Kristiina Hyrkas1, Marjorie Wiggins. 1. Center for Nursing Research and Quality Outcomes, Maine Medical Center, Portland, ME, USA; School of Nursing, University of Southern Maine, Portland, ME, USA.
Abstract
AIM: To compare medication adherence and readmissions in patients who received usual care vs. patient-centred interventions. BACKGROUND: Medication adherence is a complex behaviour that may be improved with patient-centred strategies. METHOD: A non-concurrent convenience sample of 303 hospitalised patients received either usual care (n = 98) or patient-centred interventions (n = 205). Intervention patients received teach-back and medication tools (n = 137) or motivational interviewing (n = 68). Data were collected at discharge (T1), at 48-72 hours (T2) and 30 days after discharge (T3). RESULTS: No significant differences were found in medication adherence, therapeutic alliance, patients' experience and readmissions between groups. Patients in the motivational interview group reported lower confidence with medication adherence at T1 (P = 0.01) and T2 (P = 0.00) than the patient-centred intervention group. Motivational interviewing was a significant predictor (β = -1.55, P = 0.01, OR 0.21, 95% CI 0.06, 0.72) of fewer readmissions. CONCLUSION: Overall, patients reported very low levels of non-adherence and very high levels of confidence and importance of medication adherence. IMPLICATIONS FOR NURSING MANAGEMENT: Medication adherence continues to be an important area for clinical inquiry. For those patients who lack confidence for medication adherence, comprehensive patient-centred strategies such as motivational interviewing may improve treatment outcomes.
AIM: To compare medication adherence and readmissions in patients who received usual care vs. patient-centred interventions. BACKGROUND: Medication adherence is a complex behaviour that may be improved with patient-centred strategies. METHOD: A non-concurrent convenience sample of 303 hospitalised patients received either usual care (n = 98) or patient-centred interventions (n = 205). Intervention patients received teach-back and medication tools (n = 137) or motivational interviewing (n = 68). Data were collected at discharge (T1), at 48-72 hours (T2) and 30 days after discharge (T3). RESULTS: No significant differences were found in medication adherence, therapeutic alliance, patients' experience and readmissions between groups. Patients in the motivational interview group reported lower confidence with medication adherence at T1 (P = 0.01) and T2 (P = 0.00) than the patient-centred intervention group. Motivational interviewing was a significant predictor (β = -1.55, P = 0.01, OR 0.21, 95% CI 0.06, 0.72) of fewer readmissions. CONCLUSION: Overall, patients reported very low levels of non-adherence and very high levels of confidence and importance of medication adherence. IMPLICATIONS FOR NURSING MANAGEMENT: Medication adherence continues to be an important area for clinical inquiry. For those patients who lack confidence for medication adherence, comprehensive patient-centred strategies such as motivational interviewing may improve treatment outcomes.
Authors: Bradi B Granger; Susan C Locke; Margaret Bowers; Tenita Sawyer; Howard Shang; Amy P Abernethy; Richard A Bloomfield; Catherine L Gilliss Journal: J Cardiovasc Nurs Date: 2017 Sep/Oct Impact factor: 2.083
Authors: Jennifer A Callaghan-Koru; Inaya Wahid; Shari M Lawson; Kelly M Bower; Colleen S Wilburn; Andreea A Creanga Journal: Womens Health Rep (New Rochelle) Date: 2022-07-11