--- title: "Shared decision making and motivational interviewing. | Sutter Health" description: "Motivational interviewing and/or shared decision making can be used to achieve pt-centered care in many health care problems." url: "https://www.sutterhealth.org/research/publications/shared-decision-making-motivational-interviewing-1055312537" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Shared decision making and motivational interviewing. # Shared decision making and motivational interviewing: achieving patient-centered care across the spectrum of health care problems. Elwyn G, Dehlendorf C, Epstein RM, Marrin K, White J, & Frosch DL. _Ann Fam Med. 12(3):270-5. doi: 10.1370/afm.1615._ 2014-05-01 ## Abstract Patient-centered care requires different approaches depending on the clinical situation. Motivational interviewing and shared decision making provide practical and well-described methods to accomplish patient-centered care in the context of situations where medical evidence supports specific behavior changes and the most appropriate action is dependent on the patient's preferences. Many clinical consultations may require elements of both approaches, however. This article describes these 2 approaches--one to address ambivalence to medically indicated behavior change and the other to support patients in making health care decisions in cases where there is more than one reasonable option--and discusses how clinicians can draw on these approaches alone and in combination to achieve patient-centered care across the range of health care problems. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/24821899) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Enhancing shared decision making through carefully designed interventions that target patient and provider behavior.](https://www.sutterhealth.org/research/publications/enhance-sdm-target-pt-and-provider-behavior-1055312395) Tai-Seale M, Elwyn G, Wilson CJ, Stults C, Dillon EC, Li M, Chuang J, Meehan A, Frosch DL. Send to: Health Aff (Millwood). 35(4):605-12. doi: 10.1377/hlthaff.2015.1398. 2016 Apr 01 - Publication ### [Implementation of patient decision support interventions in primary care: the role of relational coordination.](https://www.sutterhealth.org/research/publications/pt-decision-spt-primary-care-relational-coord-1055312888) Tietbohl CK, Rendle KA, Halley MC, May SG, Lin GA, Frosch DL. Med Decis Making. 35(8):987-98. doi: 10.1177/0272989X15602886. Epub 2015 Aug 27. 2015 Nov 01 - Publication ### [Shared decision making in clinical medicine: past research and future directions.](https://www.sutterhealth.org/research/publications/shared-decision-making-in-clinical-medicine-1055312527) Frosch DL, Kaplan RM. Am J Prev Med. 17(4):285-94. 1999 Nov 01 - Publication ### [Implementing shared decision-making: consider all the consequences.](https://www.sutterhealth.org/research/publications/shared-decision-making-allconsequences-1055312516) Elwyn G, Frosch DL, Kobrin S. Implement Sci. 11:114. doi: 10.1186/s13012-016-0480-9. 2016 Aug 08 - Publication ### [Collaborative deliberation: a model for patient care.](https://www.sutterhealth.org/research/publications/collaborative-deliberation-pt-care-model-1055312489) Elwyn G, Lloyd A, May C, van der Weijden T, Stiggelbout A, Edwards A, Frosch DL, Rapley T, Barr P, Walsh T, Grande SW, Montori V, Epstein R. Patient Educ Couns. 97(2):158-64. doi: 10.1016/j.pec.2014.07.027. Epub 2014 Aug 13. 2014 Nov 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/shared-decision-making-motivational-interviewing-1055312537#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Shared decision making and motivational interviewing."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/shared-decision-making-motivational-interviewing-1055312537#medicalscholarlyarticle","name":"Shared decision making and motivational interviewing: achieving patient-centered care across the spectrum of health care problems.","headline":"Shared decision making and motivational interviewing.","abstract":"Patient-centered care requires different approaches depending on the clinical situation. 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