Motivating for cancer prevention.
Effective habit change usually requires a combination of psycho-educational, behavioural, and social learning strategies. Motivational interview and shared decision making are likely to be the most efficient approaches. Assessing the current motivation can be based on the transtheoretical model of change (TTM) with the goal to move from one behaviour to another healthier one. In a daily busy clinical practice, brief counselling interventions of one to three visits can substantially help patients change problematic behaviours, particularly in the areas of smoking cessation and exercise. The acronym FRAMES has been used to define the elements of an effective brief intervention which helps to trigger the patient motivation to change; giving Feedback based on a thorough assessment; helping the patient take Responsibility for changing; giving clear Advice on what behaviour must change; offering a Menu of options for making the change; expressing Empathy for the ambivalence and difficulty in making changes; enhancing Self-efficacy to foster commitment and confidence. This chapter reviews relevant aspects of clinician-patient communication with regard to cancer prevention, especially smoking cessation and exercise.
Cornuz
J
J
Department of Internal Medicine, Institute of Social and Preventive Medicine, Lausanne University Hospital, Switzerland.
Bize
R
R
D003376:Counseling / Q000379:methods*; D015444:Exercise / Q000502:physiology; D006801:Humans; D009042:Motivation; D009369:Neoplasms / Q000517:prevention & control*; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods*; D010817:Physician-Patient Relations; D012907:Smoking / Q000009:adverse effects; D016540:Smoking Cessation