Family-centered collaborative negotiation: A model for facilitating behavior change in primary care
Article first published online: 2 APR 2008
© 2008 The Author(s)
Journal of the American Academy of Nurse Practitioners
Volume 20, Issue 4, pages 194–203, April 2008
How to Cite
Tyler, D. O. and Horner, S. D. (2008), Family-centered collaborative negotiation: A model for facilitating behavior change in primary care. Journal of the American Academy of Nurse Practitioners, 20: 194–203. doi: 10.1111/j.1745-7599.2007.00298.x
- Issue published online: 2 APR 2008
- Article first published online: 2 APR 2008
- Received: February 2007; accepted: June 2007
- Behavior change;
- family-centered intervention;
- child health;
- primary care;
Purpose: To describe a parent–child-based model that melds a family-centered interaction approach, Touchpoints, with brief negotiation strategies (an adaptation of motivational interviewing) to address health risks in children. An application of the model for addressing childhood overweight in the primary care setting is presented.
Data Sources: Selected research, theoretical, and clinical articles; national recommendations and guidelines; and a clinical case.
Conclusions: Lifestyle health behaviors are learned and reinforced within the family; thus, changes to promote child health require family involvement. Interventions that engage parents and support parent–child relationships, while enhancing motivation and the abilities to change behavior, are recommended.
Implications for Practice: Primary care is an appropriate setting for addressing lifestyle health behaviors. A collaborative partnership, rather than a prescriptive manner, is advocated for primary care providers when working to facilitate health-promoting behavior.