More than 50% of GP consultations now address some form of chronic illness or disease. Lifestyle choices mean 54% of the adult population is overweight. In terms of future expectations, 10% of children aged 0-14 years will experience 3 or more long term chronic health conditions. In the year 2007-8, 32% of 731,000 hypothetically avoidable hospital admissions were a result of complications of chronic disease.<\/p>\n\n\n\n
The literature indicates the rate of adherence to treatments for acute illness is between 20 and 40%. This suggests that only 20-40% of the population complete a prescribed course of antibiotics. Adherence to treatment for chronic illness is between 30 to 60%. In relation to the prevention of illness i.e. proposed dietary intake, daily exercise requirement, alcohol intake etc., adherence lies around 80%, indicating that 20% of the population at any one time choose to ignore these guidelines(World Health Organisation 2003).<\/p>\n\n\n\n
The World Health Organization (2003) has noted the inability of health care systems to address the burden of chronic disease. System deficits include a lack of clinician education and preparation, a lack of clinical and behavioural tools to support clinician\u2019s work, poor communication between clinicians and clients, and gaps in the provision of care. The communication model that many clinicians have been taught does not always support having difficult conversations with clients about poor lifestyle choices or their apparent inability to follow treatment advice. Motivational Interviewing has been shown to enhance the clinician\u2019s effectiveness in initiating and supporting change by using non-threatening and non-confrontational dialogue with clients (Giilam & Yusuf 2019, Wong et al 2019) . Motivational Interviewing treats the client as the expert in the management of their health, rather than the more traditional approach of the clinician being the expert and telling the client what they should and should not do.<\/p>\n\n\n\n
Research and Motivational Interviewing Motivational Interviewing was initially used in the management of addiction. It has now been adapted and is used across the health care continuum in the management and prevention of chronic disease (Vellone et al 2020). Randomized controlled trails have found that Motivational Interviewing has a greater impact on lifestyle choices e.g. smoking cessation, diet and exercise, hazardous drinking and chronic disease management than \u2018standard\u2019 approaches such as client education and risk reduction interventions \u2013 the traditional methods employed by many clinicians.<\/p>\n\n\n\n
Contact us<\/a> to find out more about Motivational Interviewing and how we can assist your organisation to support and empower your staff.<\/p>\n\n\n\n Gillam DG, Yusuf H. Brief Motivational Interviewing in Dental Practice. Dentistry Journal<\/em>. 2019; 7(2):51. https:\/\/doi.org\/10.3390\/dj7020051<\/a><\/p>\n\n\n\n Jordan, J. E., & Osborne, R. H. (2007). Chronic Disease Self Management Programs: challenges ahead. MJA. 186(2), 84-86.<\/p>\n\n\n\n Levensky, E. R., Forcehimes, A. A., O\u2019Donohue, W. T., & Beitz, K. (2007). Motivational interviewing: An evidence-based approach to counselling helps patients follow treatment. AJN, 107, (10),50-8.<\/p>\n\n\n\n Linden, A., Butterworth, S. W., & Prochaska, J. O. (2010). Motivational interviewing-based health coaching as a chronic care intervention. Journal of Evaluation in Clinical Practice, 16, 166-174.<\/p>\n\n\n\n Lundahl, B., & Burke, B. L. (2009). The effectiveness and applicability of motivational interviewing: A practice-friendly review of four meta-analyses. Journal of Clinical Psychology in Session, 65(11), 1232-1245. doi: 10.1002\/jclp.20638<\/p>\n\n\n\n Lundahl, B. W., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. L. (2010). A meta-analysis of motivational interviewing: Twenty-five years of empirical studies. Research on Social Work Practice, 20, 137-160. doi: 10.1177\/1049731509347850<\/p>\n\n\n\n \u00d6sterlund, E., Fossum, B., Ehrenberg, A., Larsson, K., & Klang, B. (2011). Use of motivational interviewing in smoking cessation at nurse-led chronic obstructive pulmonary disease clinics. Journal of Advanced Nursing, 68(4), 767-782. doi: 10.1111\/j.1365-2648.2011.05766.x<\/p>\n\n\n\n Queensland Government (2010). Chronic Disease Guidelines [3rd ed.]. Brisbane, Queensland.<\/p>\n\n\n\n Wong-Anuchit,C., Chutima Chantamit-o-pas,C.,\u00a0 Kraenzle Schneider, J and Mills, A.C. (2019) Motivational Interviewing\u2013Based Compliance\/Adherence Therapy Interventions to Improve Psychiatric Symptoms of People With Severe Mental Illness: Meta- Analysis Journal of the American Psychiatric Nurses Association 2019, Vol. 25(2) 122 \u2013133.<\/p>\n\n\n\n Vellone, E., Rebora, P., Ausili, D., Zeffiro, V., Pucciarelli, G., Caggianelli, G., Masci, S., Alvaro, R., and Riegel, B. (2020) Motivational interviewing to improve self-care in heart failure patients (MOTIVATE-HF): a randomized controlled trial. ESC Heart Failure<\/em>, 7: 1309\u2013 1318. https:\/\/doi.org\/10.1002\/ehf2.12733<\/a>.<\/p>\n\n\n\n World Health Organization. (2003). Adherence to long-term therapies: evidence for action. WHO, Geneva.<\/p>\n\n\n\n Vellone, E.,\u00a0Rebora, P.,\u00a0Ausili, D.,\u00a0Zeffiro, V.,\u00a0Pucciarelli, G.,\u00a0Caggianelli, G.,\u00a0Masci, S.,\u00a0Alvaro, R., and\u00a0Riegel, B.\u00a0(2020)\u00a0Motivational interviewing to improve self-care in heart failure patients (MOTIVATE-HF): a randomized controlled trial.\u00a0ESC Heart Failure<\/em>,\u00a07:\u00a01309\u2013\u00a01318.\u00a0https:\/\/doi.org\/10.1002\/ehf2.12733<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":" More than 50% of GP consultations now address some form of chronic illness or disease. Lifestyle choices mean 54% of the adult population is overweight. In…<\/p>\n","protected":false},"author":9,"featured_media":2063,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"categories":[10],"tags":[],"taxonomy_info":{"category":[{"value":10,"label":"In Focus Articles"}]},"featured_image_src_large":["https:\/\/www.veriti.com.au\/wp-content\/uploads\/2015\/01\/Motivational-Interviewing-for-chronic-disease-management-1024x683.jpg",1024,683,true],"author_info":{"display_name":"Barb Bowler RN M Nursing MSoc Sci (Counselling) CMHN","author_link":"https:\/\/www.veriti.com.au\/author\/barbbowler\/"},"comment_info":0,"category_info":[{"term_id":10,"name":"In Focus Articles","slug":"in-focus-articles","term_group":0,"term_taxonomy_id":10,"taxonomy":"category","description":"","parent":0,"count":19,"filter":"raw","cat_ID":10,"category_count":19,"category_description":"","cat_name":"In Focus Articles","category_nicename":"in-focus-articles","category_parent":0}],"tag_info":false,"_links":{"self":[{"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/posts\/849"}],"collection":[{"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/comments?post=849"}],"version-history":[{"count":2,"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/posts\/849\/revisions"}],"predecessor-version":[{"id":2064,"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/posts\/849\/revisions\/2064"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/media\/2063"}],"wp:attachment":[{"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/media?parent=849"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/categories?post=849"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.veriti.com.au\/wp-json\/wp\/v2\/tags?post=849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}References<\/h2>\n\n\n\n