Relationship between Motivational Interviewing and Medication Adherence

THIS ASSIGNMENT IS A CONTINOUS PAPER FROM PREVIOUS,SAME TOPIC SAME PICOT QUESTIONS

Week 6

Anticipated Outcome

Discussion

Purpose

The purpose of this discussion is for students to explain the relationship between the outcome and your intervention. In this discussion, you will clarify your expected change in your project outcome after the intervention is implemented. This discussion should be based on the research results demonstrating that your intervention changed the outcome. Please add the research citations to your discussion.(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Relationship between Motivational Interviewing and Medication Adherence Essay Example

Instructions

Review this week’s readings and provide your response in 150 words or less: 

1.  State your practice question in PICOT format.   

2.  Explain the relationship between your intervention and your project outcome.

3.  Discuss your expected change in your project outcome after the intervention is implemented.

4.  To support your statements, use the research results that demonstrate the intervention changed the outcome or practice problem.(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Use Grammarly and current APA format for the posts. Do not repeat the prompts in the post. Provide respectful and thought-provoking feedback to your student colleagues. Ask for clarification and elaboration if needed.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

·     Link (webpage): DNP Discussion GuidelinesLinks to an external site.

Course Outcomes

This discussion enables the student to meet the following course outcomes:

2.  Design an evidence-based translational science project to address a practice problem. (POs 1, 2, 3, 4, 5, 6, 7, 8, 9)

3.  Apply effective strategies in project design for managing practice problems in healthcare delivery at the micro, meso, and macro-system levels. (POs 1, 2, 3, 4, 5, 6, 7, 8, 9)(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Relationship between Motivational Interviewing and Medication Adherence Essay Example

Practice Question

For adults with a history of Schizophrenia (P) in the inpatient setting, does the implementation of technology with motivational interviewing (I), compared with current practice (C), impact medication nonadherence (O) in 8-10 weeks (T)?(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Relationship between Motivational Interviewing and Medication Adherence

The primary purpose of motivational interviewing is to enhance medication adherence among schizophrenia patients. Motivation interviewing and medication adherence have a direct relationship, which involves one value directly affecting another, such as variables increasing and decreasing together. In this case, motivational interviewing has no values that increase or decrease, and the presence or absence of it will be analyzed in this paper. Data will be collected for medication adherence measures, which include treatment failure rate, readmission rates, hospitalization rates, and mortality rates, before implementing motivational interviewing and after the implementation. The expectation is a direct causal relationship such that when motivational interviewing is implemented, medication adherence behavior, which will be measured using the indicated medication adherence measures. This direct causal relationship is described as “the implementation of motivational interviewing improved medication adherence” or “motivational interviewing was positively associated with medication adherence.”(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Expected Change after Implementing Motivational Interviewing

Implementing motivational interviewing is expected to improve medication adherence behavior, which is indicated by measures including treatment failure rate, readmission rates, hospitalization rates, and mortality rates. The desired changes based on these measures include decreased treatment failure rate, reduced readmission rate, decreased hospitalization rates, and decreased mortality rate associated with schizophrenia. Per Aubeeluck et al. (2021), MI interventions significantly improved medication adherence in 5 RCTs and systolic blood pressure in 1 RCT. Khadoura et al. (2021) found that MI significantly improved medication adherence, self-efficacy, and intrinsic motivation for patients in the intervention group. According to Papus et al. (2022), MI improved medication adherence in 23 RCTs and risky behaviors and disease symptoms in 19 RCTs. Additionally, Zomahoun (2018) established that MI interventions might help improve medication adherence for chronic conditions in adults. The evidence indicates a positive relationship between motivational interviewing and medication adherence, although measures used vary for the different studies.(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Relationship between Motivational Interviewing and Medication Adherence Essay Example
Literature Review for Nursing

References

Aubeeluck, E., Al-Arkee, S., Finlay, K., & Jalal, Z. (2021). The impact of pharmacy care and motivational interviewing on improving medication adherence in patients with cardiovascular diseases: A systematic review of randomised controlled trials. International journal of clinical practice75(11), e14457. https://doi.org/10.1111/ijcp.14457

Khadoura, K. J., Shakibazadeh, E., Mansournia, M. A., Aljeesh, Y., & Fotouhi, A. (2021). Effectiveness of motivational interviewing on medication adherence among Palestinian hypertensive patients: a clustered randomized controlled trial. European journal of cardiovascular nursing20(5), 411–420. https://doi.org/10.1093/eurjcn/zvaa015(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Papus, M., Dima, A. L., Viprey, M., Schott, A. M., Schneider, M. P., & Novais, T. (2022). Motivational interviewing to support medication adherence in adults with chronic conditions: systematic review of randomized controlled trials. Patient Education and Counseling.(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Zomahoun, H. T. V., Guénette, L., Grégoire, J. P., Lauzier, S., Lawani, A. M., Ferdynus, C., Huiart, L., & Moisan, J. (2018). Effectiveness of motivational interviewing interventions on medication adherence in adults with chronic diseases: a systematic review and meta-analysis. International journal of epidemiology46(2), 589–602. https://doi.org/10.1093/ije/dyw273

FAQs

How motivational interviewing can increase medication adherence?

Motivational interviewing is a patient-centered counseling technique that can enhance medication adherence by fostering intrinsic motivation and addressing ambivalence. Through empathetic communication and collaborative exploration, healthcare providers help patients uncover their own motivations for adhering to medication regimens. By highlighting the personal benefits of adherence and addressing barriers or concerns, motivational interviewing empowers patients to make informed decisions and actively engage in their treatment plans, ultimately leading to improved medication adherence and better health outcomes.(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

What is motivational interviewing medication adherence?

Motivational interviewing for medication adherence is a patient-centered approach that aims to enhance an individual’s commitment to taking prescribed medications consistently. It involves open-ended conversations and empathetic communication between healthcare providers and patients, focusing on eliciting the patient’s own reasons and motivations for adhering to their medication regimen. By exploring ambivalence, addressing barriers, and strengthening intrinsic motivation, motivational interviewing seeks to empower patients to make informed choices and engage actively in managing their health through proper medication adherence.(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Is the goal of motivational interviewing to resolve adherence?

Yes, the goal of motivational interviewing is to facilitate behavior change and enhance intrinsic motivation by resolving ambivalence and increasing commitment to positive actions. While adherence to a desired behavior, such as following a treatment plan or making healthier choices, can be a key focus of motivational interviewing, the approach also aims to address and alleviate any conflicting feelings or uncertainties that individuals may have about making these changes. The ultimate objective is to help individuals build their own motivation and confidence to commit to and sustain positive behaviors.(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

What is the application of motivational interviewing in nursing practice?

Motivational interviewing (MI) in nursing practice involves a patient-centered communication approach that aims to enhance a patient’s intrinsic motivation to make positive health-related changes. Nurses use MI to collaboratively engage patients, explore their ambivalence towards behavior change, and evoke their own motivations and goals. This technique is particularly useful in addressing behaviors such as smoking cessation, medication adherence, and lifestyle modifications, allowing nurses to support patients in achieving sustainable health improvements through empathetic and empowering conversations.(Relationship between Motivational Interviewing and Medication Adherence Essay Example)

Relationship between Motivational Interviewing and Medication Adherence Essay Example

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