Family-centered collaborative negotiation: a model for facilitating behavior change in primary care.
OBJECTIVE
To describe a parent-child-based model that melds a family-centered interaction approach, Touchpoints, with brief negotiation strategies (an adaptation of motivational interviewing) to address health risks in children. An application of the model for addressing childhood overweight in the primary care setting is presented.


METHODS
Selected research, theoretical, and clinical articles; national recommendations and guidelines; and a clinical case.


CONCLUSIONS
Lifestyle health behaviors are learned and reinforced within the family; thus, changes to promote child health require family involvement. Interventions that engage parents and support parent-child relationships, while enhancing motivation and the abilities to change behavior, are recommended.


CONCLUSIONS
Primary care is an appropriate setting for addressing lifestyle health behaviors. A collaborative partnership, rather than a prescriptive manner, is advocated for primary care providers when working to facilitate health-promoting behavior.
Tyler
Diane O
DO
School of Nursing, University of Texas at Austin, Austin, Texas 78701, USA. dtyler@mail.utexas.edu
Horner
Sharon D
SD
D001294:Attitude to Health; D002648:Child; D015362:Child Nutrition Disorders / Q000517:prevention & control / Q000523:psychology; D002669:Child Welfare; D003299:Cooperative Behavior; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D016294:Models, Nursing; D008960:Models, Psychological; D017008:Negotiating / Q000379:methods / Q000523:psychology; D009722:Nurse Practitioners / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D009765:Obesity / Q000517:prevention & control / Q000523:psychology; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology; D018802:Patient-Centered Care / Q000458:organization & administration*; D010371:Pediatric Nursing / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000458:organization & administration*; D011368:Professional-Family Relations; D002666:Psychology, Child