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Medication adherence in patients with schizophrenia: a qualitative study of the patient process in motivational interviewing

التفاصيل البيبلوغرافية
العنوان: Medication adherence in patients with schizophrenia: a qualitative study of the patient process in motivational interviewing
المؤلفون: Ron Peters, Berno van Meijel, Lieuwe de Haan, Wilma J.M. Scholte op Reimer, Emile Barkhof, Corine H.M. Latour, Jos Dobber
المساهمون: Kenniscentrum ACHIEVE, Faculteit Gezondheid, ACS - Atherosclerosis & ischemic syndromes, Graduate School, APH - Mental Health, ANS - Mood, Anxiety, Psychosis, Stress & Sleep, Adult Psychiatry, Cardiology, ACS - Heart failure & arrhythmias, Psychiatry
المصدر: BMC Psychiatry, 18(135). BioMed Central
Dobber, J, Latour, C, de Haan, L, Scholte op Reimer, W, Peters, R, Barkhof, E & van Meijel, B 2018, ' Medication adherence in patients with schizophrenia: A qualitative study of the patient process in motivational interviewing ', BMC Psychiatry, vol. 18, no. 1, 135 . https://doi.org/10.1186/s12888-018-1724-9
BMC psychiatry, 18(1):135. BioMed Central
BMC Psychiatry, 2018, 1-10
BMC Psychiatry, 18(1):135. BioMed Central
BMC Psychiatry
BMC Psychiatry, Vol 18, Iss 1, Pp 1-10 (2018)
سنة النشر: 2018
مصطلحات موضوعية: Adult, Male, lcsh:RC435-571, Motivational interviewing, Medication adherence, Medication Adherence, Patient process, law.invention, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, Recurrence, law, lcsh:Psychiatry, Intervention (counseling), mental disorders, Humans, Medicine, In patient, 030212 general & internal medicine, Qualitative Research, Motivation, business.industry, Wetenschappelijk, Cognition, Medication-adherence, Middle Aged, medicine.disease, Psychiatry and Mental health, Schizophrenia, Female, Schizophrenic Psychology, edication-adherence, business, 030217 neurology & neurosurgery, Research Article, Qualitative research, Clinical psychology
الوصف: Background Motivational interviewing (MI) may be an effective intervention to improve medication adherence in patients with schizophrenia. However, for this patient group, mixed results have been found in randomized controlled trials. Furthermore, the process of becoming (more) motivated for long-term medication adherence in patients with schizophrenia is largely unexplored. Method We performed a qualitative multiple case study of MI-sessions to analyse the interaction process affecting motivation in patients with schizophrenia. Fourteen cases of patients with schizophrenia, who recently experienced a psychotic relapse after medication-nonadherence, were studied, comprising 66 audio-recorded MI-sessions. In the MI-sessions, the patients expressed their cognitions on medication. We used these cognitions to detect the different courses (or patterns) of the patients’ ambivalence during the MI-intervention. We distinguished successful and unsuccessful cases, and used the cross-case-analysis to identify success factors to reach positive effects of MI. Results Based on the expressed cognitions on medication, we found four different patterns of the patient process. We also found three success factors for the intervention, which were a trusting relationship between patient and therapist, the therapist’s ability to adapt his MI-strategy to the patient’s process, and relating patient values to long-term medication adherence. Conclusions The success of an MI-intervention for medication adherence in patients with schizophrenia can be explained by well-defined success factors. Adherence may improve if therapists consider these factors during MI-sessions.
وصف الملف: application/pdf
اللغة: English
تدمد: 1471-244X
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b3d82bf99297bc194bc2cba77709a571
https://research.hva.nl/en/publications/e0e92375-7181-405c-8e81-e08020291937
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....b3d82bf99297bc194bc2cba77709a571
قاعدة البيانات: OpenAIRE
الوصف
تدمد:1471244X