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Family-centered collaborative negotiation: a model for facilitating behavior change in primary care
Diane O Tyler1, Sharon D Horner
1School of Nursing, University of Texas at Austin, Austin, Texas 78701, USA. dtyler@mail.utexas.edu
Insights
This study presents a parent-child model integrating family-centered care and motivational interviewing to address childhood health risks. It emphasizes family involvement and collaborative partnerships in primary care for promoting healthy behaviors.
Area of Science:
- Pediatric Health
- Behavioral Science
- Family Medicine
Background:
- Childhood health risks are significantly influenced by family dynamics and learned behaviors.
- Effective interventions require engaging parents and strengthening the parent-child relationship.
- Primary care settings offer a crucial opportunity for addressing lifestyle health behaviors.
Purpose of the Study:
- To introduce a novel parent-child-based model for addressing pediatric health risks.
- To integrate the Touchpoints family-centered approach with brief negotiation strategies.
- To illustrate the model's application in managing childhood overweight within primary care.
Main Methods:
- Literature review of research, theoretical, and clinical articles.
- Analysis of national recommendations and guidelines.
- Case study presentation of model application.
Main Results:
- Family involvement is essential for promoting child health and modifying lifestyle behaviors.
- Interventions should focus on enhancing parental motivation and behavioral change capacity.
- A collaborative provider-patient partnership is more effective than a prescriptive approach.
Conclusions:
- Family-centered interventions are recommended for improving child health behaviors.
- Primary care providers should foster collaborative partnerships to facilitate health-promoting behaviors.
- The described model offers a framework for addressing childhood health risks in primary care.
Purpose:
To describe a parent-child-based model that melds a family-centered interaction approach, Touchpoints, with brief negotiation strategies (an adaptation of motivational interviewing) to address health risks in children. An application of the model for addressing childhood overweight in the primary care setting is presented.
Data Sources:
Selected research, theoretical, and clinical articles; national recommendations and guidelines; and a clinical case.
Conclusions:
Lifestyle health behaviors are learned and reinforced within the family; thus, changes to promote child health require family involvement. Interventions that engage parents and support parent-child relationships, while enhancing motivation and the abilities to change behavior, are recommended.
Implications For Practice:
Primary care is an appropriate setting for addressing lifestyle health behaviors. A collaborative partnership, rather than a prescriptive manner, is advocated for primary care providers when working to facilitate health-promoting behavior.
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Assessment: