The Art of Motivating Behavior Change: The Use of Motivational Interviewing to Promote Health

Shinitzky, Harold E.; Kub, Joan

doi:10.1046/j.1525-1446.2001.00178.x

Cited by 79 publications

(65 citation statements)

References 24 publications

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“…increasing health-related knowledge, which might increase control over health-related factors. An interesting development within healthcare, traditionally very behavior-change oriented, is the move towards more participatory strategies, such as 'motivational interviewing' (Miller and Rollnick, 2002), used, for example, to achieve smoking cessation (Schinitzky and Kub, 2001).…”

Section: Autonomy and Control As Predetermined Goalsmentioning

confidence: 99%

Behavior Change or Empowerment: On the Ethics of Health-Promotion Strategies

Tengland

2012

Public Health Ethics

102

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There are several strategies to promote health in individuals and populations. Two general approaches to health promotion are behavior change and empowerment. The aim of this article is to present those two kinds of strategies, and show that the behavior-change approach has some moral problems, problems that the empowerment approach (on the whole) is better at handling. Two distinct 'ideal types' of these practices are presented and scrutinized. Behavior change interventions use various kinds of theories to target people's behavior, which they do through information, persuasion, coercion and manipulation. Empowerment is a collaborative method where those 'facilitated' participate in the change process. Some ethical problems with the behavior-change model are that it does not sufficiently respect the right to autonomy of the individuals involved and risks reducing their ability for autonomy, and that it risks increasing health inequalities. Empowerment, on the other hand, respects the participant's right to autonomy, tends to increase the ability for autonomy, as well as increasing other coping skills, and is likely to reduce inequalities. A drawback with this approach is that it often takes longer to realize.

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Section: Autonomy and Control As Predetermined Goalsmentioning

confidence: 99%

Behavior Change or Empowerment: On the Ethics of Health-Promotion Strategies

Tengland

2012

Public Health Ethics

102

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“…From a review of 23 such studies, none of which was from the UK (21 from the USA, one in Australia and one in France), we concluded that there was limited evidence for the effectiveness of healthy eating interventions in the elderly. 147 However, the review did find that the strategies of individual feedback and goal-setting highlighted previously 142 were beneficial and were associated with a positive intervention. 147 The review restated the fact that the elderly community dwelling population is a heterogeneous group and that more research is required to identify suitable approaches at different age groups, social class and health status.…”

Section: Interventions For Elderly People Living In the Communitymentioning

confidence: 95%

LIFELAX – diet and LIFEstyle versus LAXatives in the management of chronic constipation in older people: randomised controlled trial

Speed

Heaven²,

Adamson³

et al. 2010

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA LIFELAX -diet and LIFEstyle versus Health Technology Assessment is indexed and abstracted in Index Medicus/MEDLINE, Excerpta Medica/EMBASE, Science Citation Index Expanded (SciSearch NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a ...

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“…Motivational interviewing can be used in the model to assess in what stage a patient is and different stage-directed strategies can then be used (Compton et al, 1999;Shinitzky & Kub, 2001). …”

Section: Stages Of Change (Soc) Modelmentioning

confidence: 99%

“…The education, which also contained training on how to use the SOC model, contributed to the structure of the consultations. The usefulness of having the SOC model as a framework in health-promotion is pointed out in a review of promoting evidencebased practice (Crookes et al, 1997) and in a review of motivating behavioural change (Shinitzky & Kub, 2001). As a result of the education, the nurses also had their knowledge of hypertension and its treatment updated, which gives confidence in the treatment of patients and the opportunity to popularise the topic in question (Weir et al, 2000).…”

Section: Non-pharmacological Treatmentmentioning

confidence: 99%

Counseling Hypertensive Patients: An Observational Study of 21 Public Health Nurses

Drevenhorn¹,

Håkansson²,

Petersson³

2001

Clinical Nursing Research

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Counselling in hypertension care relating to lifestyle changes, i.e. non-pharmacological treatment regarding smoking, alcohol, weight, diet, physical activity and stress, aims to reduce complications such as stroke and myocardial infarction. Many patients have several risk factors to deal with. There are few studies of nursing in hypertension care in Sweden and this issue therefore needs to be investigated in greater detail.The aims of this thesis were to analyse the communication between patients and nurses about lifestyle changes in hypertension care at health centres and to evaluate the effects of nursing interventions. In the first study, the Nurse Practitioner Rating Form was used to explore what 21 randomised public-health nurses discussed with hypertensive patients and their communication. In the second study, variables from 100 patients were collected to explore the effectiveness of using a hypertension nursing programme at a nurse-led clinic. The third study comprised consultation training for 19 randomised nurses, at nurse-led clinics in southern Sweden, with audio-recorded consultations with 36 patients before the training and 35 after the training. The recordings were analysed using content analysis.The results reveal that non-pharmacological treatment was not provided to any great extent during visits for blood pressure measurement with public-health nurses at open hours, but a great deal of information and advice was provided. One significant correlation was, however, found. The more years the nurses had been working, the more likely it was that their health promotion was psychosocially oriented in the consultations. The patients and nurses generally met at an equal communication level in their conversations. Starting a nurse-led hypertension clinic following a hypertension nursing programme resulted in many medication adjustments when assessing the patients' treatment and blood pressure levels. The most positive changes were seen in blood pressure, blood lipids and exercise. Consultation training on the stages of change model and patient centredness resulted in the nurses acquiring a more distinct structure for their consultations and relevant information was supplied in a more individually adapted way. The number of words and turns increased in the consultations. The nurses paid attention to support more frequently, irrespective of the stage of behavioural change the patient had reached. Negotiations about reasons for and where to begin behavioural change increased in the consultations. A model for nurses counselling patients in hypertension care was suggested, applying Orem's self-care deficit theory of nursing.It is concluded that public-health nurses in normal practice at health centres did not perform counselling on non-pharmacological treatment to any great extent. Applying a hypertension nursing programme resulted in positive changes in patients' blood pressure, blood lipids and exercise. After consultation training, the nurses acquired a more distinct structure for their counsellin...

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The Art of Motivating Behavior Change: The Use of Motivational Interviewing to Promote Health

Cited by 79 publications

References 24 publications

Behavior Change or Empowerment: On the Ethics of Health-Promotion Strategies

Behavior Change or Empowerment: On the Ethics of Health-Promotion Strategies

LIFELAX – diet and LIFEstyle versus LAXatives in the management of chronic constipation in older people: randomised controlled trial

Counseling Hypertensive Patients: An Observational Study of 21 Public Health Nurses

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