A motivational intervention to improve adherence to treatment of chronic disease.
OBJECTIVE
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.


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


CONCLUSIONS
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.


CONCLUSIONS
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.
Konkle-Parker
D J
DJ
University of Mississippi, Division of Infectious Diseases, University of Mississippi Medical Center, USA. dkparker@medicine.umsmed.edu
D002908:Chronic Disease / Q000188:drug therapy / Q000451:nursing; D015658:HIV Infections / Q000188:drug therapy / Q000451:nursing; D006801:Humans; D007407:Interviews as Topic; D009042:Motivation; D010349:Patient Compliance; D010353:Patient Education as Topic; D011320:Primary Health Care; D011369:Professional-Patient Relations; D020377:Self Efficacy