Keywords

case management, communication, medication adherence, medication compliance, medication interest, motivational interviewing, teaching clinical interviewing skills

 

Authors

  1. Shea, Shawn Christopher MD

ABSTRACT

Purpose/objectives: Medication adherence is a major problem in healthcare today. The medication interest model provides a variety of interviewing techniques for achieving positive outcomes regarding medication adherence.

 

Primary practice settings: The model is applicable to all primary care settings as well as specialty areas from endocrinology and cardiology to psychiatry.

 

Findings/conclusions: The medication interest model includes more than 40 behaviorally well-defined interviewing techniques. These interviewing techniques are housed within a conceptual framework, the Choice Triad, designed for the sensitive exploration of the thought processes and emotional responses patients experience when using medications.

 

Implications for case management practice: The model holds the promise of providing

 

1. interviewing techniques and strategies for immediate application by case managers for improving medication adherence;

 

2. a practical conceptual umbrella for the integration of well-established collaborative interviewing principles, such as the principles of motivational interviewing, with new interviewing techniques created by case managers in the field; and

 

3. a platform for the development of research studies and training protocols consistent with evidenced-based educational innovations in teaching clinical interviewing skills such as microtraining, macrotraining, and the use of competency testing.