8). Two approaches include motivational interviewing (MI) and the transtheoretical model (TTM). MI is focused on resolving the hesitancy over changing behaviors, whereas TTM focuses on the individual’s ability to make his or her own choices. According to the article, the literature has shown there is support for the use of MI for CVD risk factor reduction. Instead of forcing the patient to institute changes in their lives, this focuses on the patient using his/her own inner motivation. MI was shown to be effective as a modifier of diet, exercise, and smoking behavior. MI was effective in: lowering lipid profile values, increasing the likelihood of exercising, eliciting self-motivation, and increasing the likelihood of smoking cessation. TTM, on the other hand, had limited effectiveness as a modifier of diet, exercise, and smoking behavior. The results were inferior or equivalent to usual care, or no care at all. The TTM studies had many limitations, such as a small sample size and very few studies that were actually conducted, which make the results biased. Therefore, the study concluded that MI was the superior intervention in order to modify CVD risk factors. This can aid NPs in assisting patients to modify risk factor behaviors that can ultimately put them at risk for developing CVD, or to assist in delaying the progression of existing
8). Two approaches include motivational interviewing (MI) and the transtheoretical model (TTM). MI is focused on resolving the hesitancy over changing behaviors, whereas TTM focuses on the individual’s ability to make his or her own choices. According to the article, the literature has shown there is support for the use of MI for CVD risk factor reduction. Instead of forcing the patient to institute changes in their lives, this focuses on the patient using his/her own inner motivation. MI was shown to be effective as a modifier of diet, exercise, and smoking behavior. MI was effective in: lowering lipid profile values, increasing the likelihood of exercising, eliciting self-motivation, and increasing the likelihood of smoking cessation. TTM, on the other hand, had limited effectiveness as a modifier of diet, exercise, and smoking behavior. The results were inferior or equivalent to usual care, or no care at all. The TTM studies had many limitations, such as a small sample size and very few studies that were actually conducted, which make the results biased. Therefore, the study concluded that MI was the superior intervention in order to modify CVD risk factors. This can aid NPs in assisting patients to modify risk factor behaviors that can ultimately put them at risk for developing CVD, or to assist in delaying the progression of existing