Abstract
Aim: Major depression is one of the most common psychiatric disorders, and treatment non-adherence is one of the important problems that negatively affect treatment outcomes in the treatment of depression. The aim of this study is to determine the effect of motivational interview on the treatment adherence.
Material and Method: This study is a control group experimental research with pre-test and post-test repetitive measurements. The sampling of the study consists of 81 depressive patients, 40 experimental and 41 controls, who applied to the Psychiatry service/polyclinic of the Training and Research Hospital. The personal information form and The Morisky Medication Adherence Scale (MMAS) were used in data collection.
Results: As a result of the motivational interviews, the MMAS scores of the experimental group decreased to a significant level in the mid-test and post-test compared to the pre-test, and no significant difference was found in the mean scale scores of the control group without intervention (p>0.05).
Conclusion: It has been found that motivational interviews are an effective intervention to improve medication adherence in the patients with depression. Healthcare professionals can facilitate adherence with the medical treatment regimen in depressed patients through motivational interview practices.
References
- 1-Ervatan SÖ, Özel A, Türkçapar H, Atasoy, N. Depresif hastalarda tedaviye uyum: doğal izlem çalışması. Klinik Psikiyatri 2003;6:5-11.
- 2-Demirkol ME, Tamam L. Psikiyatrik bozukluklarda tedavi uyumu. Current Approaches in Psychiatry 2016;8(1):85-93. doi: 10.18863/pgy.49806
- 3-World Health Organization. Adherence to long term therapies, Geneva: World Health Organization Publishing. WHO; 2003.
- 4-Ögel K. Motivasyonel görüşme tekniği. Turkiye Klinikleri J Psychiatry-Special Topics 2009;2:41-4.
- 5-Miller WR, Rollnick S. Meeting in the middle: motivational interviewing and self-determination theory. Int J Behav Nutr Phys Act 2012;9:25. doi: 10.1186/1479-5868-9-25.
- 6-Zomahoun HTV, Guénette L, Grégoire JP et al. Effectiveness of motivational interviewing interventions on medication adherence in adults with chronic diseases: a systematic review and meta-analysis. Int J Epidemiol 2017;46(2):589-602. doi: 10.1093/ije/dyw273.
- 7-Palacio A, Garay D, Langer B, Taylor J, Wood BA, Tamariz L. Motivational ınterviewing ımproves medication adherence: a systematic review and meta-analysis. J Gen Intern Med 2016;31(8):929-940. doi: 10.1007/s11606-016-3685-3
- 8-Bahar G. İki Uçlu Bozukluk Tanısı Almış Hastalarda Morisky Uyum Ölçeği’nin Türkçe Geçerlilik Güvenilirlik Çalışması ve Duygudurum Düzenleyici Kullanan Hastaların Kan Düzeyi Ölçümleri ile Tedaviye Uyumları Arasındaki İlişkinin Belirlenmesi. Yüksek Lisans Tezi, Gaziantep Üniversitesi Sağlık Bilimleri Enstitüsü. Gaziantep; 2013.
- 9-Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care 1986;24:67-74.
- 10-Sansone RA, Sansone LA. Antidepressant adherence. Are patients taking their medications? Innov. Clin. Neurosci 2012;9(5-6):41-46.
- 11-Stein-Shvachman I, Karpas DS, Werner P. Depression Treatment Non-adherence and its Psychosocial Predictors: Differences between Young and Older Adults?. Aging and Disease 2013;4(6):329-336. doi: 10.14336/AD.2013.0400329
- 12-Tay S. Compliance therapy: An intervention to improve inpatients’ attitudes toward treatment. J Psychosoc Nurs Ment Health Serv 2007;45:29-37.
- 13-Martin-Vazquez MJ. Adherence to antidepressants: A review of the literatüre. Neuropsychiatry (London) 2016;6(5): 236-241.
- 14-Fernandez RS, Evans V, Griffiths RD, Mostacchi MS. Educational interventions for mental health consumers receiving psychotropic medication: areview of the evidence. IJMHN 2006;15:70-80.
- 15-Burra TA, Chen E, McIntyre RS, Grace SL, Blackmore ER, Stewart DE. Predictors of self-reported antidepressant adherence. Behavioral Medicine 2007;32(4):127-34.
- 16-Interian A, Martinez I, Rios LI, Krejci J, Guarnaccia PJ. Adaptation of a motivational interviewing intervention to improve antidepressant adherence among Latinos. Cultural Diversity & Ethnic Minority Psychology 2010;16(2):215-225. doi: 10.1037/a0016072.
- 17-Hettema J, Steele J, Miller WR. Motivational interviewing. Annu. Rev. Clin. Psychol 2005;1:91-111. 18-Rubak S, Sandboek A, Lauritzen T, Christensen B. Motivational interviewing: a systematic review and meta-analysis. BJGP 2005;55:305-312.
- 19-Fuangunyi FN. Increasing Medication Adherence Using MotivationalInterviewing in Patients with Depression. Graduate Collegethe University of Arizona, Degree of Doctor of Nursing Practice. Arizona; 2018.
- 20-Zygmunt A, Olfson M, Boyer CA, Mechanic D. Interventions to improve medication adherence in schizophrenia. Am J Psychiatry 2002;159:1653-1664.
- 21-Tan SC, Lee MW, Lim GT, Leong JJ, Lee C. Motivational ınterviewing approach used by a community mental health team. J Psychosoc Nurs Ment Health Serv 2015;53(12):28-37. doi:10.3928/02793695-20151020-03
Abstract
Amaç: Majör depresyon en sık görülen psikiyatrik bozukluklardan biridir. Tedavi uyumsuzluğu depresyon tedavisini olumsuz etkileyen önemli bir sorundur. Bu çalışmanın amacı motivasyonel görüşmenin tedaviye uyum üzerindeki etkisini belirlemektir.
Gereç ve Yöntem: Bu çalışma, ön test ve son test tekrarlı ölçümlerin yapıldığı kontrol gruplu deneysel bir araştırmadır. Araştırmanın örneklemini bir Eğitim ve Araştırma Hastanesi Psikiyatri servis/polikliniğine başvuran 40 deney ve 41 kontrol olmak üzere 81 depresif hasta oluşturmaktadır. Veri toplamada kişisel bilgi formu ve Morisky İlaç Uyum Ölçeği (MMAS) kullanılmıştır.
Bulgular: Motivasyonel görüşmeler sonucunda deney grubunun MMAS puanlarının ara test ve son testte, ön teste göre anlamlı düzeyde düştüğü, müdahale yapılmayan kontrol grubunun ölçek puan ortalamalarında ise anlamlı bir fark bulunmadığı saptanmıştır (p>0,05).
Sonuç: Motivasyonel görüşmelerin depresyon hastalarında ilaç uyumunu artırmada etkili bir müdahale olduğu saptanmıştır. Sağlık profesyonelleri, motive edici görüşme uygulamaları ile depresif hastalarda tıbbi tedavi rejimine uyumu kolaylaştırabilir.
Keywords
References
- 1-Ervatan SÖ, Özel A, Türkçapar H, Atasoy, N. Depresif hastalarda tedaviye uyum: doğal izlem çalışması. Klinik Psikiyatri 2003;6:5-11.
- 2-Demirkol ME, Tamam L. Psikiyatrik bozukluklarda tedavi uyumu. Current Approaches in Psychiatry 2016;8(1):85-93. doi: 10.18863/pgy.49806
- 3-World Health Organization. Adherence to long term therapies, Geneva: World Health Organization Publishing. WHO; 2003.
- 4-Ögel K. Motivasyonel görüşme tekniği. Turkiye Klinikleri J Psychiatry-Special Topics 2009;2:41-4.
- 5-Miller WR, Rollnick S. Meeting in the middle: motivational interviewing and self-determination theory. Int J Behav Nutr Phys Act 2012;9:25. doi: 10.1186/1479-5868-9-25.
- 6-Zomahoun HTV, Guénette L, Grégoire JP et al. Effectiveness of motivational interviewing interventions on medication adherence in adults with chronic diseases: a systematic review and meta-analysis. Int J Epidemiol 2017;46(2):589-602. doi: 10.1093/ije/dyw273.
- 7-Palacio A, Garay D, Langer B, Taylor J, Wood BA, Tamariz L. Motivational ınterviewing ımproves medication adherence: a systematic review and meta-analysis. J Gen Intern Med 2016;31(8):929-940. doi: 10.1007/s11606-016-3685-3
- 8-Bahar G. İki Uçlu Bozukluk Tanısı Almış Hastalarda Morisky Uyum Ölçeği’nin Türkçe Geçerlilik Güvenilirlik Çalışması ve Duygudurum Düzenleyici Kullanan Hastaların Kan Düzeyi Ölçümleri ile Tedaviye Uyumları Arasındaki İlişkinin Belirlenmesi. Yüksek Lisans Tezi, Gaziantep Üniversitesi Sağlık Bilimleri Enstitüsü. Gaziantep; 2013.
- 9-Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care 1986;24:67-74.
- 10-Sansone RA, Sansone LA. Antidepressant adherence. Are patients taking their medications? Innov. Clin. Neurosci 2012;9(5-6):41-46.
- 11-Stein-Shvachman I, Karpas DS, Werner P. Depression Treatment Non-adherence and its Psychosocial Predictors: Differences between Young and Older Adults?. Aging and Disease 2013;4(6):329-336. doi: 10.14336/AD.2013.0400329
- 12-Tay S. Compliance therapy: An intervention to improve inpatients’ attitudes toward treatment. J Psychosoc Nurs Ment Health Serv 2007;45:29-37.
- 13-Martin-Vazquez MJ. Adherence to antidepressants: A review of the literatüre. Neuropsychiatry (London) 2016;6(5): 236-241.
- 14-Fernandez RS, Evans V, Griffiths RD, Mostacchi MS. Educational interventions for mental health consumers receiving psychotropic medication: areview of the evidence. IJMHN 2006;15:70-80.
- 15-Burra TA, Chen E, McIntyre RS, Grace SL, Blackmore ER, Stewart DE. Predictors of self-reported antidepressant adherence. Behavioral Medicine 2007;32(4):127-34.
- 16-Interian A, Martinez I, Rios LI, Krejci J, Guarnaccia PJ. Adaptation of a motivational interviewing intervention to improve antidepressant adherence among Latinos. Cultural Diversity & Ethnic Minority Psychology 2010;16(2):215-225. doi: 10.1037/a0016072.
- 17-Hettema J, Steele J, Miller WR. Motivational interviewing. Annu. Rev. Clin. Psychol 2005;1:91-111. 18-Rubak S, Sandboek A, Lauritzen T, Christensen B. Motivational interviewing: a systematic review and meta-analysis. BJGP 2005;55:305-312.
- 19-Fuangunyi FN. Increasing Medication Adherence Using MotivationalInterviewing in Patients with Depression. Graduate Collegethe University of Arizona, Degree of Doctor of Nursing Practice. Arizona; 2018.
- 20-Zygmunt A, Olfson M, Boyer CA, Mechanic D. Interventions to improve medication adherence in schizophrenia. Am J Psychiatry 2002;159:1653-1664.
- 21-Tan SC, Lee MW, Lim GT, Leong JJ, Lee C. Motivational ınterviewing approach used by a community mental health team. J Psychosoc Nurs Ment Health Serv 2015;53(12):28-37. doi:10.3928/02793695-20151020-03
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research |
| Authors | |
| Publication Date | May 31, 2023 |
| Acceptance Date | May 30, 2023 |
| Published in Issue | Year 2023 Volume: 13 Issue: 3 |
