The "medication interest model": an integrative clinical interviewing approach for improving medication adherence--part 1: clinical applications.
OBJECTIVE
Medication adherence is a major problem in healthcare today. The medication interest model provides a variety of interviewing techniques for achieving positive outcomes regarding medication adherence.


METHODS
The model is applicable to all primary care settings as well as specialty areas from endocrinology and cardiology to psychiatry.


CONCLUSIONS
The medication interest model includes more than 40 behaviorally well-defined interviewing techniques. These interviewing techniques are housed within a conceptual framework, the Choice Triad, designed for the sensitive exploration of the thought processes and emotional responses patients experience when using medications.


CONCLUSIONS
The model holds the promise of providing 1. interviewing techniques and strategies for immediate application by case managers for improving medication adherence; 2. a practical conceptual umbrella for the integration of well-established collaborative interviewing principles, such as the principles of motivational interviewing, with new interviewing techniques created by case managers in the field; and 3. a platform for the development of research studies and training protocols consistent with evidenced-based educational innovations in teaching clinical interviewing skills such as microtraining, macrotraining, and the use of competency testing.
Shea
Shawn Christopher
SC
Training Institute for Suicide Assessment and Clinical Interviewing, Stoddard, NH 03464, USA. sheainte@worldpath.net
D019090:Case Management; D003142:Communication; D006801:Humans; D007406:Interview, Psychological / Q000379:methods*; D055118:Medication Adherence / Q000523:psychology*; D008960:Models, Psychological; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology