Current challenges of behavior change talk for medical professionals and trainees

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• 作者：Anna Chisholm^a ; ^{Anna.Chisholm@manchester.ac.uk} ; Jo Hart^b ; Vanessa Lam^c ; Sarah Peters^a
• 关键词：Behavior change ; Qualitative ; UK
• 刊名：Patient Education and Counseling
• 出版年：2012
• 期刊代码：217_07383991
• 类别：med
• 出版时间：June, 2012
• 卷：87
• 期：3
• 页码：389-394
• 文件大小：251 K

摘要

Objective

To explore medical professionals鈥?and trainees鈥?experiences and views of behavior change talk in various health care settings to develop current understanding of the challenges that underlie this phenomenon.

Methods

Qualitative, semi-structured interviews were conducted with medical professionals and trainees (n = 29). Grounded theory principles informed sampling, data collection and analysis. To achieve maximum variance, participants with different levels of experience were purposively sampled from a range of primary and secondary care settings. Analysis was iterative, involving a constant comparative approach allowing emergent ideas to be tested in subsequent interviews until thematic saturation was reached.

Results

Three emergent themes described reasons for not engaging in behavior change talk with patients: (1) 鈥榩ersonal challenges鈥? (2) 鈥榮omebody else's responsibility鈥?and (3) 鈥榩rioritizing the doctor-patient relationship鈥?

Conclusion

Despite increasingly being recognized as a core aspect of medical practice and education, medical professionals and trainees remain unprepared to discuss health-related behavior change with patients and unclear of their roles within contemporary health care.

Practice implications

Formal training in theory-based behavior change techniques is likely to help empower doctors and mitigate many of the barriers found, particularly in relation to socially and emotionally uncomfortable topics that are perceived to threaten the doctor-patient relationship.