Mindfulness and motivational interviewing: two candidate methods for promoting self-management.
Mindfulness and motivational interviewing: two candidate methods for promoting self-management.
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DOI：
10.1177/1479972313497372
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发表时间：
2013-08
影响因子：
4.1
通讯作者：
Benzo RP
中科院分区：
文献类型：
--
作者：
Benzo RP
目前还没有结论性的证据表明，如何促进慢性阻塞性肺疾病（COPD）患者的自我管理计划的行为改变。后者是一个重大的知识差距，因为有必要促进肺康复或支持计划等干预措施的持续效果。拥抱病人的价值观似乎是点燃行为改变的真正动机的关键因素。本文描述了在重度COPD患者中进行的两项试点定性研究，旨在参与患者的内心体验并促进自我管理：一项试验测试动机访谈（MI）作为帮助重度COPD患者改变行为的一种方式，第二项试验测试基于正念的干预。MI研究包括一个为期3个月的计划，在一次面对面访问后每周进行一次电话辅导。以下主题是突出的：患者重视与教练的支持性沟通，并认为基于MI的教练提高了意识和责任感。他们认为身体活动增加，并报告“感觉更好”或其他与运动没有直接关系的好处。正念健康计划是一个为期8周的强制性计划，包括2小时的课程，旨在培养当下的非判断性注意力（通过不同的冥想练习和分享），以及每月面对面的接触，旨在维持实践和分享生活经验1年。以下主题（1岁时）是突出的：通过将困难视为机会来欣赏生活，通过同情和意识来重视自我，培养与他人的联系，获得快乐，并采取健康的行为。在寻找能够促进行为改变的自我管理项目的“圣杯”时，正念和MI似乎很有希望培养一种生活方式，让人们充分参与并有意识地同意。
There is no conclusive evidence about the way to a promote behavior change in self-management programs for patients with chronic obstructive pulmonary disease (COPD). The latter is a significant knowledge gap as there is a need to promote a sustained effect in interventions like Pulmonary Rehabilitation or Supporting Programs. Embracing patient's values seems to be a key ingredient to ignite genuine motivation for behavior change. This manuscript describes two pilot qualitative studies carried out in patients with severe COPD aimed to engage the patient inner experience and promote self-management: a trial testing motivational interviewing (MI) as one style of helping patients with severe COPD make changes in their behavior and second a trial testing a mindfulness-based intervention. The MI study consisted of a 3-month program of weekly coaching phone calls after one face-to-face visit. The following themes were outstanding: patients value the supportive communication with coach and believe the MI-based coaching created increased level of awareness and accountability. They perceived an increase in physical activity and reported “feeling better” or other benefits not directly related to exercise. The Mindfulness for Health Program was a mandatory 8-week program that consisted on 2-hour classes aimed to cultivate nonjudgmental attention in the moment (through different meditative practices and sharing) plus monthly face-to-face encounters aimed to sustain practice and sharing of life experiences for 1 year. The following themes (at 1 year) were outstanding: appreciating life by seeing hardships as opportunities, valuing the self through compassion and awareness, cultivating connectedness with others, acquiring joy, and adopting healthy behaviors. In the search for the “holy grail” for self-management programs that can promote a behavior change, mindfulness and MI seem promising for cultivating a way to live a life in which people are fully present and consciously agree with.
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影响因子：
8.1
作者：
Brodie, David A.;Inoue, Allison;Shawa, David G.
通讯作者：
Shawa, David G.
影响因子：
3.1
作者：
KABATZINN, J;LIPWORTH, L;BURNEY, R
通讯作者：
BURNEY, R
影响因子：
3.1
作者：
Strang, P
通讯作者：
Strang, P
影响因子：
3.6
作者：
Lengacher, Cecile A.;Johnson-Mallard, Versie;Kip, Kevin E.
通讯作者：
Kip, Kevin E.
影响因子：
2.3
作者：
Annells, M
通讯作者：
Annells, M