Sommer J, Rieder-Nakhlé A, Gache P
Service de médecine de premier recours, Département de médecine communautaire, HUG,1211 Genève.
Rev Med Suisse. 2007 Sep 26;3(126):2162-6.
Primary care physicians see a majority of the population at least once a year and are in an ideal position to promote health and to discuss health behaviour change. Two proven methods to help people change are: brief intervention and motivational interviewing. We propose a combination of these two methods. The interview is structured following the 5 A's with an added first step: 1) agenda; 2) assess ambivalence; 3) advise; 4) agree; 5) assist and 6) arrange and is motivational in that it uses collaboration, non-judgement, and respect of the patient's autonomy. The aim is to help the patient explore and resolve his ambivalence and progress towards change.
初级保健医生每年至少会诊治大多数人群一次，处于促进健康和讨论健康行为改变的理想位置。两种经证实有助于人们改变的方法是：简短干预和动机性访谈。我们建议将这两种方法结合起来。访谈按照5A模式构建，并增加了第一步：1）议程；2）评估矛盾心理；3）建议；4）达成一致；5）协助；6）安排，且具有激励性，因为它采用了合作、不评判以及尊重患者自主权的方式。目的是帮助患者探索并解决其矛盾心理，朝着改变迈进。
