Department of Health Policy and Organization, University of Alabama at Birmingham (UAB), School of Public Health (SOPH), Birmingham, AL, USA; Florida State University College of Medicine (FSU), Center for Translational Behavioral Science (CTBScience), Tallahassee, FL, USA.
Florida State University College of Medicine (FSU), Center for Translational Behavioral Science (CTBScience), Tallahassee, FL, USA.
Pediatr Clin North Am. 2022 Aug;69(4):779-794. doi: 10.1016/j.pcl.2022.04.008.
Motivational Interviewing (MI) is a highly specified behavior change communication approach to improve patient-provider relationships, provider communication, and patient health outcomes. Because MI is built on a foundation of patient autonomy support, a feature known to positively influence behavior change during adolescence and emerging adulthood, MI is an evidence-based framework that can inform interventions targeting improvements in health outcomes among youth. MI can be difficult to implement with adequate fidelity, because learning MI requires time and commitment from busy providers with competing priorities. This review addresses best practices for implementing MI within adolescent serving medical settings (eg, pediatrics, family practices, rural health clinics, community health organizations, and so forth), including an orientation to MI, examples of efficacious interventions that were developed leveraging MI, and consideration for the design of training programs that include ongoing support to maximize the likelihood of sustainment.
动机性访谈（MI）是一种高度专门化的行为改变沟通方法，用于改善医患关系、提高提供者沟通能力，并改善患者健康结果。由于 MI 建立在患者自主支持的基础上，这一特征已知会对青少年和成年早期的行为改变产生积极影响，因此 MI 是一种基于证据的框架，可以为针对改善青年健康结果的干预措施提供信息。由于学习 MI 需要忙碌的提供者投入时间和精力，并且要优先考虑其他事项，因此 MI 很难得到充分执行。本综述讨论了在为青少年提供服务的医疗环境中（例如儿科、家庭实践、农村医疗诊所、社区卫生组织等）实施 MI 的最佳实践，包括对 MI 的介绍、利用 MI 开发的有效干预措施的示例，以及对培训计划设计的考虑，这些计划包括持续支持，以最大限度地提高维持的可能性。
