Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/2673
Título : Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients
Autor : Román-Rodríguez, Miguel
Ibarrola-Ruiz, Lara
Mora, Fernando
Plaza, Vicente
Sastre, Joaquín
Torrego, Alfonso
Vega, José María
Sánchez-Herrero, Guadalupe
Filiación: [Román-Rodríguez, M] Centro de Salud Son Pisà, IB-Salut, Balearic Health Service, Unidad de investigación en enfermedades crónicas respiratorias en atención primaria, Instituto de Investigación Sanitaria de Baleares (IdISBa), Palma de Mallorca. [Ibarrola-Ruiz,L; Sánchez-Herrero,G] GSK. [Mora,F] Department of Psychiatry, Hospital Infanta Leonor, Madrid. [Torrego,A] Department of Respiratory Medicine, Hospital de la Santa Creu i Sant Pau, Institut d’Investigació Biomédica Sant Pau (IIB Sant Pau), Universitat Autònoma de Barcelona, Barcelona. [Sastre,J] Department of Allergology, Fundación Jimenez Díaz y Universidad Autónoma de Madrid, CIBER de Enfermedades Respiratorias, Ministerio de Economía y Competitividad, Madrid. [Vega,JM] Unidad de Gestión Clínica de Alergología, Hospital Regional Universitario de Málaga, Málaga, Spain.
Palabras clave : Asthma
Adherence
Control
Training
Motivational interviewing
Education
Asma
Actitud
Empatía
Médicos generales
Metas
Encuestas de atención de la salud
Humanos
Entrevista motivacional
Remisión y consulta
Autocuidado
MeSH: Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Personnel::Physicians::Allergists
Medical Subject Headings::Diseases::Respiratory Tract Diseases::Respiratory Hypersensitivity::Asthma
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Attitude
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Personality::Empathy
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Personnel::Physicians::General Practitioners
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Motivation::Goals
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Data Collection::Health Care Surveys
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Psychology, Applied::Counseling::Directive Counseling::Motivational Interviewing
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Personnel::Physicians::Pulmonologists
Medical Subject Headings::Health Care::Health Services Administration::Organization and Administration::Professional Practice::Referral and Consultation
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Rehabilitation::Self Care
Fecha de publicación : 21-Apr-2017
Editorial : Dove Medical Press
Cita Bibliográfica: Román-Rodríguez M, Ibarrola-Ruiz L, Mora F, Plaza V, Sastre J, Vega JM, et al. Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients. Patient Prefer Adherence. 2017;11:811-820.
Abstract: 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.
URI: http://hdl.handle.net/10668/2673
DOI: 10.2147/PPA.S127645
ISSN : 1177-889X (Online)
Appears in Collections:01- Artículos - Hospital Regional de Málaga

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