Motivational Interviewing for Health Maintenance and Promotion

Background

In typical standard-of-care settings for healthcare, there is a distinct lack of availability for discussion between physician and patient regarding healthy lifestyle choices. The importance of living a healthy lifestyle is enormous, as it can prevent various diseases, lead to a higher quality of life, and prolong lifespan. Yet, this is not a typical discussion in the average primary care clinic. The Wisconsin Initiative to Promote Healthy Lifestyles (WIPHL) project currently employs the model of using a process of screening, brief intervention, and referral to treatment. This pilot study uses a similar method to WIPHL by using a prevention specialist instead of a physician to motivate patients to make changes in diet and exercise.

Objectives

  • Utilize a team approach to healthcare using motivational interviewing (MI) techniques to impact patient diet and exercise.
  • Gather data on resulting lifestyle modifications and changes in health indicators.
  • Examine the cost-effectiveness of this alternate approach to standard-of-care.

Population

150 patients from the Aurora Sinai Family Care Center and local area clinics.

Design

  • Two experimental groups and one standard-of-care group.
  • Healthy lifestyle brief screen to determine eligibility to participate in the study.

Timeline

September 15, 2009 - September 14, 2010

Expected Findings

  • Changes in health indicators related to chronic diseases (body mass index and blood pressure).
  • Evaluation of cost-effectiveness of alternative approaches to standard-of-care.
  • Effectiveness of MI techniques to address and lead to changes in dietary and exercise habits.
  • Lifestyle modifications based on use of MI techniques.

Funding

University of Wisconsin Institute for Clinical and Translational Research Type 2 Translational Research grant

Investigator & Staff

Aurora UW Medical Group

  • Elizabeth Bade, M.D.
  • Chris Casselman, M.A.

Center for Urban Population Health

  • Amy Harley, Ph.D., M.P.H., R.D.
  • Jennifer Evertsen, M.S.
  • Ruth Perez, B.A.

Marquette University

  • Olga Yakusheva, Ph.D.

To learn more about WIPHL, visit www.wiphl.org

Our Address

Center for Urban Population Health 1020 North 12th Street, Suite 4180, Milwaukee, WI 53233 414-219-5100 (Phone) 414-219-6563 (Fax)

Our Partners

  • University of Wisconsin School of Medicine and Public Health
  • University of Wisconsin–Milwaukee
  • Aurora Health Care