TY - JOUR
T1 - Using motivational interviewing and brief action planning for adopting and maintaining positive health behaviors
AU - Cole, Steven A.
AU - Sannidhi, Deepa
AU - Jadotte, Yuri Tertilus
AU - Rozanski, Alan
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2023/3/1
Y1 - 2023/3/1
N2 - Lifestyle medicine practice can be enhanced with interpersonal communication skills to help patients adopt and maintain positive health behaviors, such as improving diet or initiating exercise. We review two approaches that incorporate evidenced-based skills for this purpose: motivational interviewing and brief action planning (BAP). Motivational interviewing involves four processes conducted in a climate of compassion, acceptance, partnership, and empowerment. First, “engaging” (or connecting) with patients uses the “relational” skills of active listening and empathic communication. Second, “focusing” elicits patients' full spectrum of concerns, expectations, and desires to negotiate a collaborative agenda. Third, “evoking motivation,” utilizes uniquely innovative skills (e.g., “softening sustain talk” and “cultivating change talk”) to increase intrinsic motivation of patients with ambivalence (or resistance) to become more open to choosing healthier behaviors for themselves. Fourth, “planning for change,” uses collaborative goal-setting skills to help patients specify concrete action plans for health. To this end, brief action planning (BAP) has been developed as a specific pragmatic algorithmic approach, utilizing collaborative “SMART” (specific, measurable, achievable, relevant, and time-based) action planning, encouragement of patient commitment statements, scaling for confidence, problem-solving to reduce barriers for change, fostering patient accountability, and emphasizing follow-up. BAP can be introduced at any point in a patient encounter when patients are ready or nearly ready for change.
AB - Lifestyle medicine practice can be enhanced with interpersonal communication skills to help patients adopt and maintain positive health behaviors, such as improving diet or initiating exercise. We review two approaches that incorporate evidenced-based skills for this purpose: motivational interviewing and brief action planning (BAP). Motivational interviewing involves four processes conducted in a climate of compassion, acceptance, partnership, and empowerment. First, “engaging” (or connecting) with patients uses the “relational” skills of active listening and empathic communication. Second, “focusing” elicits patients' full spectrum of concerns, expectations, and desires to negotiate a collaborative agenda. Third, “evoking motivation,” utilizes uniquely innovative skills (e.g., “softening sustain talk” and “cultivating change talk”) to increase intrinsic motivation of patients with ambivalence (or resistance) to become more open to choosing healthier behaviors for themselves. Fourth, “planning for change,” uses collaborative goal-setting skills to help patients specify concrete action plans for health. To this end, brief action planning (BAP) has been developed as a specific pragmatic algorithmic approach, utilizing collaborative “SMART” (specific, measurable, achievable, relevant, and time-based) action planning, encouragement of patient commitment statements, scaling for confidence, problem-solving to reduce barriers for change, fostering patient accountability, and emphasizing follow-up. BAP can be introduced at any point in a patient encounter when patients are ready or nearly ready for change.
KW - Brief action planning
KW - Health behavior change
KW - Lifestyle medicine
KW - Motivational interviewing
KW - Self-management support
UR - http://www.scopus.com/inward/record.url?scp=85150843829&partnerID=8YFLogxK
U2 - 10.1016/j.pcad.2023.02.003
DO - 10.1016/j.pcad.2023.02.003
M3 - Review article
C2 - 36842453
AN - SCOPUS:85150843829
SN - 0033-0620
VL - 77
SP - 86
EP - 94
JO - Progress in Cardiovascular Diseases
JF - Progress in Cardiovascular Diseases
ER -