Counselling methodology. Strategies that favour the acquisition or the change of habits in the patients and their parents
M.ª Luisa Arroba Basantaa, R Dago Elorzab
aDepartamento de Salud Pública y Materno-Infantil. Universidad Complutense de Madrid. Pediatra. CS Pozuelo-Emisora. Pozuelo de Alarcón. Madrid. España.
bCS Castilla La Nueva. Fuenlabrada. Madrid. España.
Reference of this article: Arroba Basanta ML, Dago Elorza R. Counselling methodology. Strategies that favour the acquisition or the change of habits in the patients and their parents. Rev Pediatr Aten Primaria. 2008;10 Supl 2:e45-55.
Published in Internet: 30-06-2008 - Visits: 5806
Communication techniques help health professionals to establish gratifying clinical relations
with the patients and their families. Health care relation has, in itself, an educative
value; a quality relation makes a better adherence to our recommendations.
The capacity to find and understand why a specific patient and family come to us looking
for help and advice and to agree with them what can be done, demands communication
The way and stile we communicate with the children and adolescents and their families
is fundamental to the process of establishing and changing habits. Listening reflexively,
showing our approval, obtaining and strengthening selectively their own ?statements
of automotivation? are the features and the origin of the efficacy of motivational interview
How can we paediatricians, who work giving advice and recommendations, promote
motivation in children and parents for change? People change in very different ways and
for very different reasons. The MI is an approximation bound to help patients to acquire a
compromise and to reach the will of change.
An interpersonal relation centred in the patient, with the paediatrician showing an appropriate
empathy, not possessive warmth and authenticity provides the ideal atmosphere.
Keywords● Advice ● Communication