RT Journal Article
SR Electronic
T1 Shared Decision Making and Motivational Interviewing: Achieving Patient-Centered Care Across the Spectrum of Health Care Problems
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 270
OP 275
DO 10.1370/afm.1615
VO 12
IS 3
A1 Glyn Elwyn
A1 Christine Dehlendorf
A1 Ronald M. Epstein
A1 Katy Marrin
A1 James White
A1 Dominick L. Frosch
YR 2014
UL http://www.annfammed.org/content/12/3/270.abstract
AB Patient-centered care requires different approaches depending on the clinical situation. Motivational interviewing and shared decision making provide practical and well-described methods to accomplish patient-centered care in the context of situations where medical evidence supports specific behavior changes and the most appropriate action is dependent on the patient’s preferences. Many clinical consultations may require elements of both approaches, however. This article describes these 2 approaches—one to address ambivalence to medically indicated behavior change and the other to support patients in making health care decisions in cases where there is more than one reasonable option—and discusses how clinicians can draw on these approaches alone and in combination to achieve patient-centered care across the range of health care problems.