title: Applying Motivational Interviewing to the initiation of long-acting injectable atypical antipsychotics.
abstract: OBJECTIVE
  Non-concordance with pharmacotherapy is common in psychiatric patients. Long-acting injectable atypical antipsychotic (LAI AA) medication may improve adherence but patients and clinicians may be reluctant to consider this alternative. This paper describes the application of Motivational Interviewing (MI) to the commencement of LAI AA.
  
  
  METHODS
  We developed a workshop applying the principles of MI to address medication adherence through the use of LAIs. This includes a training video to illustrate the following motivational techniques, as summarised by the acronym OARS: (a) Open questions; (b) Affirmation of patients' self-efficacy and support; (c) Reflections of patients' thoughts, desires, abilities, reasons, needs, and commitments; (d) Summaries of the patient's history to promote consideration of change.
  
  
  RESULTS
  We delivered four workshops across Canada. Results of feedback (n=25) were encouraging.
  
  
  CONCLUSIONS
  Motivational Interviewing has many applications in psychiatric care for engagement in treatment, reduction in alcohol or substance misuse, and improving medication acceptance and adherence. Further research is required to assess whether changes in physicians' views are reflected in improved adherence.
authors.affiliation: School of Population Health, University of Queensland, Brisbane, QLD, Australia. s.kisely@uq.edu.au
authors.forename: Steve
authors.initials: S
authors.lastname: Kisely
authors.forename: Loys
authors.initials: L
authors.lastname: Ligate
authors.forename: Marc-André
authors.initials: MA
authors.lastname: Roy
authors.forename: Terri
authors.initials: T
authors.lastname: Lavery
mesh_terms: D014150:Antipsychotic Agents / Q000008:administration & dosage*; D004493:Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007267:Injections; D007406:Interview, Psychological / Q000379:methods*; D055118:Medication Adherence / Q000523:psychology*; D009042:Motivation
chemical_list: D014150:Antipsychotic Agents