injur*" or "cerebral contusion*" or "craniocerebral injur*" or "head injur*")).ab,bt,kf,ti. 57 851
Intervention:
5. Motivational Interviewing/ 2778
6. (motivat* adj2 (interview* or counsel* or enhanc*)).ab,bt,kf,ti. 9135
7. "behavio* change technique*".ab,bt,kf,ti. 2348
Study types: systematic reviews and meta-analysis
8. ((Systematic Review/ or Meta-Analysis/ or Cochrane Database Syst Rev.ja. or ((systematic adj4 review) or "meta analys*" or metaanalys*).ti,bt,ab.) not (editorial/ or letter/ or case reports/))  
Combined sets:
9. 1 or 2 or 3 or 4 391 650
10. 5 or 6 or 7 11 801
11. 9 and 10 178
Final result
12. 8 and 11 20

Medline via OvidSP 4 November 2024

Title: MI/ASD
/ = Term from the MeSH controlled vocabulary; .sh = Term from the MeSH controlled vocabulary; exp = Term from MeSH including terms found below this term in the MeSH hierarchy; .ti,ab = Title or abstract; .tw = Title or abstract; .kf = Keywords; .kw = Keywords, exact; .bt = Book title. NLM Bookshelf; .pt = Publication type; .ja = Journal abbreviation; .af = All fields; adjn = Adjacent. Proximity operator retrieving adjacent words, adj3 retrieves records with search terms within two terms from each other; * or $ = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population:
1. exp Autism Spectrum Disorder/ 46 586
2. (autis* or asd).ab,bt,kf,ti. 84 662
Intervention:
3. Motivational Interviewing/ 2778
4. (motivat* adj2 (interview* or counsel* or enhanc*)).ab,bt,kf,ti. 9135
5. "behavio* change technique*".ab,bt,kf,ti. 2348
Study types: systematic reviews and meta-analysis
6. ((Systematic Review/ or Meta-Analysis/ or Cochrane Database Syst Rev.ja. or ((systematic adj4 review) or "meta analys*" or metaanalys*).ti,bt,ab.) not (editorial/ or letter/ or case reports/))  
Combined sets:
7. 1 or 2 88 370
8. 3 or 4 or 5 11 801
9. 7 and 8 37
Final result
10. 6 and 9 1

Scopus via scopus.com 31 October 2024

Title: MI/IF
TITLE-ABS-KEY = Title, abstract or keywords (including indexed keywords and author keywords); ALL = All fields; W/n = Within. Proximity operator retrieving terms within n words from each other; PRE/n = Precedes by. Proximity operator, the first term in the search must precede the second by n words; LIMIT-TO (X) = Includes only results of specified type, e.g., publication type or time range; DOCTYPE = Publication type; “re” = review; “le” = letter; “ed” = editorial; “ch” = book chapter; “cp” = conference proceedings; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population:
1. TITLE-ABS-KEY ( ( ( intellectual* OR development* OR learning ) W/3 ( disab* OR disorder* ) ) OR ( ( mental OR intellectual* OR cognitive ) W/3 ( handicap OR impair* ) ) ) 376 592
2. TITLE-ABS-KEY ( acquired OR traumatic ) W/2 ( "brain injur*" OR "brain damage*" OR "cerebral damage*" OR "cerebral injur*" OR "cranial injur*" OR "brainstem injur*" OR "cerebral contusion*" OR "craniocerebral injur*" OR "head injur*" ) 85 282
Intervention:
3. TITLE-ABS-KEY ( motivat* W/2 ( interview* OR counsel* OR enhanc* ) ) 20 398
4. TITLE-ABS-KEY ( "behavio* change technique*" ) 2717
Study types: systematic reviews and meta-analysis
5. TITLE-ABS-KEY ( ( systematic  W/2  review ) or "meta analy*"  or metaanaly* ) AND (EXCLUDE (DOCTYPE, “le”) OR EXCLUDE (DOCTYPE, “ed”) or EXCLUDE (DOCTYPE, “ch”) or EXCLUDE (DOCTYPE, “cp”))    
Combined sets:
6. 1 OR 2 456 908
7. 3 OR 4 22 986
8. 6 AND 7 343
Final result
9. 5 AND 8 34

Scopus via scopus.com 31 October 2024

Title: MI/ASD
TITLE-ABS-KEY = Title, abstract or keywords (including indexed keywords and author keywords); ALL = All fields; W/n = Within. Proximity operator retrieving terms within n words from each other; PRE/n = Precedes by. Proximity operator, the first term in the search must precede the second by n words; LIMIT-TO (X) = Includes only results of specified type, e.g., publication type or time range; DOCTYPE = Publication type; “re” = review; “le” = letter; “ed” = editorial; “ch” = book chapter; “cp” = conference proceedings; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population:
1. TITLE-ABS-KEY ( autis* OR asd ) 146 895
Intervention:
2. TITLE-ABS-KEY ( motivat* W/2 ( interview* OR counsel* OR enhanc* ) ) 20 398
3. TITLE-ABS-KEY ( "behavio* change technique*" ) 2717
Study types: systematic reviews and meta-analysis
4. TITLE-ABS-KEY ( ( systematic  W/2  review ) OR "meta analy*" OR metaanaly* ) AND (EXCLUDE (DOCTYPE, “le”) OR EXCLUDE (DOCTYPE, “ed”) OR EXCLUDE (DOCTYPE, “ch”) OR EXCLUDE (DOCTYPE, “cp”))    
Combined sets:
5. 2 OR 3 22 986
6. 1 AND 5 88
Final result
7. 4 AND 6 5

PSYCINFO via EBSCO 4 November 2024

Title: MI/IF
TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); DE = Exact keyword; TX = All text; MR = Methodology; Nn = Near. Proximity operator retrieving terms within n words from each other; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population:
1. TI ( ((intellectual* OR development* OR learning) n3 (disab* OR disORder*)) OR ((mental OR intellectual* OR cognitive) n3 (handicap OR impair*)) ) OR AB ( ((intellectual* OR development* OR learning) n3 (disab* OR disORder*)) OR ((mental OR intellectual* OR cognitive) n3 (handicap OR impair*)) ) OR SU ( ((intellectual* OR development* OR learning) n3 (disab* OR disORder*)) OR ((mental OR intellectual* OR cognitive) n3 (handicap OR impair*)) ) 214 387
2. TI ( (acquired OR traumatic) n2 ("brain injur*" OR "brain damage*" OR "cerebral damage*" OR "cerebral injur*" OR "cranial injur*" OR "brainstem injur*" OR "cerebral contusion*" OR "craniocerebral injur*" OR "head injur*") ) OR AB ( (acquired OR traumatic) n2 ("brain injur*" OR "brain damage*" OR "cerebral damage*" OR "cerebral injur*" OR "cranial injur*" OR "brainstem injur*" OR "cerebral contusion*" OR "craniocerebral injur*" OR "head injur*") ) OR SU ( (acquired OR traumatic) n2 ("brain injur*" OR "brain damage*" OR "cerebral damage*" OR "cerebral injur*" OR "cranial injur*" OR "brainstem injur*" OR "cerebral contusion*" OR "craniocerebral injur*" OR "head injur*") ) 27 894
Intervention:
3. TI ( motivat* n2 (interview* OR counsel* OR enhanc*) ) OR AB ( motivat* n2 (interview* OR counsel* OR enhanc*) ) OR SU ( motivat* n2 (interview* OR counsel* OR enhanc*) ) 9878
4. TI "behavio* change technique*" OR AB "behavio* change technique*" OR SU "behavio* change technique*" 943
Study types: systematic reviews and meta-analysis / randomized controlled trials
5. TI((systematic n3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic n3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic n3 review) OR "meta analys*" OR metaanalys*) OR (MR "Systematic Review" OR MR "meta analysis")  
Combined sets:
6. 1 OR 2 239 107
7. 3 OR 4 10 785
8. 6 and 7 204
Final result
9. 5 and 8 11

PSYCINFO via EBSCO 4 November 2024

Title: MI/ASD
TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); DE = Exact keyword; TX = All text; MR = Methodology; Nn = Near. Proximity operator retrieving terms within n words from each other; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population:
1. TI ( autis* OR asd ) OR AB ( autis* OR asd ) OR SU ( autis* OR asd ) 74 406
Intervention:
2. TI ( motivat* n2 (interview* OR counsel* OR enhanc*) ) OR AB ( motivat* n2 (interview* OR counsel* OR enhanc*) ) OR SU ( motivat* n2 (interview* OR counsel* OR enhanc*) ) 9878
3. TI "behavio* change technique*" OR AB "behavio* change technique*" OR SU "behavio* change technique*" 943
Study types: systematic reviews and meta-analysis / randomized controlled trials
4. TI((systematic n3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic n3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic n3 review) OR "meta analys*" OR metaanalys*) OR (MR "Systematic Review" OR MR "meta analysis")  
Combined sets:
5. 2 OR 3 10 785
6. 1 and 5 44
Final result
7. 4 and 6 0
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