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Learning objectives
• Motivational interviewing is a useful model to help patients with chronic disease and in need of lifestyle modification.
• It is important to remember that the basics of MI are not the techniques but the therapeutic relationship with the patiënt.
• Focussing on ‘change talk’ has proven to be an ‘active ingredient’ of motivational interviewing.
• Professionals using MI tend to relapse easily in their old communication style.
Psychologist and lifestyle modification
• Working with chronic diseases (diabetes, complicated obesity) the psychologist is confronted with
• Emotional burden of the chronic disease upon patients daily life, work and relationships
• Huge demands on the chronically ill person to manage his disease and to manage/controle/change important domains of her life ‘for ever’
• food choices, physical activity, medication adherence,..
• Multiple medical and paramedical professionals working with the patient, who all
have their demands/suggestions/.. concerning ‘improved health’ • Doctor : take medication
• Dietician : eat healthy of sugar and fat free
• Physiotherapist : exercise daily
• Psychologist : manage stress and emotions
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