Communication and Behavioral Change Tools: A Primer for Lifestyle Medicine Counseling
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.
KeywordsCommunication Behavior change Contextualization Motivational interviewing Shared decision-making
Cognitive behavioral therapy
Institute of Medicine
Social cognitive theory
Stages of change
Theory of planned behavior
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