支持可持续的健康行为改变:整体大于部分之和

Jessica A. Matthews DBH, NBC-HWC, DipACLM, FACLM , Simon Matthews MHlthSc, NBC-HWC, PCC, DipIBLM, FASLM , Mark D. Faries PhD , Ruth Q. Wolever PhD, NBC-HWC
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引用次数: 0

摘要

行为改变是有效的生活方式处方的基础,但这种改变是个性化的、非线性的,通常需要持续的支持。健康与保健指导(HWC)是一种行为改变干预措施,有证据表明它对运动、营养和压力管理等健康行为具有积极影响。此外,至少在短期内(干预后 6 个月内),健康与保健指导还能加强慢性生活方式疾病的预防和缓解。尽管对行为改变的长期稳定性的影响尚不明确,但很明显,利用关键的沟通策略、自主性促进和灵活的许可与患者建立有效的伙伴关系,可以增强患者发展健康生活方式的能力。这种伙伴关系可以由临床医生以及包括国家委员会认证教练在内的临床团队成员来培养。虽然关于生活方式改变在 6 个月后的持续保持还需要大量的研究,但本文试图从 "教练方法 "中为临床医生提供当前的证据、理论见解和实用策略,以培养更多内在形式的动力,进而增强患者采取和保持促进健康行为的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Supporting Sustainable Health Behavior Change: The Whole is Greater Than the Sum of Its Parts

Behavior change is the foundation for effective lifestyle prescriptions, yet such change is individualized, nonlinear and typically requires ongoing support. Health and wellness coaching (HWC) is a behavior change intervention with rapidly accruing evidence of positive impact on health behaviors such as exercise, nutrition and stress management. Furthermore, HWC enhances prevention and mitigates exacerbation of chronic lifestyle diseases, at least in the short-term (up to 6 months post intervention). Although the impact on long-term stability of behavior change remains unclear, it is evident that effective partnering with patients using key communication strategies, autonomy promotion, and flexible permissiveness can empower patients to develop healthy lifestyles. This partnership can be cultivated by clinicians as well as clinical team members including nationally board-certified coaches. Although much research is needed regarding the ongoing maintenance of lifestyle changes beyond 6 months, this article seeks to equip clinicians with current evidence, theoretical insights and practical strategies from a “coach approach” to foster more intrinsic forms of motivation which, in turn, empowers patients to adopt and maintain health-promoting behaviors.

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来源期刊
Mayo Clinic proceedings. Innovations, quality & outcomes
Mayo Clinic proceedings. Innovations, quality & outcomes Surgery, Critical Care and Intensive Care Medicine, Public Health and Health Policy
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