In the United States more than one-third (35.7 percent) of adults are considered to be obese. More than 1 in 20 (6.3 percent) have extreme obesity. Almost 3 in 4 men (74 percent) are considered to be overweight or obese. The prevalence of obesity is similar for both men and women (about 36 percent). Some reports indicate the obesity accounts for 10% of deaths and healthcare spending in the United States.
Standard methods of education and counseling have had some level of success. However, this is a very complex issue with many variables influencing success. Consequently, like most medical conditions, not one solution will meet the challenges of the world wide obesity epidemic. I would like to focus this discussion on the use of motivational interviewing and shared decision making as tools for behavior change.
In my personal battle with weight, I finally achieved sustained victory after my physician connected to my values through motivational interviewing and subsequent use of Shared Decision Making as we tried and failed until I found the combination of therapies to achieve success.
These techniques have been proven effective in numerous studies, yet they have rarely been hardwired. What success have been achieved in your clinical setting using Motivational Interviewing and Shared Decision Making? How did you overcome the barriers?