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Christopher Butler, BA, MBChB, DCH, MRCGP, General Practitioner and Lecturer, Department of General Practice, University of Wales, College of Medicine, Cardiff, UK
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Most Helpful Customer Reviews
17 of 17 people found the following review helpful:
3.0 out of 5 stars
Excellent or Flawed? - Depends on your perspective,
By
This review is from: Health Behavior Change: A Guide for Practitioners (Paperback)
It's a bit unusual for me to agree with customer reviews that both praise and criticize a book, but in this case I do. On the one hand, Rollnick et al, have done an amazing job of applying motivational interviewing and stages of change theory to the short interchanges common with patients in a medical setting. For those readers already well-versed in stages of change, this is an excellent and thought-provoking approach. I believe many "counselors" of various stripes would benefit from the applications advocated in this book.
On the other hand, I found the theoretical foundation wholly inadequate. While I appreciated the attempts of the authors to carefully distinguish between evidence-based substantiation of their guidelines and the weaker suggestions based on clinical practice, I felt that there was a preponderance of the latter. I was also overwhelmed by the repetition included in the three final "application" chapters. Surely there is a better way to present this material! Frankly, the final chapters are so tedious to read that I suspect the average medical professional tends to conclude this volume with a less-than-enthusiastic feeling regarding the guidance. My advice is to read through chapter 5, at the most, and to consult chapters 6-8 only after encountering specific problems in applying the techniques provided.
19 of 20 people found the following review helpful:
5.0 out of 5 stars
Talking to Patients About Behavior Change,
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This review is from: Health Behavior Change: A Guide for Practitioners (Paperback)
Many of the chronic illnesses and other problems that cause people to seek health care are closely linked to behavioral patterns related to issues such as diet, exercise, smoking, drinking, and stress. Treatment is often addressed to acute care without helping patients examine and change the underlying behaviors. There are good reasons why this is so. Managed care increasingly limits the amount of time that medical professionals can spend with patients. Many doctors, nurses, and other health professionals feel unprepared or frustrated about changing patient behavior patterns. Indeed, medical training usually provides little guidance in how to help patients change health behaviors.In this clearly written and highly practical little book, Rollnick and his colleagues offer a range of effective methods that can be used within the context and time constraints of primary or specialist care. The goal is not to turn doctors and nurses into counselors or psychotherapists. Rather, they argue persuasively that there is much that can be done within medical practice to help patients change the behavior patterns that bring them back again and again to the doctor's office. The methods are well-described, and derived from research on effective brief interventions for behavior change.
17 of 18 people found the following review helpful:
5.0 out of 5 stars
Practical and thought provoking,
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Amazon Verified Purchase(What's this?)
This review is from: Health Behavior Change: A Guide for Practitioners (Paperback)
I am a nurse who has worked in the areas of AIDS Counseling and testing, Family Planning and now drug abuse prevention in a school. Sometimes I am called upon to talk to students and "get them worried" about their drug and alcohol use. Much of what I read felt too coercive with students and, in practice, evoked much resistance. This book contains readily applicable techniques for helping your hear your clients concerns better so that you do understand their behavior in the context of their real lives and allows you to help move them toward concern and possibly behavior change. This should be a book included in ALL nursing curricula because of it's readily hands-on use capacity. Surely, reading and applying the book has been a processs (and much like behavior change itself) not a quick fix application. Great stuff.
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