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Communication and Behavioral Change Tools: A Primer for Lifestyle Medicine Counseling

  • Robert F. KushnerEmail author
  • Jeffrey I. Mechanick
Chapter

Abstract

Effective provider–patient communication is essential for fostering behavior change—the key component of lifestyle medicine. The principles of communication and behavior change are skill based and grounded in scientific theories and models. Communication and counseling must be contextualized to the patients’ economic situation, access to care, social support, culture, and health literacy. Motivational interviewing and shared decision-making—a collaboration process between patients and their providers to reach agreement about a health decision—is an important process in counseling. The five As (Ask, Advise, Assess, Assist, and Arrange) can also be used as an organizational construct for the clinical encounter. The behavioral principles—stages of change, self-determination, health belief model, social cognitive model, theory of planned behavior, and cognitive behavioral therapy—are used in the counseling process.

Keywords

Communication Behavior change Contextualization Motivational interviewing Shared decision-making 

Abbreviations

CBT

Cognitive behavioral therapy

IOM

Institute of Medicine

MI

Motivational interviewing

SCT

Social cognitive theory

SDM

shared decision-making

SOC

Stages of change

TPB

Theory of planned behavior

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Northwestern Comprehensive Center on ObesityNorthwestern University Feinberg School of MedicineChicagoUSA
  2. 2.Division of Endocrinology, Diabetes and Bone DiseaseIcahn School of Medicine at Mount SinaiNew YorkUSA

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