Motivational Interviewing for Cardiovascular and Respiratory Health in Primary Care

S. Pamela K. Shiao, Joyce D Kusuma


Cardiovascular (CV) and respiratory disorders (CRDs) together are leading causes of deaths worldwide accounting for more than 18 million deaths annually and are associated with many adverse health outcomes for an estimated global cost of over $1,100 billion by year 2030. Motivational interviewing can be used by the clinicians to help clients recognize the risk factors of CRDs and commit to healthier choices. As a proof of concept, patients (n=81) in two primary care settings, were coached and evaluated using a before-and-after study design. Following the educational coaching sessions, most patients had heightened understanding of the risk factors of CRDs and accepted many domains of healthier lifestyles. This study reaffirms that motivational interviewing can improve patients’ acceptance of healthy lifestyles in primary care settings. For the coming era of precision-health, motivational interviewing can be added to the individualized risk assessment to prevent progressions of adverse health outcomes for patients with CRDs.


motivational interviewing, epigenetic mechanism, healthy lifestyles, primary care settings

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This paper was being co-published in: BMJ Quality and Safety, American Journal of Medical Quality, Canadian Journal of Diabetes, Journal of Continuing Education in Nursing, Journal of American College of Surgeons, Journal of Surgical Research, Joint Commission Journal on Quality and Patient Safety, Journal of Nursing Care Quality, The Permanente Journal, GIMBE Evidence for Health (Italy), MedWave (Chile), and Scandinavian Journal of Trauma, Resuscitation, and Emergency Medicine.

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