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The evaluation of a brief motivational intervention to promote intention to participate in cardiac rehabilitation: A randomized controlled trial.

Author(s): Rouleau CR, King-Shier KM, Tomfohr-Madsen LM, Bacon SL, Aggarwal S, Arena R, Campbell TS

Patient Educ Couns. 2018 11;101(11):1914-1923 Authors: Rouleau CR, King-Shier KM, Tomfohr-Madsen LM, Bacon SL, Aggarwal S, Arena R, Campbell TS

Article GUID: 30017536
Training physicians in behavioural change counseling: A systematic review.

Author(s): Dragomir AI, Julien CA, Bacon SL, Boucher VG, Lavoie KL, Canadian Network for Health Behavior Change and Promotion (CAN-Change)

Patient Educ Couns. 2019 01;102(1):12-24 Authors: Dragomir AI, Julien CA, Bacon SL, Boucher VG, Lavoie KL, Canadian Network for Health Behavior Change and Promotion (CAN-Change)

Article GUID: 30172573
Longitudinal testing of the Information-Motivation-Behavioral Skills model of self-care among adults with type 2 diabetes.

Author(s): Meunier S, Coulombe S, Beaulieu MD, Côté J, Lespérance F, Chiasson JL, Bherer L, Lambert J, Houle J

Patient Educ Couns. 2016 11;99(11):1830-1836 Authors: Meunier S, Coulombe S, Beaulieu MD, Côté J, Lespérance F, Chiasson JL, Bherer L, Lambert J, Houle J

Article GUID: 27373961
Title:Training physicians in behavioural change counseling: A systematic review.
Authors:Dragomir AI,  Julien CA,  Bacon SL,  Boucher VG,  Lavoie KL,  Canadian Network for Health Behavior Change and Promotion (CAN-Change)
Link:https://www.ncbi.nlm.nih.gov/pubmed/30172573?dopt=Abstract
Category:Patient Educ Couns
PMID:30172573
Dept Affiliation: HKAP
1 Department of Psychology, Université du Québec à Montréal, Canada; Montreal Behavioural Medicine Centre, Centre Intégré Universitaire de santé et services sociaux du Nord-de-l'Ile-de-Montréal (CIUSSS-NIM), Hôpital du Sacré-Coeur de Montréal, Canada.
2 Montreal Behavioural Medicine Centre, Centre Intégré Universitaire de santé et services sociaux du Nord-de-l'Ile-de-Montréal (CIUSSS-NIM), Hôpital du Sacré-Coeur de Montréal, Canada; Department of Health, Kinesiology and Applied Physiology, Concordia University, Canada.
3 Department of Psychology, Université du Québec à Montréal, Canada; Montreal Behavioural Medicine Centre, Centre Intégré Universitaire de santé et services sociaux du Nord-de-l'Ile-de-Montréal (CIUSSS-NIM), Hôpital du Sacré-Coeur de Montréal, Canada. Electronic address: lavoie.kim@uqam.ca.

Description:

Training physicians in behavioural change counseling: A systematic review.

Patient Educ Couns. 2019 01;102(1):12-24

Authors: Dragomir AI, Julien CA, Bacon SL, Boucher VG, Lavoie KL, Canadian Network for Health Behavior Change and Promotion (CAN-Change)

Abstract

BACKGROUND: Poor health behaviours (e.g., smoking, physical inactivity) represent major underlying causes of non-communicable chronic diseases (NCDs). Prescriptive behaviour change interventions employed by physicians show limited effectiveness. Physician training in evidence-based behaviour change counselling (BCC) may improve behavioural risk factor management, but the efficacy and feasibility of current programs remains unclear.

OBJECTIVE: (1) To systematically review the efficacy of BCC training programs for physicians, and (2) to describe program content, dose and structure, informing better design and dissemination.

METHODS: Using PRISMA guidelines, a database search up to January 2018, yielded 1889 unique articles, screened by 2 authors; 9 studies met inclusion criteria and were retained for analysis.

RESULTS: 100% of studies reported significant improvements in BCC skills among physicians, most programs targeting provider-patient collaboration, supporting patient autonomy, and use of open questions to elicit "change-talk". Limitation included: poor reporting quality, high program heterogeneity, small sample sizes, 78% of studies having no comparison group, and less than 30% of skills taught being formally assessed.

CONCLUSION: Training programs were efficacious, but methodological weaknesses limit the ability to determine content and delivery. Caution is necessary when interpreting the results.

PRACTICE IMPLICATIONS: Further research emphasizing rigorous training program development and testing is warranted.

PMID: 30172573 [PubMed - in process]