Magatartás-változtatás az egészségügyben: a motivációs interjú
| Autor: | Dávid Pócs, Oguz Kelemen, Csaba Hamvai |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Persuasion Evidence-based practice media_common.quotation_subject Public health Behavior change Motivational interviewing Resistance (psychoanalysis) General Medicine Ambivalence 030227 psychiatry 03 medical and health sciences 0302 clinical medicine Feeling medicine 030212 general & internal medicine Psychology Social psychology media_common |
| Zdroj: | Orvosi Hetilap. 158:1331-1337 |
| ISSN: | 1788-6120 0030-6002 |
| DOI: | 10.1556/650.2017.30825 |
| Popis: | Abstract: Public health data show that early mortality in Hungary could be prevented by smoking cessation, reduced alcohol consumption, regular exercise, healthy diet and increased adherence. Doctor–patient encounters often highlight these aspects of health behavior. There is evidence that health behavior change is driven by internal motivation rather than external influence. This finding has led to the concept of motivational interview, which is a person-centered, goal-oriented approach to counselling. The doctor asks targeted questions to elicit the patient’s motivations, strengths, internal resources, and to focus the interview around these. The quality and quantity of the patient’s change talk is related to better outcomes. In addition, the interview allows the patient to express ambivalent feelings and doubts about the change. The doctor should use various communication strategies to resolve this ambivalence. Furthermore, establishing a good doctor–patient relationship is the cornerstone of the motivational interview. An optimal relationship can evoke change talk and reduce the patient’s resistance, which can also result in a better outcome. The goal of the motivational interview is to focus on the ‘why’ to change health behavior rather than the ‘how’, and to utilize internal motivation instead of persuasion. This is the reason why motivational interview has become a widely-accepted evidence based approach. Orv Hetil. 2017; 158(34): 1331–1337. |
| Databáze: | OpenAIRE |
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