Training Healthcare Providers in Motivational Communication for Promoting Physical Activity and Exercise in Cardiometabolic Health Settings: Do We Know What We Are Doing?

被引：19
作者：
Rouleau C.R. [1 ]
Lavoie K.L. [2 ,3 ]
Bacon S.L. [3 ,4 ]
Vallis M. [5 ]
Corace K. [6 ]
Campbell T.S. [1 ]
机构：
[1] Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, T2N 1N4, AB
[2] Department of Psychology, Université du Québec à Montréal, C.P. 8888 Succursale Centre-Ville, Montréal, H3C 3P8, QC
[3] Montréal Behavioural Medicine Centre, Research Centre, Hôpital du Sacré-Cœur de Montréal, 5400 Gouin West, Montréal, H4J 1C5, QC
[4] Department of Exercise Science, Concordia University, 7141 Sherbrooke St. West, Montréal, H4B 1R6, QC
[5] Behaviour Change Institute, Capital Health and Dalhousie University, 7071 Bayers Road, 1st Floor Room 0165, Halifax, B3L 2C2, NS
[6] and Institute of Mental Health Research, 1145 Carling Avenue, Ottawa, K1Z 7K4, ON
来源：
Current Cardiovascular Risk Reports | 2015年 / 9卷 / 6期
关键词：
Cardiometabolic risk; Cardiovascular disease; Cognitive-behavioral; Exercise; Motivational communication; Motivational interviewing; Physical activity; Training;
D O I：
10.1007/s12170-015-0457-2
中图分类号：
学科分类号：
摘要：
Regular physical activity (PA) is essential for secondary and tertiary prevention of cardiometabolic risk factors and disease, but low adherence to PA recommendations is common. Motivational communication (MC) represents a collection of evidence-based behavior change strategies drawn from motivational interviewing, cognitive-behavioral techniques, and behavior change theories that show promise for promoting PA adherence. However, dissemination of MC strategies in cardiometabolic healthcare settings has been limited by inconsistent reporting of training fidelity in intervention research, making it unclear how to optimally train healthcare providers. We discuss preliminary considerations for training individuals in the use of MC, including: being relatively intensive with more than self-directed learning, covering an array of behavior change strategies, offering ongoing mentorship and support, and being delivered by a skilled trainer who addresses diverse trainee needs. Future work is needed to expand upon these considerations and establish what constitutes competent MC training to impact cardiometabolic health outcomes. © 2015, Springer Science+Business Media New York.
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页数：8
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