Communication and behavioral change tools: A primer for lifestyle medicine counseling

Robert F. Kushner*, Jeffrey I. Mechanick

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


Effective provider-patient communication is essential for fostering behavior change-the key component of lifestyle medicine. The principles of communication and behavior change are skill based and grounded in scientific theories and models. Communication and counseling must be contextualized to the patients' economic situation, access to care, social support, culture, and health literacy. Motivational interviewing and shared decision-making-a collaboration process between patients and their providers to reach agreement about a health decision-is an important process in counseling. The five As (Ask, Advise, Assess, Assist, and Arrange) can also be used as an organizational construct for the clinical encounter. The behavioral principles-stages of change, self-determination, health belief model, social cognitive model, theory of planned behavior, and cognitive behavioral therapy-are used in the counseling process.

Original languageEnglish (US)
Title of host publicationLifestyle Medicine
Subtitle of host publicationA Manual for Clinical Practice
PublisherSpringer International Publishing
Number of pages12
ISBN (Electronic)9783319246871
ISBN (Print)9783319246857
StatePublished - Mar 18 2016


  • Behavior change
  • Communication
  • Contextualization
  • Motivational interviewing
  • Shared decision-making

ASJC Scopus subject areas

  • General Medicine


Dive into the research topics of 'Communication and behavioral change tools: A primer for lifestyle medicine counseling'. Together they form a unique fingerprint.

Cite this