﻿288
To1134596012886155
improve1325596012848158226273343414476
the1837596012848117180
effectiveness2052596012872119165227289327367436499568631684739
of2827596012879125
preventive2987596012880127189258321390430468538600
counseling,3622596012871142212282336399438476546617652
it430959601284886
is4431596012848102
recommended4569596012856118180250359467528598669732801
to5406596012848118
supplement851839012855125195265304367476536606646
oral15328390128105152214252
advice1820839012898167236275338400
and2255839012898167237
recommendations25278390128831452062763864945546246977607998399089781033
of35958390128105152
the3781839012875145207
doctor40238390128105175237277346393
with44508390128137176215285
written47708390128137183221261299362431
ones52378390128104175237290
(memos,8511080012847157217327395450486
booklets).137210800128105175246315354416455510557592
It19991080012881120
is21541080012874129
possible231710800128106176230285323394432495
to28461080012875144
fully30261080012882151190229299
implement33581080012875185253293355465525595634
all40281080012898137175
the42391080012873144206
key447910800128105168238
principles475110800128105153191261323362432471533587
of537310800128106152
effective8511321012862109156218281319358428490
preventive137713210128115161223294356426464504573636
counseling204713210128108178249318372435474513582653
by273513210128114185
conducting295313210128108178249318389451490528599669
in-depth36571321012884154204273336405445514
preventive420713210128115162224293355425464502573635
counseling487713210128107178247317372435473512582651
(individual851156301284786156226265335374443514577615
or15011563012882129
group),16641563012883129199269339386420
which213115630128102171211274343
contain25081563012875145215254316354425
both29671563012883153191262
elements32641563012873113175285344415454509
of38081563012883129
informing39721563012851121169238285394435505575
and45831563012875144213
training4832156301285098160198269307377447
and53141563012875144215
motivating85118050128109177216256327389427467536607
the14931805012838108170
patient.16981805012871133171210272343381417
Preventive11342048012686148210280343421468506575638
counseling18072048012680149228306359422460499577647
is24912046012856111
a26362046012880
process27512046012887134203266328382437
of32232046012887134
informing33912046012857126172243290399436506577
and40042046012878149218
educating42582046012880149218281343381421490561
a48542046012879
patient49692046012886149187226289358397
in54012046012856125
order8512287012870117188249296
to11822287012893163
increase13802287012891162224271333395449512
their19272287012891161224263309
adherence227122870128116185256318364426496558621
to29272287012892162
medical312522870128161222293332395457495
recommendations3656228701281001622252944035115716427127758148549239931048
and473922870128115185255
develop502922870128123186256318357426496
behavioral8512529012870133202265335373443490553591
skills14772529012857126166204244298
that18102529012841111174212
help20572529012872135174244
reduce23362529012849111180251313375
the27462529012841111174
risk2955252901284888142211
of32022529012872118
disease33552529012872112166229291344407
(in3797252901284988158
the39902529012841111174
absence42042529012864133188251320383445
of46842529012873119
disease)48382529012872111166228289344407454
and53272529012863132202
complications8512771012862133242310350389452514552591661731786
of16712771012870117
disease18222771012870110164226288342405
(in2262277101284785155
the24532771012837108170
presence26582771012870117179233296365427490
of31812771012871117
disease).33332771012870109164226289342405452487
[7].38582771012847116163197
The11213289012694172234
style13903289012655102171210272
and16973289012670148226
principles19583289012679141179257319357435474537590
underlying25843289012678156233296358396467505583652
preventive32723289012678140203271334412459497568629
counseling39363289012663133211288343405443483560631
A112135260128101
central12573526012898160230270317379417
aspect17103526012898152222285347385
of213035260128106153
preventive231735260128106153216286349418456496565628
counseling29803526012898167238308363424463502571642
is36583526012874128
the38223526012874144207
use406435260128106160222
of432235260128105153
key451035260128104167236
motivational478135260128146213253292363426464503573642705743
counseling8513767012862133202273327390428467537607
skills14943767012897167206245284338
(known18683767012890160229300402470
as237337670128107161
«OARS»),257037670128114215316409487557603638
which324337670128148218257320389
include36683767012883152215253324393456
Open-ended415937670128146214277346395457526597659729
questions,492337670128113184246300339378448518573607
Affirmations,85140100128101148194233281390450489528599669724759
Reflections,164540100128140202248287350411449488558629683718
and239840100128109178248
Summaries.268240100128124193303411471517557621675711
These342840100128132201264318380
skills384340100128102171210249288343
are422140100128109154217
used447240100128116171234303
to48114010012885155
create500140100128109156217279318380
a541640100128109
supportive8514251012855125195265335382420459529592
and14774251012868137208
friendly1719425101285399137200269340378449
environment22014251012868138209247295364434544604674714
where295642510128101170232279340
individuals33314251012845115184224293333403472535574628
feel39954251012851113175213
comfortable42444251012868137246291361409448510579619682
enough49604251012868137207277347417
to54124251012843113
explore8514492012862133202242311358421
and13074492012862131201
discuss15434492012871109164226296350405
their19834492012838107170209255
attitudes22734492012863102140179218288358420475
towards27834492012838108210272319388442
alcohol32594492012863102164233304374413
consumption37084492012862131200255325435502542581651722
[6].44684492012846116164198
Open-ended112147330128101171234304352413483553615684
questions18414733012887156219272312350421491545
are24214733012879126188
questions26444733012887157219273312351421491545
that32254733012855125187226
encourage34874733012877148211280350396459529591
a41134733012879
person42274733012887149196250320390
to46524733012856125
think48134733012855125164234305
before51534733012886148195264311373
answering8514976012862133188290351397436506576
and14624976012893162233
provide172949760128100147217287325395458
a22224976012892
detailed234949760128100163202263302341404473
response28574976012878140194263334403457520
rather34124976012878139178248311357
than38034976012870140203272
simply41104976012884124233301341410
saying45544976012885148218255326397
«yes»498649760128101171231286357
or537749760128101148
«no».8515217012870140210281316
They12015217012886156218289
allow15235217012862101140211313
the18715217012837108170
person20755217012870133180233304374
to24845217012839108
express26285217012862131202248310365419
their30825217012839109171209255
own33735217012870171241
perspective36485217012871133180235304367428467506576638
on43215217012870140
the44965217012838108171
issue.4702521701283893147217279315
Examples11215460012694164233351427466529584
of17415458012870117
open18925458012870140203273
questions:21995458012870140202256296334404475529568
«Why11215699012870202271343
do149756990128208278
you181156990128208276347
think219356990128177247286356426
it's265556990128175214240293
time298456990128175215324384
for340356990128185255302
a374056990128200
change397556990128200269332401471534
(insert...454456990128184222292347409455494530565599
risk517856990128184224278347
factor/risky/problematic/unhealthy85159410128471091712102803273654124525065756466837548018719419801042115112111251129113531391146115321601166417261764180318731944
behavior28285941012870133203266335374444491
discussed33545941012870109163226295350404467536
with392659410128101139179248
the42105941012837108171
patient)?»44145941012871132171211273343381428490561
«What11216183012870202271333372
happens,152961830128208271340410473542596632
how219661830128206277378
do260961830128206277
you292161830128207276346
feel330361830128184247308347
when368561830128239309372441
you416161830128208277347
(insert...454461830128184222292347409455494530565599
risk517861830128184223277347
factor/risky/problematic/unhealthy85164250128471091712102803273654124525065756466837548018719419801042115112111251129113531391146115321601166417261764180318731944
behavior28286425012870133203266335374444491
discussed33546425012870109163226295350404467536
with392664250128101139179248
the42106425012837108171
patient)?»44146425012871136175215276347385432493565
«What11216666012870202271333372
has15296666012894157210
changed17756666012885155217286357420489
since22996666012877117186249312
you26466666012894162233
(quit29136666012870141210249288
smoking,32376666012877186254325364434503539
started38116666012878116179226264327396
exercising,42426666012886155218265327365420459528599634
went491266660128124186255294
on52416666012894163
a54406666012885
diet,8516907012870110172210246
etc.)?»11326907012862100162197244305376
NB!112171520126101194241
Open-ended140371490128101171234304352414483553616685
questions21237149012876146209262301340411480534
allow26937149012868107145216318
you30457149012876144215
to32967149012844114
establish34457149012868122161224293332371425496
contact,39767149012868137207246308370409445
engage44567149012868137207269338401
the48927149012845114177
patient,51047149012876138177215278347387422
and8517390012862133202
get10897390012877139178
the13027390012847117179
most152473900128110178233272
information.18317390012847116163232279389449488527598668703
However,257773900128101170272333404466512547
asking31597390012870124194233303372
too35677390012847116186
many379773900128109169239310
open-ended41407390012878149212282332393463533596666
questions48417390012878147210264303342411482536
in54127390012846117
a8517632012862
row9497632012847117219
can12037632012863125194
feel14337632012847108171210
like1678763201284078148210
an19237632012863132
interrogation,20907632012840110149211258305374444507544584654724760
such28857632012854124186255
as31767632012863116
«How33287632012871172241343
often37067632012870118156218287
do40297632012870140
you42057632012871139210
overeat?»44507632012870140202249311374412473545
or50297632012871118
«How51827632012870171241342