Development and content of a group-based intervention to improve medication adherence in non-adherent patients with rheumatoid arthritis

作者：Zwikker Hanneke; van den Bemt Bart; van den Ende Cornelia; van Lankveld Wim; den Broeder Alfons; van den Hoogen Frank; van de Mosselaar Birgit; van Dulmen Sandra

来源：Patient Education and Counseling, 2012, 89(1): 143-151.

DOI：10.1016/j.pec.2012.07.007

• Adherence
• Beliefs about medication
• Development
• Intervention mapping
• Non-adherence
• Medication
• Motivational interviewing
• Practical barriers
• Rheumatoid arthritis

Objective: To describe the systematic development and content of a short intervention to improve medication adherence to disease-modifying anti-rheumatic drugs in non-adherent patients with rheumatoid arthritis (RA). %26lt;br%26gt;Methods: The intervention mapping (IM) framework was used to develop the intervention. The following IM steps were conducted: (1) a needs assessment; (2) formulation of specific intervention objectives; (3) inventory of methods and techniques needed to design the intervention and (4) production and piloting of the intervention. %26lt;br%26gt;Results: The intervention (consisting of two group sessions led by a pharmacist, a homework assignment, and a follow-up call) aims to improve the balance between necessity and concern beliefs about medication, and to resolve practical barriers in medication taking. The central communication method used is motivational interviewing. %26lt;br%26gt;Conclusion: By applying the IM framework, we were able to create a feasible, time-efficient and promising intervention to improve medication adherence in non-adherent RA patients. Intervention effects are currently being assessed in a randomized controlled trial. %26lt;br%26gt;Practice implications: This paper could serve as a guideline for other health care professionals when developing similar interventions. If the RCT demonstrates sufficient effectiveness of this intervention in reducing medication non-adherence in RA patients, the intervention could be embedded in clinical practice.

• 出版日期2012-10