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Evaluation of a training program for improving adherence promotion skills

D G Schlundt, L Quesenberry, J W Pichert

    Patient Education and Counseling
    |October 1, 1994
    PubMed
    Summary

    This study shows that the Adherence Promotion Training (APT) workshop significantly improves health professionals' adherence counseling skills. The training enhances skills in relationship building, interviewing, problem diagnosis, and behavioral intervention for better patient care.

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    Area of Science:

    • Health Professions Education
    • Behavioral Science
    • Clinical Psychology

    Background:

    • Patient adherence to medical advice is crucial for treatment efficacy.
    • Health professionals often lack specialized skills to address patient nonadherence.
    • Existing training programs for adherence counseling are limited.

    Purpose of the Study:

    • To develop and evaluate a workshop aimed at enhancing adherence counseling skills among various health professionals.
    • To assess the effectiveness of the Adherence Promotion Training (APT) program in improving core counseling competencies.

    Main Methods:

    • The APT workshop curriculum covers relationship building, interviewing, problem diagnosis, and behavioral intervention.
    • Teaching methods include faculty demonstration, participant practice, and feedback.

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  • Skills were assessed using a standardized patient task and coded from videotaped interactions before and after the workshop.

    • Main Results:

    • Participants demonstrated significant short-term improvements across all four core adherence counseling skills.
    • Trained raters masked to the study condition confirmed skill enhancements.

    Conclusions:

    • The Adherence Promotion Training (APT) workshop is a promising intervention for improving health professionals' ability to manage nonadherent patients.
    • Further research with controlled evaluations is warranted to confirm long-term efficacy.