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Using Motivational Interviewing to promote medication adherence in patients with major depressive disorder
Ololade Bello1, Kelly Kearney2
1Department of Graduate Studies, University of Texas Health Science Center at Houston Cizik School of Nursing, 6901 Bertner Ave, Office 682, Houston, TX 77030, United States of America.
Background:
Medication non-adherence is common in patients with major depressive disorder (MDD) and leads to high relapse rates. Motivational Interviewing (MI), a patient-centered psychotherapy technique, can improve adherence and has been effective in various psychiatric diagnoses.
Local Problem:
Despite integrated pharmacotherapy and psychotherapy, high readmission rates persist due to medication non-adherence.
Method:
The project, conducted at an outpatient psychiatric center in the United State, involved patients with MDD. The project employed a pretest-posttest design to evaluate the effect of MI.
Implementation:
Nurses, nurse practitioners, physicians, and licensed counselors are the key stakeholders in the QI project. MDD patients received four MI sessions, with data collected using the Medication Adherence Rating Scale (MARS).
Results:
The post-intervention report showed an average increase of 50 % in the participants' MARS score.
Conclusion:
Incorporating MI reduced relapse rates, improved medication adherence, and enhanced communication between patients and providers.
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