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

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Stonerock, GL; Blumenthal, JA

Published Date

  • 2017

Published In

Volume / Issue

  • 59 / 5

Start / End Page

  • 455 - 462

PubMed ID

  • 27640186

Pubmed Central ID

  • PMC5350064

Electronic International Standard Serial Number (EISSN)

  • 1873-1740

Digital Object Identifier (DOI)

  • 10.1016/j.pcad.2016.09.003


  • eng

Conference Location

  • United States