The use of motivational interviewing in weight loss

Dorsten, Brent Van

doi:10.1007/s11892-007-0063-x

Cited by 47 publications

(23 citation statements)

References 44 publications

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“…MI has been shown to be effective in promoting change among patients with substance-abuse problems [74][75][76][77], as well as with other health behaviors, such as improving diet, diabetes management, blood pressure, and activity level [47][48][49][78][79][80]. Although there have been few studies specifically examining the role of MI in engagement in pain self management, the results thus far appear promising [81][82][83].…”

Section: Motivational Interviewingmentioning

confidence: 99%

Providers' roles in enhancing patients' adherence to pain self management

Dorflinger

Kerns

Auerbach

2012

Behav. Med. Pract. Policy Res.

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Practice guidelines and empirical research related to pain management encourage clinicians to take active roles in providing education about self management and promoting adoption of a self-management approach. The purpose of the study was to review the relevant literature, summarize aspects of the patientprovider interaction that influence patient engagement in self management for chronic pain, and outline practice recommendations in this area. Review of the literature on aspects of the patient-provider interaction that promote engagement in pain self-management was used. Findings are synthesized into recommendations for providers. Patients benefit from a biopsychosocial and patient-centered approach. Patients are more likely to fully disclose when providers respond empathically, which can improve conceptualization and treatment. Patient education and motivation play important roles in engaging patients in self management. Self management is influenced in part by the patient-provider communication process. Suggestions for communication strategies to facilitate patient engagement in self-management techniques, including empathic discussion of barriers and motivation enhancement, are provided. KEYWORDSChronic pain, Self management, Doctor-patient communication, Patient-centered care, Adherence Pain is one of the most common presenting problems in medical settings [1], and the majority of pain treatment tends to be carried out in the primary care context [2]. Pain that persists beyond 3 months and that does not remit with typical treatments for acute pain, such as rest, non-steroidal anti-inflammatory drugs, and heat or ice, is considered chronic pain. It is estimated that more than 100 million Americans have chronic pain [3], and prevalence in other countries varies from about 10-50 % of the general population [4]. Not only is chronic pain a prevalent health issue but it also significantly impacts quality of life [5][6][7][8] and the costs of care, and lost productivity are estimated to total almost $635 billion each year [3].Pain guidelines have recommended selfmanagement strategies in the treatment of chronic pain [9,10]. Self management differs from other treatments such as surgery and medication in that it emphasizes the patient's own control over his/her pain experience rather than relying on external factors to treat pain symptoms. At its most rudimentary level, self management consists of basic methods such as distraction, physical activity, and ice or heat to manage pain. Many patients use these practices on their own or are able to easily implement them after receiving reassurance and encouragement from their providers. Other patients may benefit from additional self-management techniques, such as those emphasized in cognitivebehavioral treatment for chronic pain, that aim to modify the thoughts and behaviors that contribute to the maintenance and exacerbation of pain. Such self-management skills include time-based pacing, relaxation, stress management, and identifying and modifying catastrophic ...

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Section: Motivational Interviewingmentioning

confidence: 99%

Providers' roles in enhancing patients' adherence to pain self management

Dorflinger

Kerns

Auerbach

2012

Behav. Med. Pract. Policy Res.

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“…A counseling style frequently used nowadays is motivational interviewing (MI) (Miller and Rollnick, 2002). Although originally developed for use in substance abuse therapy, in recent years it has been proven effective in several lifestyle intervention studies (Rubak et al, 2005;Van Dorsten, 2007), although many studies on this topic were of poor quality (Knight et al, 2006). In the workplace intervention studies in which this counseling strategy was used (Elliot et al, 2007;Prochaska et al, 2008) body weight was evaluated, but blood pressure and cholesterol were not.…”

Section: Introductionmentioning

confidence: 99%

Sustained body weight reduction by an individual-based lifestyle intervention for workers in the construction industry at risk for cardiovascular disease: Results of a randomized controlled trial

Groeneveld¹,

Proper²,

Beek³

et al. 2010

Preventive Medicine

140

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“…Wellness Advocates utilize Motivational Interviewing, which is a participantcentered approach that attempts to help the client overcome ambivalence regarding problematic behavior [80]. Motivational Interviewing has been rigorously tested and found to be effective in dietary and physical activity changes [87], glucose control [88], and treatment adherence [89,90]. Wellness Advocates use Motivational Interviewing to elicit the participant's vision of wellness and health goals, and to create an action plan to work toward those goals.…”

Section: Wellness Advocatesmentioning

confidence: 99%