Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients

Objective: The aim of this study was to evaluate the attitudes and perceptions of health care professionals (HCPs) who have been trained in motivational interviewing (MI) to improve adherence. Another objective of this study was to compare groups of HCPs with different levels of training in adherenc...

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Autores: Roman-Rodriguez, Miguel, Ibarrola-Ruiz, Lara, Mora, Fernando, Plaza, Vicente, Sastre, Joaquin, Torrego, Alfonso, Maria Vega, Jose, Sanchez-Herrero, Guadalupe
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/20472
Acceso en línea:http://hdl.handle.net/20.500.12105/20472
Access Level:acceso abierto
Palabra clave:Asthma
Adherence
Control
Training
Motivational interviewing
Education
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spelling Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patientsRoman-Rodriguez, MiguelIbarrola-Ruiz, LaraMora, FernandoPlaza, VicenteSastre, JoaquinTorrego, AlfonsoMaria Vega, JoseSanchez-Herrero, GuadalupeAsthmaAdherenceControlTrainingMotivational interviewingEducationObjective: The aim of this study was to evaluate the attitudes and perceptions of health care professionals (HCPs) who have been trained in motivational interviewing (MI) to improve adherence. Another objective of this study was to compare groups of HCPs with different levels of training in adherence (trained vs untrained; previous training in adherence education [AdhE] vs specific training in MI). Methods: For this study, a national questionnaire-based survey was conducted among HCPs treating asthma. A total of 360 HCPs were surveyed (allergists: n=110; pulmonologists: n=120; general practitioners: n=130). Of them, 180 physicians had received a training intervention (training in AdhE: n=90; training in MI to promote adherence: n=90). Results: Of the total surveyed HCPs, 92.8% reported adherence is highly important in asthma control. More professionals trained in MI compared to those trained in AdhE considered that simplifying treatment as far as possible (85.6% vs 68.9%, P=0.0077), involving the patient in treatment plans (85.6% vs 71.1%, P=0.0187), giving the patient self-care patterns (52.2% vs 36.7%, P=0.0357) and performing MI (42.2% vs 15.6%, P<0.0001) were the most important interventions to promote adherence. Empathy between doctor and patient (93.3% vs 77.8%, P=0.0036) and concordance of medical and patient treatment goals (96.7% vs 72.2%, P<0.0001) were the factors perceived as having the greatest influence in improving adherence to asthma treatment by the physicians in the MI group as opposed to those in the AdhE group. The use of MI in asthma consultation was the most highly valued resource to promote adherence to treatment among all the professionals, particularly those who had received specific MI training compared to those who had received any kind of previous training in AdhE (96.7% vs 66.7%, P<0.0001). Conclusion: MI is considered an important tool to promote adherence to asthma treatment among HCPs, especially among those specifically trained in that aspect. MI training interventions seem to influence HCPs' approaches to improve self-care and to engage patients in treatment plans rather than approaches solely centered on AdhE.Dove Medical Press20242024-07-1120172017-01-0120172017-01-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttp://hdl.handle.net/20.500.12105/20472reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 3.0 Unportedhttps://creativecommons.org/licenses/by-nc/3.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/204722026-06-12T12:43:37Z
dc.title.none.fl_str_mv Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients
title Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients
spellingShingle Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients
Roman-Rodriguez, Miguel
Asthma
Adherence
Control
Training
Motivational interviewing
Education
title_short Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients
title_full Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients
title_fullStr Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients
title_full_unstemmed Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients
title_sort Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients
dc.creator.none.fl_str_mv Roman-Rodriguez, Miguel
Ibarrola-Ruiz, Lara
Mora, Fernando
Plaza, Vicente
Sastre, Joaquin
Torrego, Alfonso
Maria Vega, Jose
Sanchez-Herrero, Guadalupe
author Roman-Rodriguez, Miguel
author_facet Roman-Rodriguez, Miguel
Ibarrola-Ruiz, Lara
Mora, Fernando
Plaza, Vicente
Sastre, Joaquin
Torrego, Alfonso
Maria Vega, Jose
Sanchez-Herrero, Guadalupe
author_role author
author2 Ibarrola-Ruiz, Lara
Mora, Fernando
Plaza, Vicente
Sastre, Joaquin
Torrego, Alfonso
Maria Vega, Jose
Sanchez-Herrero, Guadalupe
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Asthma
Adherence
Control
Training
Motivational interviewing
Education
topic Asthma
Adherence
Control
Training
Motivational interviewing
Education
description Objective: The aim of this study was to evaluate the attitudes and perceptions of health care professionals (HCPs) who have been trained in motivational interviewing (MI) to improve adherence. Another objective of this study was to compare groups of HCPs with different levels of training in adherence (trained vs untrained; previous training in adherence education [AdhE] vs specific training in MI). Methods: For this study, a national questionnaire-based survey was conducted among HCPs treating asthma. A total of 360 HCPs were surveyed (allergists: n=110; pulmonologists: n=120; general practitioners: n=130). Of them, 180 physicians had received a training intervention (training in AdhE: n=90; training in MI to promote adherence: n=90). Results: Of the total surveyed HCPs, 92.8% reported adherence is highly important in asthma control. More professionals trained in MI compared to those trained in AdhE considered that simplifying treatment as far as possible (85.6% vs 68.9%, P=0.0077), involving the patient in treatment plans (85.6% vs 71.1%, P=0.0187), giving the patient self-care patterns (52.2% vs 36.7%, P=0.0357) and performing MI (42.2% vs 15.6%, P<0.0001) were the most important interventions to promote adherence. Empathy between doctor and patient (93.3% vs 77.8%, P=0.0036) and concordance of medical and patient treatment goals (96.7% vs 72.2%, P<0.0001) were the factors perceived as having the greatest influence in improving adherence to asthma treatment by the physicians in the MI group as opposed to those in the AdhE group. The use of MI in asthma consultation was the most highly valued resource to promote adherence to treatment among all the professionals, particularly those who had received specific MI training compared to those who had received any kind of previous training in AdhE (96.7% vs 66.7%, P<0.0001). Conclusion: MI is considered an important tool to promote adherence to asthma treatment among HCPs, especially among those specifically trained in that aspect. MI training interventions seem to influence HCPs' approaches to improve self-care and to engage patients in treatment plans rather than approaches solely centered on AdhE.
publishDate 2017
dc.date.none.fl_str_mv 2017
2017-01-01
2017
2017-01-01
2024
2024-07-11
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/20472
url http://hdl.handle.net/20.500.12105/20472
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 3.0 Unported
https://creativecommons.org/licenses/by-nc/3.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 3.0 Unported
https://creativecommons.org/licenses/by-nc/3.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Dove Medical Press
publisher.none.fl_str_mv Dove Medical Press
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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