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Glob Adv Health Med. 2013 Jul;2(4):28-35. doi: 10.7453/gahmj.2013.037.

Integrative Health Coaching and Motivational interviewing: Synergistic Approaches to Behavior Change in Healthcare.

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Duke University School of Nursing, United States.
Duke Integrative Medicine, Department of Psychiatry & Behavioral Sciences, Durham, North Carolina, United States.


in English, Chinese, Spanish

As rates of preventable chronic diseases and associated costs continue to rise, there has been increasing focus on strategies to support behavior change in healthcare. Health coaching and motivational interviewing are synergistic but distinct approaches that can be effectively employed to achieve this end. However, there is some confusion in the literature about the relationship between these two approaches. The purpose of this review is to describe a specific style of health coaching-integrative health coaching-and motivational interviewing, including their origins, the processes and strategies employed, and the ways in which they are similar and different. We also provide a case example of how integrative health coaching and motivational interviewing might be employed to demonstrate how these approaches are synergistic but distinct from each other in practice. This information may be useful for both researchers and clinicians interested in investigating or using behavior change interventions to improve health and cost outcomes in chronic disease.


Integrative health coaching; behavior change; motivational interviewing; patient education

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