AI Article Synopsis
- Teachable moments (TMs) in physician-patient interactions can effectively encourage patients to change unhealthy behaviors and increase their recall of health advice.
- A study involving 811 patient visits found that TMs led to a higher recall rate of advice (83% vs. 49-74%) and some improvements in patient motivation and readiness to change, even though these differences were generally small.
- While TMs had a more positive influence on intermediate behavior change markers, the overall impact on significant behavioral outcomes like BMI change was not statistically significant, suggesting further exploration is needed.
Article Abstract
Objective: Teachable moments (TM) are opportunities created through physician-patient interaction and used to encourage patients to change unhealthy behaviors. We examine the effectiveness of TMs to increase patients' recall of advice, motivation to modify behavior, and behavior change.
Methods: A mixed-method observational study of 811 patient visits to 28 primary care clinicians used audio-recordings of visits to identify TMs and other types of advice in health behavior change talk. Patient surveys assessed smoking, exercise, fruit/vegetable consumption, height, weight, and readiness for change prior to the observed visit and 6-weeks post-visit.
Results: Compared to other identified categories of advice (i.e. missed opportunities or teachable moment attempts), recall was greatest after TMs occurred (83% vs. 49-74%). TMs had the greatest proportion of patients change in importance and confidence and increase readiness to change; however differences were small. TMs had greater positive behavior change scores than other categories of advice; however, this pattern was statistically non-significant and was not observed for BMI change.
Conclusion: TMs have a greater positive influence on several intermediate markers of patient behavior change compared to other categories of advice.
Practice Implications: TMs show promise as an approach for clinicians to discuss behavior change with patients efficiently and effectively.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427843 | PMC |
| http://dx.doi.org/10.1016/j.pec.2014.03.014 | DOI Listing |
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