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Training Healthcare Providers in Motivational Communication for Promoting Physical Activity and Exercise in Cardiometabolic Health Settings: Do We Know What We Are Doing?

  • Physical Activity (S Bredin, Section Editor)
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Abstract

Regular physical activity (PA) is essential for secondary and tertiary prevention of cardiometabolic risk factors and disease, but low adherence to PA recommendations is common. Motivational communication (MC) represents a collection of evidence-based behavior change strategies drawn from motivational interviewing, cognitive-behavioral techniques, and behavior change theories that show promise for promoting PA adherence. However, dissemination of MC strategies in cardiometabolic healthcare settings has been limited by inconsistent reporting of training fidelity in intervention research, making it unclear how to optimally train healthcare providers. We discuss preliminary considerations for training individuals in the use of MC, including: being relatively intensive with more than self-directed learning, covering an array of behavior change strategies, offering ongoing mentorship and support, and being delivered by a skilled trainer who addresses diverse trainee needs. Future work is needed to expand upon these considerations and establish what constitutes competent MC training to impact cardiometabolic health outcomes.

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Conflict of Interest

Kimberly Corace received a grant from Reckitt Benckiser. Corace received honoraria from Reckitt Benckiser, Janssen, and Vertex. Corace received payment for educational presentation/speaker’s fee from Janssen. Kim Lavoie has worked as a consultant for Takeda, Boehringer Ingleheim, AbbVie, Kataka Medical Communication, and Almirall. Lavoie received a grant from AbbVie. Lavoie received payments for an educational presentation/speaker’s fee from Kataka Medical Communication, AbbVie, and Takeda, Novartis, Boehringer Ingelheim and Janssen. Lavoie received consulting fees from Boehringer Ingelheim and Almirall. Codie Rouleau has no relevant disclosures to report. Michael Vallis serves on the advisory board for Novo Nordisk. Vallis has worked as a consultant for Novo Nordisk and AbbVie. Vallis received royalties from John Wiley and Sons and payment for educational presentations/speaker’s fee from AbbVie, Pfizer, Novo Nordisk, AstraZeneca, BD, and Sanofi. Vallis received travel/accommodations expenses covered or reimbursed from Novo Nordisk. Simon Bacon reports personal fees from Kataka Medical Communication and personal fees from Merck, outside the submitted work. Tavis Campbell received payment for consultation and/or educational presentation/speaker’s fee from Kataka Medical Communication, AbbVie, Pfizer and Servier. Campbell serves on an advisory board for Pfizer.

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Authors and Affiliations

  1. Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, AB, Canada, T2N 1N4

    Codie R. Rouleau & Tavis S. Campbell

  2. Department of Psychology, Université du Québec à Montréal, C.P. 8888 Succursale Centre-Ville, Montréal, QC, Canada, H3C 3P8

    Kim L. Lavoie

  3. Montréal Behavioural Medicine Centre, Research Centre, Hôpital du Sacré-Cœur de Montréal, 5400 Gouin West, Montréal, QC, H4J 1C5, Canada

    Kim L. Lavoie & Simon L. Bacon

  4. Department of Exercise Science, Concordia University, 7141 Sherbrooke St. West, Montréal, QC, Canada, H4B 1R6

    Simon L. Bacon

  5. Behaviour Change Institute, Capital Health and Dalhousie University, 7071 Bayers Road, 1st Floor Room 0165, Halifax, NS, Canada, B3L 2C2

    Michael Vallis

  6. The Royal Ottawa Mental Health Centre, University of Ottawa; and Institute of Mental Health Research, 1145 Carling Avenue, Ottawa, ON, Canada, K1Z 7K4

    Kim Corace

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for the Canadian Network for Health Behavior Change and Promotion (CAN-Change)

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Correspondence to Tavis S. Campbell.

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Rouleau, C.R., Lavoie, K.L., Bacon, S.L. et al. Training Healthcare Providers in Motivational Communication for Promoting Physical Activity and Exercise in Cardiometabolic Health Settings: Do We Know What We Are Doing?. Curr Cardiovasc Risk Rep 9, 29 (2015). https://doi.org/10.1007/s12170-015-0457-2

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