scholarly journals Facilitating Behavior Change in Plastic Surgery Patients Who Inject Drugs Through Motivational Interviewing

2021 ◽  
pp. 229255032110428
Author(s):  
Oluwatobi Olaiya ◽  
Awwal Alagabi ◽  
Sonia Igboanugo ◽  
Morgan L. Glass ◽  
Mark McRae ◽  
...  
Keyword(s):  
Health Care ◽  
Behavior Change ◽  
Motivational Interviewing ◽  
Plastic Surgery ◽  
Health Care Providers ◽  
Behavioral Change ◽  
Readiness For Change ◽  
Instructional Video ◽  
Care Providers ◽  
Clinical Encounters

Background: Plastic surgeons treat a large volume of patients with upper limb morbidity resulting from intravenous drug use. The use of motivational interviewing by health care providers has demonstrated effectiveness in eliciting behavioral change, leading to improved health outcomes. This paper aims to explore the concept and process of motivational interviewing and its role in facilitating behavior change in the plastic surgery setting. Methods: The authors reviewed the literature on motivational interviewing in various health care settings. Results: Motivational interviewing, first developed in the field of psychology, has demonstrated effectiveness in facilitating behavior change in various clinical contexts, including brief clinical encounters. Using motivational interviewing guides the patient as they move through the stages of readiness for change in dealing with unhealthy behaviors. The authors demonstrate these techniques in a supplemental instructional video. Conclusions: Motivational interviewing is an evidence-based method for facilitating behavior change. All plastic surgeons should be prepared to use this person-centred counselling method in clinical practice.

scholarly journals Addressing Physical Activity Behavior in Multiple Sclerosis Management

2019 ◽  
Vol 22 (4) ◽  
pp. 178-186
Author(s):  
Sarah J. Donkers ◽  
Sarah Oosman ◽  
Stephan Milosavljevic ◽  
Kristin E. Musselman
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Health Care ◽  
Clinical Practice ◽  
Behavior Change ◽  
Health Care Providers ◽  
Behavioral Interventions ◽  
System Level ◽  
Change Strategies ◽  
Care Providers

Abstract Background: Although physical activity (PA) is considered the most important nonpharmaceutical intervention for persons with multiple sclerosis (MS), less than 20% of people with MS are engaging in sufficient amounts to accrue benefits. Promotion of PA is most effective when combined with additional behavior change strategies, but this is not routinely done in clinical practice. This study aimed to increase our understanding of current practice and perspectives of health care providers (HCPs) in Canada regarding their use of interventions to address PA behavior in MS management. Investigating HCPs’ perspectives on implementing PA behavior change with persons with MS will provide insight into this knowledge-to-practice gap. Methods: Semistructured focus groups were conducted with 31 HCPs working with persons with MS in Saskatchewan, Canada. Based on interpretive description, data were coded individually by three researchers, who then collaboratively developed themes. Analysis was inductive and iterative; triangulation and member reflections were used. Results: Five themes were established: 1) prescribing, promoting, and impacting wellness with PA; 2) coordinating communication and continuity in practice; 3) timely access to relevant care: being proactive rather than reactive; 4) enhancing programming and community-based resources; and 5) reconciling the value of PA with clinical practice. Conclusions: The HCPs value PA and want more support with application of behavior change strategies to deliver PA behavioral interventions, but due to the acute and reactive nature of health care systems they feel this cannot be prioritized in practice. Individual- and system-level changes are needed to support consistent and effective use of PA behavioral interventions in MS.

scholarly journals Motivational Interviewing among HIV Health Care Providers

2015 ◽  
Vol 14 (6) ◽  
pp. 491-496 ◽  
Author(s):  
Lina Bofill ◽  
Stephen M. Weiss ◽  
Mar Lucas ◽  
Alejandra Bordato ◽  
Analia Dorigo ◽  
...  
Keyword(s):  
Health Care ◽  
Motivational Interviewing ◽  
Health Care Providers ◽  
Care Providers

scholarly journals Perception of primary health care providers of plastic surgery and its influence on referral

2019 ◽  
Vol 8 (1) ◽  
pp. 225 ◽  
Author(s):  
AbdulmajeedA Alharbi ◽  
FarisS Al-Thunayyan ◽  
KhalidA Alsuhaibani ◽  
KhalidA Alharbi ◽  
ManaA Alharbi ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Plastic Surgery ◽  
Health Care Providers ◽  
Care Providers ◽  
Primary Health ◽  
Primary Health Care Providers

Conversation Cards for Adolescents ©: a patient-centered communication and behavior change tool for adolescents with obesity and health care providers

2020 ◽  
Vol 13 (2) ◽  
pp. 79-88
Author(s):  
Maryam Kebbe ◽  
Arnaldo Perez ◽  
Annick Buchholz ◽  
Tara-Leigh F. McHugh ◽  
Shannon D. Scott ◽  
...  
Keyword(s):  
Health Care ◽  
Behavior Change ◽  
Health Care Providers ◽  
Care Providers ◽  
Patient Centered ◽  
And Behavior

Health Care Providers’ Perspectives on Family Compliance and Behavior Change in a Childhood Obesity Program

2019 ◽  
Vol 46 (4) ◽  
pp. 582-591
Author(s):  
Michelle Pannor Silver ◽  
Shawna M. Cronin
Keyword(s):  
Health Care ◽  
Childhood Obesity ◽  
Behavior Change ◽  
Health Care Providers ◽  
Low Income ◽  
Behavior Modification ◽  
Care Providers ◽  
Low Income Families ◽  
Family Based ◽  
And Behavior

Background. Evidence suggests that children and adolescents growing up in low-income families and those with underrepresented ethnocultural backgrounds tend to have high prevalence rates of obesity and more difficulty adhering to childhood obesity interventions. However, less is known about how intergenerational, family-based approaches to lifestyle interventions for childhood obesity support sustained behavior change. Aims. The aim of this study was to explore the perspectives of health care providers regarding family adherence and behavior change in a childhood obesity program that served ethnoculturally diverse and low-income families. Method. Semistructured in-person interviews were conducted with 18 providers at one of three hospitals participating in a Canadian family-based childhood obesity program. Data were thematically analyzed using a constant comparative approach. Results. The following key themes emerged as challenges from the provider’s perspective for family adherence and behavior modification in the childhood obesity program: divergent views about obesity, complicated lives and logistical priorities, parental role modeling, and intergenerational tensions. Discussion and Conclusion. This examination of providers’ perspectives on family adherence and behavior modification relevant to the management of childhood obesity highlight the importance of tailoring childhood obesity programs to the complex and diverse needs of families from diverse backgrounds. Recommendations include methods of service delivery that address logistical challenges and are better suited to extended families, particularly grandparents.

scholarly journals The Safe Resumption of Elective Plastic Surgery in Accredited Ambulatory Surgery Facilities During the COVID-19 Pandemic

2020 ◽  
Author(s):  
Mitchell Brown ◽  
Stephanie Eardley ◽  
Jamil Ahmad ◽  
Frank Lista ◽  
Scott Barr ◽  
...  
Keyword(s):  
Health Care ◽  
Plastic Surgery ◽  
Health Care System ◽  
Health Care Providers ◽  
Care Providers ◽  
Canadian Health Care System ◽  
Canadian Health ◽  
Canadian Health Care ◽  
The Impact ◽  
Care System

Abstract Background On March 11, 2020 the World Health Organization declared COVID-19 a worldwide pandemic resulting in an unprecedented shift in the Canadian health care system, where protection of an already overloaded health care system became a priority; all elective surgeries and non-essential activities were ceased. With the impact being less than predicted, on May 26, 2020, elective surgeries and non-essential activities were permitted to resume. Objectives To examine outcomes following elective aesthetic surgery and the impact on the Canadian health care system with the resumption of these services during the COVID-19 worldwide pandemic. Methods Data was collected in a prospective manner on consecutive patients undergoing elective plastic surgery procedures in six accredited ambulatory surgery facilities. Data included patient demographics, procedural characteristics, COVID-19 PCR test status, airway management and postoperative outcomes. Results 368 patients underwent elective surgical procedures requiring a general anesthetic. All 368 patients that underwent surgery were negative on pre visit screening. A COVID-19 PCR test was completed by 352 patients (95.7%) and all were negative. In the postoperative period, seven patients (1.9%) had complications, three patients (0.8%) required a hospital visit, and one patient (0.3%) required hospital admission. No patients or health care providers developed COVID-19 symptoms or had a positive test for COVID-19 within 30 days of surgery. Conclusions With appropriate screening and safety precautions, elective aesthetic plastic surgery can be performed in a manner that is safe for patients and health care providers and with a very low risk for accelerating virus transmission within the community.

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