Tag Archives: Motivational interviewing

Motivational interviewing is an effective technique for helping individuals to change their behaviors. In the context of this site, it specifically applies to changing medication adherence behaviors. It is a collaborative, patient-centered, counseling approach that builds an individual’s motivation and commitment to improve their adherence to medications.

Patients’ Adherence Decision-Making: The Roles of Emotion and Logic

For patients, adherence decision-making is based on a mix of emotion and logic. Understanding where an individual patient’s balance point lies and responding appropriately could be a major key to better adherence. Roles of Emotion and Logic in Decision-Making If asked whether your decision-making processes leaned more on logic or emotion; what would you say? I’d guess most of us believe our decisions emerge from a rational and logical consideration… Read More »

Addressing Adherence: The Need to Prioritize

Is enough rigor put into identifying the causes of non-adherence? Or into prioritizing these causes? Addressing adherence issues in the right order could have a major impact on improving adherence. Adherence and Diagnostic Rigor HCPs make clinical diagnoses based on a defined, rational process. Typically the process involves an examination of different inputs, such as patient history, physical signs, symptoms, and diagnostic test results. These findings are matched against possible… Read More »

Motivational Interviewing: 6 Reasons It’s Key to Adherence

Patient motivation is a critical to the success of any adherence intervention. Without it, patients lack the energy or desire to follow through on recommended solutions. Here are 6 reasons to make Motivational Interviewing a cornerstone of adherence improvement. Patient Motivation Is Pivotal My last post described patient motivation as the ‘fuel’ needed to drive an ‘adherence improvement engine’ (see here for the full story). Without this ‘fuel’, adherence improvement… Read More »

How Can HCPs Improve Patient Motivation to Adhere?

Lack of patient motivation is a major barrier to adherence; one that may be under-recognized and under-addressed. Yet highly effective ways exist to both assess and improve motivation to adhere. This post explores the available tools to improve patient motivation. Is Patient Motivation an Adherence Deal Breaker? My last post explored the importance of patient motivation as an adherence factor. It concluded that lack of motivation to adhere can be a… Read More »

Simplify Adherence by Identifying Patient Intentions

Progress to improve adherence has been frustratingly slow. Maybe there are just too many options and too much information; making understanding and interpretation difficult? We need to simplify adherence in order to make the breakthroughs needed. Identifying patient intentions can help achieve this. Too Many Pieces in the Adherence Puzzle? Improvements in adherence have been difficult to achieve and progress has been frustratingly slow. To what extent is this lack… Read More »

Adherence Issues: Can Behavior Change Be a Game-Changer?

When physicians talk with patients about adherence issues, attitudes and behaviors should be important topics of discussion. Understanding the best ways to change attitudes and behaviors may be a vital step in improving adherence. Attitudes, Behaviors, and Adherence Discussions Discussions about adherence issues are rarely simple and straightforward. Patients typically have many beliefs and attitudes that influence their adherence behaviors. Some of these may be openly shared. Others may be deeply buried and not so easy to… Read More »

Adherence Approaches: What If We Have the Wrong Focus?

Some adherence approaches aim to motivate patients by imposing opinions. Other approaches draw out motivations from within the patient. So which should be the more important focus? Recipe for Improved Adherence Approaches? A JAMA editorial appeared last week with the title of: “Ingredients of Successful Interventions to Improve Medication Adherence”.  The article suggested that well-designed interventions should be based on four essential approaches – patient knowledge, counseling and accountability, self-monitoring,… Read More »

Adherence Initiatives – What Have Payers Done for Us Lately?

Health insurers can undoubtedly influence improvements in medication adherence. So what kinds of adherence initiatives are payers actually sponsoring? Read on for answers based on a sample of five leading payer organizations. The short answer is “a lot”! The five payers reviewed were Aetna, Humana, Kaiser Permanente, United Health, and WellPoint. Sources of information were either corporate websites or web search findings. The results were very interesting! Different approaches across… Read More »

Changing Patient Beliefs is Key to Better Adherence

To promote better adherence, should greater emphasis be placed on changing patients’ beliefs? This post explores why changing beliefs may be a key component in interventions to improve medication adherence. Health Psychology as a Route to Better Adherence A news release on adherence and patient beliefs recently caught my eye. It came from Atlantis Healthcare, a company that uses health psychology to encourage better adherence. The rationale for this approach… Read More »

Improving Adherence – Aligning Interventions to Reasons, pt 2

Part 2 of this post examines proven interventions for improving adherence. Then it looks at how these interventions match up to with the ‘top ten’ reasons for non-adherence (see Part 1). Matching interventions to reasons is important, because approaches are then aligned with individual patient needs. Every story needs a beginning, middle, and end. Part 1 of this post represented the beginning; proposing a top ten reasons why patients don’t adhere to… Read More »