Sennott-Miller L, Kligman E W
College of Nursing, University of Arizona College of Medicine, Tucson.
Geriatrics. 1992 Dec;47(12):52-9.
A 1- to 3-minute clear discussion by the family physician of the risks of unhealthy lifestyles has been found to be quite successful in countering patients' denial of personal risk. Studies indicate that the physician's authority lends credibility to the need to make a change and is a strong motivator. An office-based physician counseling model has proven effective in motivating older patients to adopt healthier lifestyles. The model includes four basic steps: patient assessment, discussion of risk and delivery of a message to change, a prescription for change (planning and carrying out of a behavior change strategy), and prevention of relapse through a maintenance program.
研究发现，家庭医生用1至3分钟清晰地讨论不健康生活方式的风险，在应对患者对个人风险的否认方面相当成功。研究表明，医生的权威赋予了做出改变的必要性以可信度，并且是一种强大的激励因素。基于办公室的医生咨询模式已被证明能有效激励老年患者采用更健康的生活方式。该模式包括四个基本步骤：患者评估、风险讨论与传达改变信息、改变的处方（制定并实施行为改变策略）以及通过维持计划预防复发。
