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Review
. 2017 Mar-Apr;59(5):455-462.
doi: 10.1016/j.pcad.2016.09.003. Epub 2016 Sep 14.

Role of Counseling to Promote Adherence in Healthy Lifestyle Medicine: Strategies to Improve Exercise Adherence and Enhance Physical Activity

Gregory L Stonerock  1 , James A Blumenthal  2
Affiliations
Review

Role of Counseling to Promote Adherence in Healthy Lifestyle Medicine: Strategies to Improve Exercise Adherence and Enhance Physical Activity

Gregory L Stonerock et al. Prog Cardiovasc Dis. 2017 Mar-Apr.

Abstract

Although healthy lifestyles (HL) offer a number of health benefits, nonadherence to recommended lifestyle changes remains a frequent and difficult obstacle to realizing these benefits. Behavioral counseling can improve adherence to an HL. However, individuals' motivation for change and resistance to altering unhealthy habits must be considered when developing an effective approach to counseling. In the present article, we review psychological, behavioral, and environmental factors that may promote adherence and contribute to nonadherence. We discuss two established models for counseling, motivational interviewing and the transtheoretical model of behavior change, and provide an example of how these approaches can be used to counsel patients to exercise and increase their levels of physical activity.

Keywords: Adherence; Behavioral counseling; Exercise; Motivational interviewing; Stages of change; Transtheoretical model.

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Conflict of interest statement

Disclosures/COI: The authors report no conflict of interest.

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