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Lifestyle Medicine pp 17–28Cite as

Communication and Behavioral Change Tools: A Primer for Lifestyle Medicine Counseling

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Abstract

Effective provider–patient communication is essential for fostering behavior change—the key component of lifestyle medicine. The principles of communication and behavior change are skill based and grounded in scientific theories and models. Communication and counseling must be contextualized to the patients’ economic situation, access to care, social support, culture, and health literacy. Motivational interviewing and shared decision-making—a collaboration process between patients and their providers to reach agreement about a health decision—is an important process in counseling. The five As (Ask, Advise, Assess, Assist, and Arrange) can also be used as an organizational construct for the clinical encounter. The behavioral principles—stages of change, self-determination, health belief model, social cognitive model, theory of planned behavior, and cognitive behavioral therapy—are used in the counseling process.

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Abbreviations

CBT:

Cognitive behavioral therapy

IOM:

Institute of Medicine

MI:

Motivational interviewing

SCT:

Social cognitive theory

SDM:

shared decision-making

SOC:

Stages of change

TPB:

Theory of planned behavior

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Author information

Authors and Affiliations

  1. Northwestern Comprehensive Center on Obesity, Northwestern University Feinberg School of Medicine, 750 North Lake Shore Drive, Rubloff 9-976, 60611, Chicago, IL, USA

    Robert F. Kushner MD

  2. Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, 1192 Park Avenue, 10128, New York, NY, USA

    Jeffrey I. Mechanick MD

Authors
  1. Robert F. Kushner MD
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  2. Jeffrey I. Mechanick MD
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Correspondence to Robert F. Kushner MD .

Editor information

Editors and Affiliations

  1. New York, USA

    Jeffrey I. Mechanick MD

  2. Chicago, USA

    Robert F. Kushner MD

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© 2016 Springer International Publishing Switzerland

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Kushner, R., Mechanick, J. (2016). Communication and Behavioral Change Tools: A Primer for Lifestyle Medicine Counseling. In: Mechanick, J., Kushner, R. (eds) Lifestyle Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-24687-1_3

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  • DOI: https://doi.org/10.1007/978-3-319-24687-1_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24685-7

  • Online ISBN: 978-3-319-24687-1

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