title: Effectiveness of a motivational interviewing intervention on medication compliance.
abstract: This study investigated the effectiveness of training geriatric home-based primary care (HBPC) nursing staff in motivational interviewing (MI) techniques, with the goal of increasing patient medication adherence. Nursing staff received 4 hours of training in MI techniques from a licensed psychologist. Results indicated that the MI training increased medication adherence in the HBPC veteran sample by a small, but statistically significant, margin both 1 month and 6 months after the intervention. Although the effect size may be considered small, the clinical and cost ramifications of even a small gain in adherence are extremely important for the patient, clinician, and the medical facility. MI techniques may provide a cost-effective and impactful means of enhancing patient adherence to medications.
authors.affiliation: Alison Minkin, PhD, is a Psychologist, Mental Health Division, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin. Jill Snider-Meyer, MSW, is a Program Manager, Community-Based Programs, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin. Debra Olson, MSN, MHA, CPHQ, is a Deputy Program Manager, Community-Based Programs, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin. Susan Gresser, MS, GCNS-BC, APNP, is a Program Manager, Community Living Center, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin. Heather Smith, PhD, is a Lead Psychologist, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, and an Associate Professor, Department of Psychiatry, Medical College of Wisconsin, Milwaukee, Wisconsin. Frederick J. Kier, PhD, MSHCA, is a Division Manager, Rehabilitation, Extended and Community Care, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, and an Associate Professor, Department of Psychiatry, Medical College of Wisconsin, Milwaukee, Wisconsin.
authors.forename: Alison
authors.initials: A
authors.lastname: Minkin
authors.forename: Jill
authors.initials: J
authors.lastname: Snider-Meyer
authors.forename: Debra
authors.initials: D
authors.lastname: Olson
authors.forename: Susan
authors.initials: S
authors.lastname: Gresser
authors.forename: Heather
authors.initials: H
authors.lastname: Smith
authors.forename: Frederick J
authors.initials: FJ
authors.lastname: Kier
mesh_terms: D006801:Humans; D055118:Medication Adherence / Q000523:psychology*; D062405:Motivational Interviewing / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D009726:Nurses / Q000523:psychology* / Q000592:standards; D009735:Nursing Homes / Q000592:standards*; D010349:Patient Compliance / Q000523:psychology