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Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study
BACKGROUND: According to World Health Organization about 75% of cardiovascular diseases and type 2 diabetes and 40% of all cases of cancer could be prevented if the risk factors tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol could be eliminated. Patients often need help...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045965/ https://www.ncbi.nlm.nih.gov/pubmed/24904235 http://dx.doi.org/10.1186/1472-6955-13-13 |
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author | Brobeck, Elisabeth Odencrants, Sigrid Bergh, Håkan Hildingh, Cathrine |
author_facet | Brobeck, Elisabeth Odencrants, Sigrid Bergh, Håkan Hildingh, Cathrine |
author_sort | Brobeck, Elisabeth |
collection | PubMed |
description | BACKGROUND: According to World Health Organization about 75% of cardiovascular diseases and type 2 diabetes and 40% of all cases of cancer could be prevented if the risk factors tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol could be eliminated. Patients often need help in monitoring themselves to make the proper lifestyle changes and it is important that adequate support is provided to enable the patients to take control over their health. Motivational interviewing is a framework that can help to facilitate this movement. The aim of this study was to describe how patients in primary health care settings experience lifestyle discussions based on motivational interviewing. METHODS: This study has a descriptive design and qualitative content analysis was used as the method. Sixteen patients who had each visited a registered nurse for lifestyle discussions were interviewed. RESULTS: The results show that the lifestyle discussions could enable self-determination in the process of lifestyle change but that certain conditions were required. Mutual interaction between the patient and the nurse that contributes to a sense of well-being in the patients was a necessary condition for the lifestyle discussion to be helpful. When the discussion resulted in a new way of thinking about lifestyle and when patient initiative was encouraged, the discussion could contribute to change. The patient’s free will to make a lifestyle change and the nurse’s sensitivity in the discussions created fertile soil for change. CONCLUSIONS: This study focuses on MI-based discussions, and the result shows that a subset of patients, who self-reported that they are motivated and aware of their role in making lifestyle changes, appreciate these strategies. However, it is not known whether discussions would be experienced in the same way if RNs used another method or if patients who were less motivated, engaged, or aware of their role in making lifestyle changes were interviewed. |
format | Online Article Text |
id | pubmed-4045965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40459652014-06-06 Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study Brobeck, Elisabeth Odencrants, Sigrid Bergh, Håkan Hildingh, Cathrine BMC Nurs Research Article BACKGROUND: According to World Health Organization about 75% of cardiovascular diseases and type 2 diabetes and 40% of all cases of cancer could be prevented if the risk factors tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol could be eliminated. Patients often need help in monitoring themselves to make the proper lifestyle changes and it is important that adequate support is provided to enable the patients to take control over their health. Motivational interviewing is a framework that can help to facilitate this movement. The aim of this study was to describe how patients in primary health care settings experience lifestyle discussions based on motivational interviewing. METHODS: This study has a descriptive design and qualitative content analysis was used as the method. Sixteen patients who had each visited a registered nurse for lifestyle discussions were interviewed. RESULTS: The results show that the lifestyle discussions could enable self-determination in the process of lifestyle change but that certain conditions were required. Mutual interaction between the patient and the nurse that contributes to a sense of well-being in the patients was a necessary condition for the lifestyle discussion to be helpful. When the discussion resulted in a new way of thinking about lifestyle and when patient initiative was encouraged, the discussion could contribute to change. The patient’s free will to make a lifestyle change and the nurse’s sensitivity in the discussions created fertile soil for change. CONCLUSIONS: This study focuses on MI-based discussions, and the result shows that a subset of patients, who self-reported that they are motivated and aware of their role in making lifestyle changes, appreciate these strategies. However, it is not known whether discussions would be experienced in the same way if RNs used another method or if patients who were less motivated, engaged, or aware of their role in making lifestyle changes were interviewed. BioMed Central 2014-05-05 /pmc/articles/PMC4045965/ /pubmed/24904235 http://dx.doi.org/10.1186/1472-6955-13-13 Text en Copyright © 2014 Brobeck et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Research Article Brobeck, Elisabeth Odencrants, Sigrid Bergh, Håkan Hildingh, Cathrine Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study |
title | Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study |
title_full | Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study |
title_fullStr | Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study |
title_full_unstemmed | Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study |
title_short | Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study |
title_sort | patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045965/ https://www.ncbi.nlm.nih.gov/pubmed/24904235 http://dx.doi.org/10.1186/1472-6955-13-13 |
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