Adaptation of a motivational interviewing intervention to improve antidepressant adherence among Latinos
Autor: | Lisbeth Iglesias Rios, Alejandro Interian, Peter J. Guarnaccia, Igda Martinez, Jonathan Krejci |
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Rok vydání: | 2010 |
Předmět: |
Adult
Male Psychotherapist Sociology and Political Science Social Psychology Culture Population Motivational interviewing MEDLINE Pilot Projects Health Promotion Article Interviews as Topic Intervention (counseling) Adaptation Psychological Humans Cooperative Behavior education Depressive Disorder Major Motivation education.field_of_study Hispanic or Latino Cognitive reframing Focus group Antidepressive Agents Health promotion Patient Compliance Female Psychology Attitude to Health Inclusion (education) Clinical psychology |
Zdroj: | Cultural Diversity and Ethnic Minority Psychology. 16:215-225 |
ISSN: | 1939-0106 1099-9809 |
Popis: | Poor antidepressant adherence is a significant issue in depression treatment that adversely affects treatment outcomes. Although being a common problem, it tends to be more common among Latinos. To address this problem, the current study adapted a Motivational Interviewing (MI) intervention to improve adherence among Latinos with depression. The adaptation process included six focus groups that elicited participants' perspectives (N = 30), applying the intervention with test cases (N = 7) to fine-tune the intervention, and eliciting feedback on the intervention (N = 5). The findings generated from these adaptation phases are described, along with a case example. Examples of adaptations to the MI included reframing antidepressant adherence as a way to luchar (struggle) against problems, focusing on motivation for improving depression and not just medication, refining methods for imparting antidepressant information, and inclusion of personalized visual feedback on dose-taking. The findings provide a description of the antidepressant issues experienced by a group of Latinos, as well as considerations for applying MI with this population. The intervention remained grounded in MI principles, but was contextualized for this Latino group. |
Databáze: | OpenAIRE |
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