Development of a Culturally Tailored Motivational Interviewing-Based Intervention to Improve Medication Adherence in South Asian Patients

Autor:	Tavis S. Campbell, Pavneet Singh, Kathryn King-Shier, Pamela LeBlanc
Rok vydání:	2020
Předmět:	education.field_of_study medicine.medical_specialty business.industry Health Policy 05 social sciences Population MEDLINE Motivational interviewing Ethnic group Medicine (miscellaneous) Medication adherence Disease 0506 political science Clinical trial 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Family medicine 050602 political science & public administration Medicine 030212 general & internal medicine education business Pharmacology Toxicology and Pharmaceutics (miscellaneous) Social Sciences (miscellaneous)
Zdroj:	Patient Preference and Adherence. 14:757-765
ISSN:	1177-889X
DOI:	10.2147/ppa.s234997
Popis:	Background South Asians (SAs) are among the fastest growing ethnic population in Western countries and have a higher risk of cardiovascular diseases relative to the general population. SAs living in Canada also have poorer adherence to medical regimens for treating cardiovascular disease, relative to other ethnic groups. Motivational interviewing (MI) maybe effective in improving health-related behaviour change in patients; however, the research is nascent on the effectiveness of MI in SAs and may also require cultural adaptation. Aim To develop a culturally tailored MI-based intervention to improve medication adherence in hypertensive SA patients living in Canada. Methods Previous literature about medication adherence in SAs was reviewed, along with transcripts and responses to open-ended survey questions from our previous studies with SAs, to draft an MI intervention manual. The manual received extensive feedback from the study team, SA community members and health-care providers who work with SA patients. The feedback was used to refine the manual and make it culturally tailored and relevant to SA hypertensive patients living in Canada. Results A culturally tailored MI-based manual which we called a "motivational communication manual" was developed to support a study focused on improving medication adherence in SA hypertensive patients. The development process, components (eg, being culturally sensitive, family involvement, providing education about medications, reminders, etc.) and cultural nuances included in the manual are described in this paper. Conclusion This is the first culturally tailored MI-based intervention manual that has been developed with the aim of improving medication adherence in hypertensive SA patients and that includes direct feedback from SA community members. Use of this manual may improve the accessibility and adoption of MI-based practices in improving health behaviours in SAs living in Canada as well as encourage further research studies and clinical trials with SA patients.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::cf6fd99e1da89f8a4c7d01781acca992 https://doi.org/10.2147/ppa.s234997 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.