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Achieving patient-centered care across the spectrum
Date:5/13/2014

most often applied in situations that usually require some degree of behavioral change about which a patient feels ambivalent, such as lifestyle choices or adherence to medications. Originally developed for dealing with drug and alcohol addiction, the scope has widened to include how best to motivate behavior change across many domains.

Motivational interviewing recognizes that making behavioral change is difficult and that telling or persuading people to change will often meet with resistance. Clinicians should explore and resolve ambivalence and by doing so elicit and encourage a patient's own motives to change.

For motivational interviewing there is evidence for efficacy in treating addictions and mixed evidence in improving health outcomes of patients with diabetes, asthma, high blood pressure and heart disease.

The researchers acknowledge the challenge of implementing shared decision making and motivational interviewing into routine practice. "We believe, however, that we will see little progress in patient-centered care unless these approaches are valued as core elements of good practice; they should be taught, assessed and integrated into daily practice, then appropriately measured and rewarded."


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Contact: Annmarie Christensen
Annmarie.Christensen@Dartmouth.edu
603-653-0897
The Geisel School of Medicine at Dartmouth
Source:Eurekalert

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