Many people with arthritis are not physically active even though physical activity has been shown to improve function, decrease pain, maintain joint health, and prevent disability. There are many reasons for reluctance to engage in formal exercise programs, such as fear of pain or injury, joint symptoms, having functional limitations, as well as many health care providers failing to promote physical activity during an office visit.
Changing behavior is no easy task. Self-determination theory is a framework that it used in the study of motivation for behavior change. Important concepts of this theory include the person’s experience of autonomy, competence and relatedness to others. Motivation from extrinsic as well as intrinsic factors can play a role in behavior change. Self-regulation is the capacity to alter your own behavior. Behaviors are changed based on some standards, ideals or goals that come from either intrinsic or extrinsic expectations. Motivational interviewing (MI) is a counseling style used successfully in some health care settings where the patient and health professional work together to achieve behavior change. MI is a patient centered, directed approach to enhance intrinsic motivation to change by exploring and resolving the individual’s ambivalence to change. The counselor or coach utilizes an interpersonal style characterized by the acceptance of the person expressed by respect, empathy, and support and the absence of confrontation or persuasion. The main skills of MI include open ended questions, affirmations, reflective listening, and summarization. The coach and patient work together to achieve collaboratively set goals emphasizing that the patient has the main role in the process. Health coaching studies have shown that this type of behavioral change intervention is promising, although more studies are needed.
It is unknown how the patient perceives the interaction of MI in relation to physical activity behavior change. The Client Perception of Motivational Interviewing Encounter Instrument has been created to assess how patients with arthritis view this type of counseling style. Qualitative data from patient focus groups and preliminary psychometric data for this new instrument will be discussed. Future studies highlighting interventions to promote healthy lifestyle will be reviewed.
Disclosure of Interest None Declared
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