PMID: 11930399Apr 5, 2002Paper

A motivational intervention to improve adherence to treatment of chronic disease

Journal of the American Academy of Nurse Practitioners
D J Konkle-Parker

Abstract

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. Review of selected research-based and theoretical articles on MI, TTM, and medication compliance issues. 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. 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.

Associated Clinical Trials

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Citations

Sep 4, 2003·AIDS Patient Care and STDs·Joseph InunguReid Skeel
Feb 17, 2009·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Sana GhaddarHafez Elzein
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Sep 24, 2004·Drugs & Aging·Carmel M Hughes

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