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Translating person-centered care into practice: a comparative analysis of motivational interviewing, illness-integration support, and guided self-determination
Umeå University, Faculty of Medicine, Department of Nursing.
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2016 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 99, no 3, 400-407 p.Article in journal (Refereed) PublishedText
Abstract [en]

Objective: Person-centred care [PCC] can engage people in living well with a chronic condition. However, translating PCC into practice is challenging. We aimed to compare the translational potentials of three approaches: motivational interviewing [MI], illness integration support [IIS] and guided self-determination [GSD]. Methods: Comparative analysis included eight components: (1) philosophical origin; (2) development in original clinical setting; (3) theoretical underpinnings; (4) overarching goal and supportive processes; (5) general principles, strategies or tools for engaging peoples; (6) health care professionals' background and training; (7) fidelity assessment; (8) reported effects. Results: Although all approaches promoted autonomous motivation, they differed in other ways. Their original settings explain why IIS and GSD strive for life-illness integration, whereas MI focuses on managing ambivalence. IIS and GSD were based on grounded theories, and MI was intuitively developed. All apply processes and strategies to advance professionals' communication skills and engagement; GSD includes context-specific reflection sheets. All offer training programs; MI and GSD include fidelity tools. Conclusion: Each approach has a primary application: MI, when ambivalence threatens positive change; IIS, when integrating newly diagnosed chronic conditions; and GSD, when problem solving is difficult, or deadlocked. Practice Implications: Professionals must critically consider the context in their choice of approach. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2016. Vol. 99, no 3, 400-407 p.
Keyword [en]
Empowerment, Person-centred care, Chronic illness, Translational research, Self-management, tivational interviewing, Life skills, Illness integration, Guided self-determination, Comparative analysis
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URN: urn:nbn:se:umu:diva-119072DOI: 10.1016/j.pec.2015.10.015ISI: 000371989700012PubMedID: 26547303OAI: diva2:921431
Available from: 2016-04-20 Created: 2016-04-11 Last updated: 2016-04-20Bibliographically approved

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Hörnsten, Åsa
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