Interventions combining motivational interviewing and cognitive behaviour to promote medication adherence: a literature review

Sandra L. Spoelstra, Monica Schueller, Melissa Hilton and Kimberly Ridenour

Journal of Clinical Nursing, 2015, vol. 24, issue 9-10, 1163-1173

Abstract: Aims and objectives This article presents an integrative review of the evidence for combined motivational interviewing and cognitive behavioural interventions that promote medication adherence. We undertook this review to establish a scientific foundation for development of interventions to promote medication adherence and to guide clinical practice. Background The World Health Organization has designated medication adherence as a global problem. Motivational interviewing and cognitive behaviour interventions have been found to individually promote medication adherence. However, there is a gap in the literature on the effect of combined motivational interviewing and cognitive behavioural approaches to promote medication adherence. Design Integrative review. Methods COCHRANE, PubMed and CINAHL were searched to access relevant studies between 2004–2014. Inclusion criteria were interventions combining motivational interviewing and cognitive behavioural therapy with medication adherence as the outcome. Articles were assessed for measures of adherence and methodological rigour. Analysis was performed using an integrative review process. Results Six articles met the inclusion criteria. A randomised controlled trial reported pretreatment missed doses of 5·58 and post‐treatment of 0·92 and trended towards significance. Four cohort studies had effect sizes of 0·19–0·35 (p

Date: 2015
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https://doi.org/10.1111/jocn.12738

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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:24:y:2015:i:9-10:p:1163-1173

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