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Chapter 16 - Coaching and Motivational Interviewing

from Section 4 - Clinical Skills in Lifestyle Medicine

Published online by Cambridge University Press:  01 May 2025

By
Tim Anstiss
Edited by
Richard Pinder,
Christopher-James Harvey and
Ellen Fallows
Richard Pinder
Affiliation:
Imperial College of Science, Technology and Medicine, London
Christopher-James Harvey
Affiliation:
Imperial College of Science, Technology and Medicine, London
Ellen Fallows
Affiliation:
British Society of Lifestyle Medicine
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Summary

Health coaching and motivational interviewing (MI) are evidence-based approaches to support behaviour change and self-care in people with long-term conditions. Health coaching is a patient-centred process that involves goal setting, self-discovery, health education, and accountability mechanisms. Motivational interviewing is a conversational style that strengthens a person’s own motivation and commitment to change by exploring and resolving ambivalence. Health coaching and MI have been shown to improve health outcomes in various settings and populations, such as addiction, chronic disease, psychological health, oral health, and paediatric care. Health coaching and MI require training and practice to develop the necessary skills and competencies, as well as feedback and supervision to maintain and improve them. Health coaching and MI are important components of Lifestyle Medicine, helping clinicians to facilitate and enable healthy behaviour change.

Keywords

Health coachingMotivational interviewingBehaviour changeLifestyle medicineChronic conditionsSelf-carePatient activationChange talkEvidence-basedEmpathy

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Type
Chapter
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Essential Lifestyle Medicine , pp. 181 - 195
Publisher: Cambridge University Press
Print publication year: 2025

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