title: Motivational interviewing: relevance in the treatment of rheumatoid arthritis?
abstract: Advances in pharmacological treatment options in RA have led to a dramatic potential for improvement in patients' physical and psychological status. Despite advances, poor outcomes, including fatigue, pain, reduced physical activity and quality of life, are still observed. Reasons include non-adherence to medication, insufficient knowledge about the disease and lack of support in coping and effectively self-managing their condition. Motivational interviewing (MI) is a person-centred approach that relies on collaboration and empathy aiming to elicit a person's own motivation for behaviour change. It has been implemented in a variety of long-term conditions, addressing issues such as lifestyle changes with beneficial effects, but it is yet to be widely recognized and adopted in the field of rheumatology. This review will explain the techniques underpinning MI and the rationale for adopting this approach in rheumatology with the aim to increase medication adherence and physical activity and improve patients' coping strategies for pain and fatigue.
authors.affiliation: Academic Department of Rheumatology, Faculty of Life Sciences & Medicine and sofia.georgopoulou@kcl.ac.uk.
authors.forename: Sofia
authors.initials: S
authors.lastname: Georgopoulou
authors.affiliation: Academic Department of Rheumatology, Faculty of Life Sciences & Medicine and.
authors.forename: Louise
authors.initials: L
authors.lastname: Prothero
authors.affiliation: Academic Department of Rheumatology, Faculty of Life Sciences & Medicine and.
authors.forename: Heidi
authors.initials: H
authors.lastname: Lempp
authors.affiliation: Academic Department of Rheumatology, Faculty of Life Sciences & Medicine and.
authors.forename: James
authors.initials: J
authors.lastname: Galloway
authors.affiliation: Florence Nightingale Faculty of Nursing and Midwifery, King's College London, London, UK.
authors.forename: Jackie
authors.initials: J
authors.lastname: Sturt
mesh_terms: D001172:Arthritis, Rheumatoid / Q000628:therapy*; D004812:Epidemiologic Methods; D006801:Humans; D062405:Motivational Interviewing; D012196:Review Literature as Topic; D000072140:Rheumatologists / Q000193:education; D012219:Rheumatology / Q000193:education
keywords: intensive management; motivational interviewing; quality of life; remission rates; rheumatoid arthritis