An international Delphi consensus study to define motivational communication in the context of developing a training...

Area of Science:

• Medical Education
• Behavioral Science
• Public Health

Background:

• Poor health behaviors are primary drivers of noncommunicable chronic diseases (NCDs).
• Traditional advice-giving methods for behavior change are often ineffective.
• Existing physician training for behavior change counseling lacks consensus on core competencies.

Purpose of the Study:

• To establish an evidence-based, stakeholder-informed list of essential communication competencies for physicians in NCD management.
• To inform the development of standardized physician training programs for behavior change counseling.

Main Methods:

• A modified Delphi process involving international experts, physicians, and allied health professionals.
• Four research phases over two years, including online surveys and in-person meetings.
• Consensus-building among 13-46 participants across different study phases.

Main Results:

• Eleven core communication competencies for physicians were identified.
• Key competencies include reflective listening, empathy, respect, and collaborative goal-setting.
• These competencies form the basis of a unified approach termed Motivational Communication.

Conclusions:

• The identified competencies provide a foundation for standardizing physician training in behavior change counseling.
• Improved physician communication skills can enhance NCD prevention and management.
• This approach aims to reduce morbidity and mortality associated with poor health behaviors.