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Most respondents agreed that patients should be screened for tobacco use and counseled accordingly, but few were familiar with evidence-based TCC guidelines. Further training is required to promote knowledge and skill in TCC, along with systems changes to reduce barriers toward the implementation of TCC within the clinical environment.

Patients with chronic wounds make daily decisions that affect healing and treatment outcomes. Patient-centered education for effective self-management decreases episodes of care and reduces health expenditures while promoting independence. Theoretical frameworks, including the Health Belief Model, Theory of Planned Behavior, Social Cognitive Theory, and Transtheoretical Model of Behavior Change, can assist healthcare providers in identifying strategies that enhance adherence. These strategies include the use of motivational interviewing, a communication technique designed to elicit patients’ perspectives regarding treatment goals, outcome expectations, anticipated barriers, and intentions to follow provider recommendations. GENERAL PURPOSE To educate wound care practitioners about methods of communication that can help promote patient adherence to wound healing recommendations. TARGET AUDIENCE This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES After participating in this educational activity, the participant will: 1. Distinguish the use of theoretical frameworks to promote patient adherence to prescribed wound healing recommendations. 2. Synthesize the principles of motivational interviewing to best encourage patients to adhere to prescribed wound healing recommendations. 3. Select the appropriate self-care strategies for patients who have nonhealing wounds.