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[Motivational interviewing and brief interventions by general practitioners].

Georg Kremer1

  • 1Zentrum für Psychiatrie und Psychotherapeutische Medizin (ZPPM), Abt. f. Abhängigkeitserkrankungen, Remterweg 69/71, 33617 Bielefeld. Kremer@psychiatrie.gilead.de

Zeitschrift Fur Arztliche Fortbildung Und Qualitatssicherung
|August 10, 2002
PubMed
Summary

Brief interventions by general practitioners (GPs) effectively initiate changes in patients' substance use. Motivational interviewing strategies, tailored to stages of change, enhance patient self-efficacy and promote behavior modification.

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Area of Science:

  • General Practice
  • Addiction Medicine
  • Behavioral Science

Background:

  • Brief interventions by general practitioners (GPs) are recognized for influencing patient behavior.
  • Harmful alcohol consumption necessitates effective intervention strategies within primary care settings.

Observation:

  • A case study of a patient with harmful alcohol consumption patterns illustrates the application of brief motivational interviewing.
  • Key principles include clarifying the GP's role, feedback exchange, and emphasizing patient responsibility.

Findings:

  • Effective strategies involve assessing motivation, setting goals, agreeing on concrete actions, and identifying barriers.
  • Developing coping skills and enhancing self-efficacy are crucial for sustained behavior change.
  • Motivational interviewing principles are aligned with the transtheoretical model's stages of change.

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Implications:

  • GPs can utilize brief motivational interviewing to effectively guide patients toward reduced substance consumption.
  • This approach empowers patients by enhancing their self-efficacy and promoting self-directed behavior change.
  • Integrating these strategies into general practice can improve outcomes for patients with substance use issues.