TY - JOUR T1 - Behavioral medicine trial design: Time for a change AU - Lavoie KL, Campbell TS, Bacon SL Y1 - 2012/09/24 N1 - 10.1001/archinternmed.2012.2578 JO - Archives of Internal Medicine SP - 1350 EP - 1351 VL - 172 IS - 17 N2 - 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. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2012.2578 UR - http://dx.doi.org/10.1001/archinternmed.2012.2578 ER -