Kahan Scott, Wilson Dawn K, Sweeney Allison M
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; George Washington University School of Medicine, 1020 19th Street NW, Suite 450, Washington, DC 20036, USA.
Department of Psychology, Barnwell College, University of South Carolina, 1512 Pendleton Street, Columbia, SC 29208, USA.
Med Clin North Am. 2018 Jan;102(1):125-133. doi: 10.1016/j.mcna.2017.09.002.
Behavioral medicine provides a framework for supporting patients to achieve changes in target health behaviors, such as dietary and physical activity changes. Behavioral medicine fits alongside traditional medical treatments, can minimize the need for more intensive medical treatments, improves outcomes of these treatments, and improves adherence to medication prescriptions or postsurgical recommendations. This article provides an overview of behavioral medicine counseling for obesity in primary care, rooted in the "5 As" approach to health behavior change, and the basic outline of behavioral skills interventions in which health care providers use self-regulatory and behavioral strategies to improve health-related behaviors among patients with obesity.
行为医学提供了一个框架,以支持患者实现目标健康行为的改变,如饮食和身体活动的改变。行为医学与传统医学治疗相辅相成,可以减少对更强化医疗治疗的需求,改善这些治疗的效果,并提高对药物处方或术后建议的依从性。本文概述了初级保健中针对肥胖的行为医学咨询,其基于健康行为改变的“5A”方法,以及行为技能干预的基本概述,在这些干预中,医疗保健提供者使用自我调节和行为策略来改善肥胖患者的健康相关行为。