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The "medication interest model": an integrative clinical interviewing approach for improving medication
1Training Institute for Suicide Assessment and Clinical Interviewing, Stoddard, NH 03464, USA. sheainte@worldpath.net
Purpose/Objectives:
Medication adherence is a major problem in healthcare today. The medication interest model provides a variety of interviewing techniques for achieving positive outcomes regarding medication adherence.
Primary Practice Settings:
The model is applicable to all primary care settings as well as specialty areas from endocrinology and cardiology to psychiatry.
Findings/Conclusions:
The medication interest model includes more than 40 behaviorally well-defined interviewing techniques. These interviewing techniques are housed within a conceptual framework, the Choice Triad, designed for the sensitive exploration of the thought processes and emotional responses patients experience when using medications.
Implications For Case Management Practice:
The model holds the promise of providing 1. interviewing techniques and strategies for immediate application by case managers for improving medication adherence; 2. a practical conceptual umbrella for the integration of well-established collaborative interviewing principles, such as the principles of motivational interviewing, with new interviewing techniques created by case managers in the field; and 3. a platform for the development of research studies and training protocols consistent with evidenced-based educational innovations in teaching clinical interviewing skills such as microtraining, macrotraining, and the use of competency testing.
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