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September/October 2011 Annals of Family Medicine Tip Sheet
Date:9/12/2011

by patients in response to the physicians' assessment of their current level of activity (53 percent). Researchers also found patients often expressed ambivalence about changing their behavior (48 percent), and physicians' response to patient ambivalence was split between limited attempts to offer assistance (51 percent) or no attempt (49 percent) to offer assistance. They conclude clinicians must improve their skills in exploring patient ambivalence and readiness to change and increase explicit mention of recommended guidelines for physical activity.

Evaluation of Physical Activity Counseling in Primary Care Using Direct Observation of the 5As
By Jennifer K. Carroll, M. D., M. P. H., et al
University of Rochester Medical Center, New York


Decision Making and Shared Mind During Serious Illness

Researchers introduce the concept of "shared mind," ways in which new ideas and perspectives can emerge through the sharing of thoughts, feelings, perceptions, meanings and intentions among patients, their families and members of the health care team. They explore how shared mind might be cultivated and its implications for decision making and patient autonomy, especially in the context of serious illness when individuals rely on others to help them think and feel their way through difficult decisions.

Shared Mind: Communication, Decision Making, and Autonomy in Serious Illness
By Ronald M. Epstein, M. D., and Richard L. Street, Ph. D.
University of Rochester Medical Center, New York and Texas A&M University, Houston


Using Care Coordination to Improve Health Behavior Counseling in Primary Care

Examining the barriers and facilitators to coordinating health behavior counseling in primary care, researchers found the combination of in-practice health risk assessment and brief counseling, coupled with referral with outreach to a valued and known counseling resource, was the best w
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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