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Drozdova L.Iu.

FGBU NITs profilakticheskoĭ meditsiny Minzdrava Rossii

Lischenko O.V.

National Medical Research Center for Preventive Medicine, Moscow, Russia

Drapkina O.M.

Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova, Klinika propedevtiki vnutrennikh bolezneĭ, gastroénterologii i gepatologii

Technologies of motivational counseling

Authors:

Drozdova L.Iu., Lischenko O.V., Drapkina O.M.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2020;23(2): 97‑101

DOI: 10.17116/profmed20202302197

Views: 15833

Downloaded: 755

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To cite this article:

Drozdova LIu, Lischenko OV, Drapkina OM. Technologies of motivational counseling. Russian Journal of Preventive Medicine. 2020;23(2):97‑101. (In Russ.)
https://doi.org/10.17116/profmed20202302197

 
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The analysis of recent publications on technologies and methods of motivational counseling (MC) used by doctors of various specialties for primary and secondary prevention of chronic non-infectious diseases is presented. The key concepts of MC are defined, examples of specific questions and recommendations on the style of communication between the doctor and the patient are given. Four core or basic skills (stages) of MC were named: open questions, affirms, active listening and generalization. The attention of doctors and healthcare specialists is focused on the differences between the “usual” traditional communication with the patient and the recommended communication in the style of MC. Existing algorithms and models of MC are presented in the form of various strategies and recommendations. The prospects for further research to improve the efficiency of MC and to create standardized algorithms and reference materials for medical workers are discussed. MC technologies are recommended for practical use by a wide range of doctors and specialists involved in the health modification and healthy lifestyle of the population.

Keywords:

motivational counseling
technologies
methodical approaches

Authors:

Drozdova L.Iu.

FGBU NITs profilakticheskoĭ meditsiny Minzdrava Rossii

Lischenko O.V.

National Medical Research Center for Preventive Medicine, Moscow, Russia

Drapkina O.M.

Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova, Klinika propedevtiki vnutrennikh bolezneĭ, gastroénterologii i gepatologii

List of references:

  1. Drozdova L.Yu., Ivanova E.S., Lischenko O.V. Modern approaches for conducting motivational counseling for correction of the risk factors and adherence improving: literature review. The Russian Journal of Preventive Medicine. 2019;22(2):101-106. (In Russ.). https://doi.org/10.17116/ profmed201922021101
  2. Miller W.R., Rollnik S. Motivacionnoe konsul’tirovanie: kak pomoch’ lyudyam izmenit’sya. Moskva: Izdatel'stvo «E»; 2017. (In Russ.).
  3. Spaeth M., Bleich S., Hillemacher T. Motivational interviewing with alcohol-dependent patients. Fortschr Neurol Psychiatr. 2017;85(9):549-565. https://doi.org/10.1055/s-0043-115216
  4. Clifford D., Curtis L. Motivational Interviewing in Nitrition and Fitness. New York, NY: The Guilford Press; 2016. https://doi.org/10.1016/j.jneb.2016.04.393
  5. Miller W.R., Rose G.S. Toward a Theory of Motivational Interviewing. Am Psychol. 2009;64(6):527-537. https://doi.org/10.1037/a0016830
  6. Stonerock G.L., Blumenthal J.A. Role of Counseling to Promote Adherence in Healthy Lifestyle Medicine: Strategies to Improve Exercise Adherence and Enhance Physical Activity. Prog Cardiovasc Dis. 2017;59(5):455-462. https://doi.org/10.1016/j.pcad.2016.09.003
  7. Kini V., Ho P.M. Interventions to Improve Medication Adherence: A Review. JAMA. 2018;320(23):2461-2473. https://doi.org/10.1001/jama.2018.19271
  8. Widder R. Learning to Use Motivational Interviewing Effectively: Modules. J Contin Educ Nurs. 2017;48(7):312-319. https://doi.org/10.3928/00220124-20170616-08
  9. Landry A., Madson M., Thomson J., Zoellner J., Connell C., Yadrick K. A randomized trial using motivational interviewing for maintenance of blood pressure improvements in a community-engaged lifestyle intervention: HUB city steps. Health Educ Res. 2015;30(6):910-922. https://doi.org/10.1093/her/cyv058
  10. Lundahl B., Droubay B.A., Burke B., Butters R.P., Nelford K., Hardy C., Keovongsa K., Bowles M. Motivational interviewing adherence tools: A scoping review investigating content validity. Patient Educ Couns. 2019;102(12):2145-2155. https://doi.org/10.1016/j.pec.2019.07.003
  11. Ryan R.M., Deci E.L. Intrinsic and extrinsic motivations: Classic definitions and new directions. Contemporary Educational Psychology. 2000;25:54-67. https://doi.org/10.1006/ceps.1999.1020
  12. Magill M., Apodaca T.R., Borsari B., Gaume J., Hoadley A., Gordon REF, Tonigan J.S., Moyers T. A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change. J Consult Clin Psychol. 2018;86(2):140-157. https://doi.org/10.1037/ccp0000250
  13. Gill I., Oster C., Lawn S. Assessing competence in health professionals’ use of motivational interviewing: A systematic review of training and supervision tools. Patient Educ Couns. 2019;pii: S0738-3991(19)30429-X. https://doi.org/10.1016/j.pec.2019.09.021
  14. Rollnick S., Miller W.R., Butler C.C. Motivational Interviewing in Health Care: Helping Patients Change Behavior. Am J Pharm Educ. 2009;73(7):127.
  15. Rosengren D.B. Building motivational interviewing skills: A practitioner workbook. New York: Guilford Press; 2009. https://doi.org/10.1002/erv.1027

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