Institute of General Medicine, University Hospital Cologne, Medical Faculty of University of Cologne, Cologne, Germany.
Institute of General Medicine, University Hospital Cologne, Medical Faculty of University of Cologne, Cologne, Germany; Heidelberg Institute of Global Health, University Hospital Heidelberg, Medical Faculty of Heidelberg University, Heidelberg, Germany.
Z Evid Fortbild Qual Gesundhwes. 2024 Sep;189:50-54. doi: 10.1016/j.zefq.2024.07.003. Epub 2024 Aug 21.
This workshop report explores the application of Motivational Interviewing (MI) in Climate-sensitive Health Counselling (CSHC) within the context of primary health care. As there is a growing interest in the connection of individual health and climate change mitigation, we provide practical guidance on integrating MI techniques in CSHC.
In June 2023, a 2-day workshop on MI was conducted at the Institute of General Medicine, University of Cologne. The workshop, facilitated by a certified MI trainer, combined theoretical content with practical group exercises. In a second workshop the staff of the Institute of General Medicine discussed the application of MI in CSHC.
We identified and specified five tools to apply MI in CSHC: A) risk assessment scores, B) relevance assessment scales, C) decision matrices, D) confidence assessment scales, and E) SMART goals. These tools provide practical insights for integrating MI into primary care consultations, offering a time-efficient approach to CSHC.
Our results present a promising approach for healthcare professionals to incorporate climate-related aspects into health counselling of patients. Feasibility and effects of MI in CSHC are still unclear and require further research.
The tools identified provide practical guidance for the application of MI in climate-sensitive health counselling (CSHC) as well as guidance on conducting appropriate studies.
本研讨会报告探讨了在初级保健背景下，将动机式访谈（MI）应用于气候敏感健康咨询（CSHC）的情况。由于人们对个人健康与气候变化减缓之间的联系越来越感兴趣，我们提供了将 MI 技术整合到 CSHC 中的实用指南。
2023 年 6 月，在科隆大学综合医学研究所举办了为期两天的 MI 研讨会。该研讨会由认证的 MI 培训师主持，将理论内容与实际小组练习相结合。在第二次研讨会上，综合医学研究所的工作人员讨论了 MI 在 CSHC 中的应用。
我们确定并指定了在 CSHC 中应用 MI 的五种工具：A）风险评估评分、B）相关性评估量表、C）决策矩阵、D）信心评估量表和 E）SMART 目标。这些工具为将 MI 整合到初级保健咨询中提供了实用的见解，为 CSHC 提供了一种高效的方法。
我们的结果为医疗保健专业人员将与气候相关的方面纳入患者健康咨询提供了一种有前景的方法。MI 在 CSHC 中的可行性和效果尚不清楚，需要进一步研究。
确定的工具为在气候敏感健康咨询（CSHC）中应用 MI 提供了实用指导，以及进行适当研究的指导。
