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Published on: November 8, 2013
A motivational intervention to improve adherence to treatment of chronic disease
1University of Mississippi, Division of Infectious Diseases, University of Mississippi Medical Center, USA. dkparker@medicine.umsmed.edu
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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