Communication approaches to enhance patient motivation and adherence in cardiovascular disease prevention

Eamon Y. Duffy, Dominique Ashen, Roger S. Blumenthal, Dorothy M. Davis, Martha Gulati, Michael J. Blaha, Erin D. Michos, Khurram Nasir, Miguel Cainzos-Achirica

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Preventive cardiology visits have traditionally focused on educating patients about disease risk factors and the need to avoid and manage them through lifestyle changes and medications. However, long-term patient adherence to the recommended interventions remains a key unmet need. In this review we discuss the rationale and potential benefits of a paradigm shift in the clinician-patient encounter, from focusing on education to explicitly discussing key drivers of individual motivation. This includes the emotional, psychological, and economic mindset that patients bring to their health decisions. Five communication approaches are proposed that progress clinician-patient preventive cardiology conversations, from provision of information to addressing values and priorities such as common health concerns, love for the family, desire of social recognition, financial stressors, and desire to receive personalized advice. Although further research is needed, these approaches may facilitate developing deeper, more effective bonds with patients, enhance adherence to recommendations and ultimately, improve cardiovascular outcomes.

Original languageEnglish (US)
Pages (from-to)1199-1207
Number of pages9
JournalClinical Cardiology
Volume44
Issue number9
DOIs
StatePublished - Sep 2021

Keywords

  • advocacy
  • behavioral science
  • cardiovascular disease
  • lifestyle
  • prevention
  • psychology

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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