A motivational intervention to improve adherence to treatment of chronic disease

TitleA motivational intervention to improve adherence to treatment of chronic disease
Publication TypeJournal Article
Year of Publication2001
AuthorsKonkle-Parker, DJ
JournalJournal of the American Academy of Nurse Practitioners
Date PublishedFeb
Publication Languageeng
ISBN Number1041-2972 (Print)1041-2972 (Linking)
Accession Number11930399
Keywords*Motivation, *Patient Compliance, *Patient Education as Topic, *Self Efficacy, Chronic Disease/drug therapy/nursing, HIV Infections/drug therapy/nursing, Humans, Intervention Studies, Interviews as Topic, Primary Health Care, Professional-Patient Relations

PURPOSE: To describe an approach to intervention, based on Motivational Interviewing (MI) and the Transtheoretical Model (TTM) of Change that allows the health care provider to support medication adherence in a client-centered fashion. DATA SOURCES: Review of selected research-based and theoretical articles on MI, TTM, and medication compliance issues. CONCLUSIONS: Adherence is a complex phenomenon that requires a personalized intervention. The response must focus on clients' readiness to adhere, their sense of self-efficacy in taking medicines in all circumstances, and their personal pros and cons related to adherence. IMPLICATIONS FOR PRACTICE: Adherence to complex medication regimens is important to long-term treatment of chronic diseases, such as HIV disease. Adherence in HIV is particularly critical to adequately suppress viral replication as well as to prevent opportunistic infections.

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