[Motivational interviewing use for promoting health behavior: an approach of doctor/patient relationship].
Many situations in common medical practice, especially in chronic diseases, require patients to be mobilized for health behavior decisions: for daily intake of an antihypertensive drug, performing a mammography for cancer screening, as well as adopting new diet habits in diabetes. Ability to initiate a health behavior depends on several parameters. Some of them are related to the patient, his personality, his illness and treatment's perception; others directly rely on the physician, his attitude and his communication style during the visit, independently of patient's level of resistance to change. Motivational interviewing (MI) is a communication technique, first developed for patients presenting a substance abuse disorder, to explore their ambivalence, overcome their resistances and give them the willingness of a better self-care. Its general principles and basic techniques can be applied by every practitioner and deserve to be better known, given that scientific literature provides evidence for generalizing it in a variety of medical conditions, in structured patient education programs as well as in usual follow-up, for which time is generally restricted. This article provides an overview of MI recent applications and argues for its diffusion in everyday medical practice.
Unité fonctionnelle de psychologie et psychiatrie de liaison et d'urgences, service universitaire de psychiatrie de l'adulte et du sujet âgé, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20, rue Leblanc, 75908 Paris cedex 15, France.
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Benarous
Hôpital européen Georges-Pompidou, AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France; Laboratoire de psychopathologie et processus de santé (EA 4057), institut de psychologie, université Paris-Descartes, 71, avenue Édouard-Vaillant, 92100 Boulogne-Billancourt, France.
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Unité fonctionnelle de psychologie et psychiatrie de liaison et d'urgences, service universitaire de psychiatrie de l'adulte et du sujet âgé, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20, rue Leblanc, 75908 Paris cedex 15, France; Laboratoire de psychopathologie et processus de santé (EA 4057), institut de psychologie, université Paris-Descartes, 71, avenue Édouard-Vaillant, 92100 Boulogne-Billancourt, France; Université Paris-Descartes, Sorbonne Paris Cité, 12, rue de l'École-de-Médecine, 75005 Paris, France. Electronic address: silla.consoli@egp.aphp.fr.
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Consoli
D000328:Adult; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods; D010817:Physician-Patient Relations
Behavior change; Changement de comportements; Chronic diseases; Entretien motivationnel; Maladies chroniques; Motivational interviewing; Patient/doctor relationship; Preventive medicine; Prévention; Relation médecin/malade