title: [Short time counseling in medical practice for improving health behaviour: problems and solutions].
abstract: Health related behaviour is a main determinant of chronic disease. Family physicians have an important role in the support of patients to improve their health behaviour, but relevant barriers should be addressed. In the new "Health Coaching KHM" program, patients and physicians are working as a team in four steps (sensitize - create motivation - plan - act). In this process, physicians' communication skills (which are trained within the program) are of utmost importance. In a pilot study with 20 family physicians and 1045 patients acceptance and feasibility were excellent: Every second participant improved her or his behaviour in the area of choice by at least one (of two possible) categories. For dissemination improving framework is crucial.
authors.affiliation: Institut für Hausarztmedizin Zürich, Universität Zürich und Schweizerisches Kollegium für Hausarztmedizin, Bern.
authors.forename: Stefan
authors.initials: S
authors.lastname: Neuner-Jehle
authors.affiliation: Institut für Sozial- und Präventivmedizin, Universität Zürich.
authors.forename: Margareta
authors.initials: M
authors.lastname: Schmid
authors.affiliation: Institut für Sozial- und Präventivmedizin, Universität Zürich und Schweizerisches Kollegium für Hausarztmedizin, Bern.
authors.forename: Ueli
authors.initials: U
authors.lastname: Grüninger
mesh_terms: D002908:Chronic Disease / Q000517:prevention & control* / Q000628:therapy*; D003142:Communication; D003299:Cooperative Behavior; D003376:Counseling / Q000379:methods*; D058006:General Practice; D015438:Health Behavior; D006305:Health Status Indicators; D006801:Humans; D010348:Patient Care Team; D010349:Patient Compliance; D013557:Switzerland
keywords: Arzt-Patienten-Kommunikation; Coaching Santé; Gesundheitscoaching; Gesundheitsverhalten; Hausarztmedizin; Health Coaching; Motivational Interviewing; communication between physician and patient; communication entre médecin et patient; comportement lié à la santé; entretien motivationnel; familiy medicine; health behaviour; motivational interviewing