Brust Michelle, Gebhardt Winifred A, Numans Mattijs E, Kiefte-de Jong Jessica C
LUMC-Campus, Public Health en Eerstelijnsgeneeskunde, Den Haag (tevens LUMC, Leiden).
Contact: Michelle Brust (
Ned Tijdschr Geneeskd. 2020 Oct 8;164:D4835.
Healthcare professionals can play a significant role in the prevention of lifestyle-related diseases. Yet there is still relatively little attention to lifestyle counseling, partly because of limited available time and doubts about its effectiveness. During so-called 'teachable moments', patients may be more receptive towards lifestyle advices and more motivated to change their lifestyle. For example during pregnancy, disease diagnoses, abnormal test results or even the corona crisis, patients may suddenly face lifestyle change differently. In this paper, we provide guidelines to healthcare professionals regarding utilization of these situations. General practitioners or specialists can create a potential teachable moment by discussing risk perception, emotions and self-image with the patient. Subsequently, paramedics can encourage patients to change health behaviors by increasing their motivation, self-efficacy and lifestyle-related skills. Recognizing and making optimal use of potential teachable moments can contribute to desired behavior change of patients with relatively little time investment.
医疗保健专业人员在预防与生活方式相关的疾病方面可以发挥重要作用。然而，对生活方式咨询的关注仍然相对较少，部分原因是可用时间有限以及对其有效性存在疑虑。在所谓的“可教时刻”，患者可能更容易接受生活方式建议，并有更强的动力改变他们的生活方式。例如，在怀孕期间、疾病诊断时、检查结果异常时，甚至在新冠疫情期间，患者可能会突然以不同的方式面对生活方式的改变。在本文中，我们为医疗保健专业人员提供了关于利用这些情况的指导方针。全科医生或专科医生可以通过与患者讨论风险认知、情绪和自我形象来创造潜在的可教时刻。随后，医护人员可以通过增强患者的动机、自我效能感和与生活方式相关的技能来鼓励他们改变健康行为。识别并充分利用潜在的可教时刻，只需投入相对较少的时间，就能促进患者实现期望的行为改变。
