Motivational interviewing to explore culturally and linguistically diverse people's comorbidity medication self‐efficacy

Williams, Allison; Manias, Elizabeth; Cross, Wendy

doi:10.1111/jocn.12700

Cited by 18 publications

(47 citation statements)

References 30 publications

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“…Counseling methods could be employed during an inpatient stay to address low perceived health competence. Motivational interviewing, for example, is highly effective at supporting self-efficacy and has been used in a variety of settings in cardiovascular patients, ranging from diabetes care to obesity and smoking[48–52]. The effect of these interventions and others on perceived health competence warrants further investigation.…”

Section: Discussionmentioning

confidence: 99%

Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease

Bachmann

Goggins

Nwosu

et al. 2016

Patient Education and Counseling

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Objective Evaluate the effect of perceived health competence, a patient’s belief in his or her ability to achieve health-related goals, on health behavior and health-related quality of life. Methods We analyzed 2063 patients hospitalized with acute coronary syndrome and/or congestive heart failure at a large academic hospital in the United States. Multivariable linear regression models investigated associations between the two-item perceived health competence scale (PHCS-2) and positive health behaviors such as medication adherence and exercise (Health Behavior Index) as well as health-related quality of life (5-item Patient Reported Outcome Information Measurement System Global Health Scale). Results After multivariable adjustment, perceived health competence was highly associated with health behaviors (p<0.001) and health-related quality of life (p<0.001). Low perceived health competence was associated with a decrease in health-related quality of life between hospitalization and 90 days after discharge (p<0.001). Conclusions Perceived health competence predicts health behavior and health-related quality of life in patients hospitalized with cardiovascular disease as well as change in health-related quality of life after discharge. Practice implications Patients with low perceived health competence may be at risk for a decline in health-related quality of life after hospitalization and thus a potential target for counseling and other behavioral interventions.

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Section: Discussionmentioning

confidence: 99%

Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease

Bachmann

Goggins

Nwosu

et al. 2016

Patient Education and Counseling

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“…Prior qualitative research has found that the patients often mention in focus groups: 1) the barriers they have to chronic illness medication self-efficacy and 2) that lack of knowledge of their medications can impede their confidence in managing a chronic medical condition such as diabetes. 20 Medication self-efficacy scales have been developed for both hypertension and glaucoma, but not for diabetes. 10 , 12 , 21 …”

Section: Introductionmentioning

confidence: 99%

Development of a new diabetes medication self-efficacy scale and its association with both reported problems in using diabetes medications and self-reported adherence

Sleath¹,

Carpenter²,

Blalock³

et al. 2016

PPA

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BackgroundAlthough there are several different general diabetes self-efficacy scales, there is a need to develop a self-efficacy scale that providers can use to assess patient’s self-efficacy regarding medication use. The purpose of this study was to: 1) develop a new diabetes medication self-efficacy scale and 2) examine how diabetes medication self-efficacy is associated with patient-reported problems in using diabetes medications and self-reported adherence.Patients and methodsAdult English-speaking patients with type 2 diabetes were recruited from a family medicine clinic and a pharmacy in Eastern North Carolina, USA. The patients were eligible if they reported being nonadherent to their diabetes medicines on a visual analog scale. Multivariable regression was used to examine the relationship between self-efficacy and the number of reported diabetes medication problems and adherence.ResultsThe diabetes medication self-efficacy scale had strong reliability (Cronbach’s alpha =0.86). Among a sample (N=51) of mostly African-American female patients, diabetes medication problems were common (6.1±3.1) and a greater number of diabetes medications were associated with lower medication adherence (odds ratio: 0.35; 95% confidence interval: 0.13, 0.89). Higher medication self-efficacy was significantly related to medication adherence (odds ratio: 1.17; 95% confidence interval: 1.05, 1.30) and inversely related to the number of self-reported medication problems (β=−0.13; P=0.006).ConclusionHigher diabetes medication self-efficacy was associated with fewer patient-reported medication problems and better medication adherence. Assessing medication-specific self-efficacy may help to identify medication-related problems that providers can help the patients address, potentially improving adherence and patient outcomes.

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“…This finding supports the efficacy of hotline research determined in previous studies. A qualitative, exploratory study was conducted to study the perceptions of a group of culturally and linguistically diverse participants, with comorbidities such as CKD, to determine factors that affected their medication self-efficacy with the use of motivational interviewing using the telephone [19]. This study found that poor knowledge about drugs delayed the confidence necessary for optimal disease self-management [19].…”

Section: Discussionmentioning

confidence: 99%

Pharmacist-led Medication Counseling for Patients Undergoing Hemodialysis: A Path to Better Adherence

Al-Abdelmuhsin

Alammari

Babelghaith

et al. 2020

IJERPH

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Objective: The primary objective was to assess the satisfaction of patients undergoing hemodialysis regarding counseling services provided by pharmacists. The secondary objectives were to compare the effect of years on dialysis and the presence of comorbidities on patient satisfaction. Methods: A total of 138 patients were included in the study, and all demographic and clinical variables were retrieved from the dialysis unit records of King Abdulaziz Medical City over a period of 4 months from July to October 2015. Chi-square test and Fisher’s exact test were used for group comparisons at a significance level of 0.05. Results: Most patients aged between 51 and 75 years and had been on dialysis for 1 to 5 years; 94.9% of them had comorbidities. The overall satisfaction of patients toward pharmacy services was excellent (77.5%), and approximately 38.4% of patients thought that pharmacists were providing clear information about their prescribed medications. In addition, 55.8% of the patients did not know that hemodialysis could affect the efficacy of their medications. Conclusions: Patients undergoing hemodialysis were somewhat satisfied with the counseling provided by the pharmacist. Moreover, there is a need for educational programs for patients undergoing hemodialysis that would increase awareness among hospital pharmacists to improve patients’ medication knowledge.

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Motivational interviewing to explore culturally and linguistically diverse people's comorbidity medication self‐efficacy

Abstract: Helping people to take their medications as prescribed is a key role for nurses to serve and protect the well-being of our increasingly multicultural communities. The use of interpreters in motivational interviewing requires careful planning and adequate resources for optimal outcomes.

Cited by 18 publications

References 30 publications

Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease

Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease

Development of a new diabetes medication self-efficacy scale and its association with both reported problems in using diabetes medications and self-reported adherence

Pharmacist-led Medication Counseling for Patients Undergoing Hemodialysis: A Path to Better Adherence

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