行为理论中的概念可以指导临床医生进行行为改变的辅导。
Concepts from behavioral theories can guide clinicians in coaching for behavior change.
机构信息
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Wisconsin-Madison School of Medicine and Public Health, 1010 Mound Street, Madison, WI 53715, USA.
Project Coordinator, System Cancer Service Line, Advocate-Aurora Health, 2900 W. Oklahoma Ave., Milwaukee, WI 53215, USA.
出版信息
Patient Educ Couns. 2023 Jan;106:188-193. doi: 10.1016/j.pec.2022.10.013. Epub 2022 Oct 25.
OBJECTIVES
Many patients do not engage in health behaviors that can control common, chronic illnesses. Clinicians have opportunities to promote health behaviors yet may lack skills for coaching effectively about health behaviors. Our aims are to: present definitions of coaching, propose concepts for coaching about behavior change from two theories, share theory-guided research on behavior change relevant to ambulatory care settings, and delineate how concepts from these theories can guide coaching.
METHODS
In our discussion, we explain how two behavioral theories are complementary and applicable to coaching, present empirical support for these theories, and describe applications of these concepts for practice.
CONCLUSIONS AND PRACTICE IMPLICATIONS
Self-determination theory can guide clinicians in how to interact with patients to meet patients' psychological needs, to promote health behaviors, and subsequent health status. Self-regulation theory can guide coaches in what concepts to address for behavior change. These complementary theories have been supported in rigorous research with adult populations in ambulatory care settings.
目的
许多患者无法采取有益于控制常见慢性病的健康行为。临床医生有机会促进健康行为，但可能缺乏有效的健康行为指导技能。我们的目的是：介绍辅导的定义，从两个理论中提出关于行为改变的辅导概念，分享与门诊环境相关的行为改变的理论指导研究，并阐述这些理论的概念如何指导辅导。
方法
在我们的讨论中，我们解释了两种行为理论如何互补并适用于辅导，介绍了这些理论的实证支持，并描述了这些概念在实践中的应用。
结论和实践意义
自我决定理论可以指导临床医生如何与患者互动，以满足患者的心理需求，促进健康行为，并改善后续的健康状况。自我调节理论可以指导教练关注哪些概念来促进行为改变。这些互补理论在门诊环境中针对成年人群体进行了严格的研究支持。
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