D J Konkle-Parker1. 1. University of Mississippi, Division of Infectious Diseases, University of Mississippi Medical Center, USA. dkparker@medicine.umsmed.edu
Abstract
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.
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.
Authors: Cherry Wl Lau; Thomas Mok; William Wn Ko; Bobby Hp Ng; Irene Hl Chan; Teresa Ts Tsui; S O Ling; H Y Kwan; Y N Poon; C W Yim; P Y Yau Journal: Hong Kong J Occup Ther Date: 2019-11-15 Impact factor: 0.917