动机性访谈与使用变化跨理论模型的慢性病管理。

Motivational Interviewing and Chronic Care Management Using the Transtheoretical Model of Change.

机构信息

Angela R. Wood, PhD, LCSW-BACS, is assistant professor, Department of Health and Human Sciences, Southeastern Louisiana University, SLU 10863, Hammond, LA 70403, USA.

Levi Ross, PhD, CHES, is associate professor, Department of Kinesiology and Health Studies, Southeastern Louisiana University, Hammond, LA, USA.

出版信息

Health Soc Work. 2023 Oct 27;48(4):271-276. doi: 10.1093/hsw/hlad020.

DOI:10.1093/hsw/hlad020

PMID:37615973

Abstract

The number of Americans living with chronic health conditions has steadily increased. Chronic diseases are the leading causes of death and disability in the United States and cost the healthcare system an estimated $4.1 trillion dollars a year. The role of social workers in assisting patients in the management of their chronic diseases is vital. The behavioral health changes often required of chronic care management (CCM) patients require support and intervention by professionals to help the patient improve self-management of their chronic health conditions. Motivational interviewing (MI) is an evidence-based practice that helps people change by paying attention to the language patients use as they discuss their change goals and behaviors. Applying the principles and strategies of MI within the stages of change model (transtheoretical model of change) can help social workers better understand and assist patients receiving CCM. This article outlines specific strategies the social worker can use to address motivation at different stages of change.

摘要

患有慢性健康疾病的美国人数量一直在稳步增加。慢性病是美国死亡和残疾的主要原因，每年给医疗保健系统造成约 4.1 万亿美元的损失。社会工作者在协助患者管理其慢性病方面发挥着至关重要的作用。慢性疾病管理（CCM）患者通常需要进行行为健康改变，这需要专业人员的支持和干预，以帮助患者改善对其慢性健康状况的自我管理。动机性访谈（MI）是一种循证实践，它通过关注患者在讨论其改变目标和行为时使用的语言，帮助人们改变。在改变阶段模型（变化的跨理论模型）中应用 MI 的原则和策略可以帮助社会工作者更好地理解和协助接受 CCM 的患者。本文概述了社会工作者在不同改变阶段可以用来解决动机问题的具体策略。