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      Motivational interviewing and its application in the management of coronary heart disease

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          Abstract

          Objective: This review paper explores the concept, spirit, principles, and core skills of motivational interviewing (MI) as a psychological approach applied to CHD patients.

          Methods: Literature reviews based on English and Chinese articles.

          Results: The English and Chinese literature provided strong evidence for the effectiveness of MI in terms of behavior changes, blood pressure control, hyperglycemia and hyperlipidemia control, compliance improvement, and improving quality of life amongst chronic heart failure patients. The Happy Life Club (HLC) is the only randomized controlled trial (RCT) that examined the effects of MI on behavior changes and self-management improvements in Chinese patients with type 2 diabetes mellitus. The HLC pilot revealed positive outcomes, and RCTs will provide further evidence.

          Conclusion: MI has been expanded in its application to a wider range of lifestyle-related chronic diseases, including CHD. At the time of this review, MI represents a new concept and approach in China for improving physical and mental health (body and mind) in patients with CHD. In order to integrate MI into medical practice, the authors suggest improving the medical education curriculum and strengthening vocational training, while conducting further research initiatives to assess the innovation and inform practice management.

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          Most cited references 29

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          Motivational Interviewing with Problem Drinkers

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            Meeting in the middle: motivational interviewing and self-determination theory

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              Effectiveness of a motivational interviewing intervention on weight loss, physical activity and cardiovascular disease risk factors: A randomised controlled trial with a 12-month post-intervention follow-up

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                Author and article information

                Journal
                FMCH
                Family Medicine and Community Health
                FMCH
                Family Medicine and Community Health & American Chinese Medical Education Association (USA )
                xxx-xxx
                2305-6983
                September 2013
                September 2014
                : 1
                : 3
                : 48-54
                Affiliations
                1Department of Cardiology, The First Hospital of Xi’an Jiaotong University, Xi’an City of Shannxi Province, 710061, China
                2Faculty of Medicine, School of Primary Health Care, Nursing and Health Sciences, Monash University, Victoria 3165, Australia
                Author notes
                CORRESPONDING AUTHOR: Yanping Ren, Department of Cardiology, The First Hospital of Xi’an Jiaotong University, Xi’an City of Shannxi Province, 710061, China, E-mail: ryp0071@ 123456126.com
                Article
                fmch20130309
                10.15212/FMCH.2013.0309
                Copyright © 2013 Family Medicine and Community Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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                Self URI (journal page): http://fmch-journal.org/
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