RT Journal
A1 Lavoie KL, Campbell TS, Bacon SL
T1 Behavioral medicine trial design: Time for a change
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2012
FD September 24
VO 172
IS 17
SP 1350
OP 1351
DO 10.1001/archinternmed.2012.2578
UL http://dx.doi.org/10.1001/archinternmed.2012.2578
AB 
The authors highlighted that “protocolizing” an MI intervention for large-scale implementation may undermine its effectiveness by moving away from its client-centered, individualized approach, and we agree. You cannot strictly protocolize an MI intervention and call it MI. Trials of MI must tailor the design of their interventions to remain faithful to the theoretical and practical underpinnings of MI.3 The fact that the OPTIMA trial included 10 sessions that each dealt with a specific (predetermined) educational topic suggests that the intervention may have been too structured, thus comprising the integrity of the MI content and the success of the trial.