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Motivational Interviewing

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Therapeutic adhesion or compliance

In order to improve therapeutic adhesion of patients with coronary heart disease, it is crucial to use tools developed for the treatment of chronic disease. Therapeutic education and the spirit of motivational interviews are such tools. Moreover, the tools used to give information have to perform well and be used at appropriate moments so as to enhance their impact on the patient.

Therapeutic adhesion is conditioned by the quality of communication and information regarding the disease and its treatment.

The objective of communication is to transmit a message from a teacher (in this case a health care provider) to reach a therapeutic goal. In order for this to be effective, the communication tools have to take into account two parameters: the teaching ability of the health care provider and the learning ability of the patient. These two parameters depend on a patient's emotional, cognitive and relationship factors, all of which have to be taken into account.
The finality is to have the patient convince himself to actively manage his disease and to place himself at the centre of the treatment process. This ensures optimal therapeutic adhesion and therefore diminishes the risk of recurrence of cardiovascular events.

Therapeutic education: an effective approach to chronic disease

The chronic nature of the disease puts the temporal dimension at the centre of the medical management of patients. Beyond primary and secondary prevention, therapeutic education (TE) enriches the role of the health care provider as it provides an opportunity to be a partner in the creation of a therapeutic project which takes into account imperatives of the disease and the life project of the patient.

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