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Moir F et al. - Lifestyle-related disease is of significant concern, and there is a need to raise awareness of opportunities for intervention. Brief intervention, motivational interviewing, stages of change, and the ‘catastrophe model’ are all useful frameworks for promoting behavioural change, and elements from all four may be adapted for use in primary care settings. In a short consultation the most important factor is the skilful use of empathy to strengthen rapport in the practitioner–patient relationship. Good rapport creates a platform from which the practitioner can enhance their capacity to influence health behaviour and optimise patient self-care.

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