Effectiveness of motivational interviewing on medication adherence in patients with breast cancer

Document Type : Research Paper

Authors

1 Department of Psychology, Islamic Azad Islamic University, Gogrgan Branch, Gorgan, Iran

2 Associate professor of clinical psychology department, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran

3 Assistant professor, Department of Psychology, Islamic Azad University, Gogrgan branch, Gorgan, Iran

4 Associate professor, Cancer Research Center, Semnan University of Medical Sciences, Semnan, Iran

Abstract

Introduction: Breast cancer is a chronic and debilitating disease that accompanied with many psychological problems in diagnosis and treatment process, which reduces adherence to treatment. Various interventional models have been used to increase adherence to treatment. One of these models is motivational interview. The present study aimed to determine the effectiveness of motivational interviewing on adherence to treatment in patients with breast cancer. 
Materials and Methods: In this clinical trial, 44 patients with breast cancer who referred to Kowsar hospital in Semnan were selected and randomly assigned into three groups (group intervention, individualized intervention and control). Morisky 8-Item Medication Adherence Questionnaire used for pre and post-test. After pre-test, individual and group motivational interviews (5 weekly 45 minute sessions) performed. Data analyzed by covariance analysis in SPSS-21 software. 
Results: The findings of one-way ANOVA showed that there was no significant difference in pre-test scores of medication adherence between the groups (F= 0.188, P= 0.829). The results showed that the mean score of medication adherence in individualized and group intervention increased, while the scores of the control group reduced. Therefore, motivational interviewing increased medication adherence in individualized and group interventions (p < 0.002). 
Conclusion: Generally, motivational interviewing is effective to increase medication adherence in patients with breast cancer. Considering no significant difference between individualized and group intervention, group intervention recommended due to the cost-effectiveness.

Keywords

References

1.             Rosen PP. Rosen's breast pathology. Philadelphia: Lippincott Williams and Wilkins; 2001.
2.             Mousavi SM, Montazeri A, Mohagheghi MA, Mousavi Jarrahi A, Harirchi I, Najafi M, et al. Breast cancer in Iran: an epidemiological review. The breast journal 2007; 13(4): 383-91.
3.             World Health Organization. Chronic diseases. [cited 2013]. Available from: http://www.who.int/topics/chronic_diseases/en/.
4.             Masror Roudsari D, Dabiri Golchin M, Parsa yekta Z, Haghani H. [Relationship between adherence to therapeutic regimen and health related quality of life in hypertensive patients]. Iranian journal of nursing 2013; 26: 44-54. (Persian)
5.             Rahimian Boogar I. [Clinical health psychology (prevention, formulation and treatment)]. Tehran: Danjeh; 2009. (Persian)
6.             Sanderson CA. [Health psychology: Understanding the mind-body connection]. Jamhari F. (translator). Karaj: Sarafraz; 2013. (Persian)
7.             Makvand Hosseini S, Ersi K, Moemeni A. [Effectiveness of motivational interviewing on treatment adherence in dialysis patients in Hajar hospital of Shahrekord, 2013]. Journal of Shahrekord University of Medical Sciences 2015; 17(4): 17-24. (Persian)
8.             Mirkarimi K, Honarvar M, Ariaie M, Bordi R, Kamran A. [Effect of motivational interviewing on adherence to treatment in patients with hypertension]. Quarterly journal of horizon of medical sciences 2015; 21(3): 213-20. (Persian)
9.             Özdemir Ü, Tasci S. An individual focused approach in oncology: Motivational interview. Open access library journal 2014; 1: 1-5.
10.          Bakayian M. [Evaluation of personality traits, memory performance and demographic characteristics as predictors of treatment outcome in cardiac patients]. MS. Dissertation. Faculty of Psychology, Shiraz University, 2013. (Persian)
11.          Ghanei Gheshlagh R, Ebadi A, Veisi Raygani AK, Nourozi Tabrizi K, Dalvandi A, Mahmoodi H. [Determining concurrent validity of the Morisky Medication Adherence Scale in patients with type 2 diabetes]. Iranian journal of rehabilitation research in nursing 2015; 1(3): 24-32. (Persian)
12.          Kooshyar H, Shoorvazi M, Dalir Z, Hosseini M. [Health literacy and its relationship with medical adherence and health-related quality of life in diabetic community-residing elderly]. Journal of Mazandaran University of Medical Sciences 2014; 23(1): 134-43. (Persian)
13.          Miller WR, Rollnick S. Motivational interviewing: Preparing people for change. 2nd ed. Washington D.C: The Guilford press; 2002.
14.          Rusch N, Corrigan PW. Motivational interviewing to improve insight and treatment adherence in schizophrenia. Psychiatr Rehabil J 2002; 26(1): 23-32.
15.          Levensky ER, Forcehimes A, O'Donohue WT, Beitz K. Motivational interviewing: an evidence-based approach to counseling helps patients follow treatment recommendations. Am J Nurs 2007; 107(10): 50-8.
16.          Bean MK, Powell P, Quinoy A, Ingersoll K, Wickham EP, Mazzeo SE. Motivational interviewing targeting diet and physical activity improves adherence to paediatric obesity treatment: results from the MI Values randomized controlled trial. Pediatr Obesity 2015; 10(2): 118-25.
17.          Palacio A, Garay D, Langer B, Taylor J, Wood BA, Tamariz L. Motivational interviewing improves medication adherence: A systematic review and meta-analysis. J Gen Intern Med 2016; 31(8): 929-40.
18.          Spencer JC, Wheeler SB. A systematic review of motivational interviewing interventions in cancer patients and survivors. Patient Educ Couns 2016; 99(7): 1099-105.
19.          Roman-Rodriguez M, Ibarrola-Ruiz L, Mora F, Plaza V, Sastre J, Torrego A, et al. Motivational interviewing for adherence: Post-training attitudes and perceptions of physicians who treat asthma patients. Patient Prefer Adherence 2017; 11: 811-20.
20.          Horne R, Chapman SC, Parham R, Freemantle N, Forbes A, Cooper V. Understanding patients' adherence-related beliefs about medicines prescribed for long-term conditions: A meta-analytic review of the Necessity-Concerns Framework. PloS One 2013; 8(12): e80633.
21.          McCarley P. Patient empowerment and motivational interviewing: Engaging patients to self-manage their own care. Nephrol Nurs J 2009; 36(4): 409-13.
22.          Martino S. Motivational interviewing to engage patients in chronic kidney disease management. Blood Purif 2011; 31(1-3): 77-81.
23.          Arkowitz H, Miller WR, Rollnick S. Motivational Interviewing in the treatment of psychological problems. 2nd ed. Washington. D.C: The Guilford press; 2015.
24.          Resnicow K, Jackson A, Wang T, De AK, McCarty F, Dudley WN, et al. A motivational interviewing intervention to increase fruit and vegetable intake through Black churches: Results of the Eat for Life trial. Am J Public Health 2001; 91(10): 1686-93.
Journal of Fundamentals of Mental Health
Volume 22, Issue 1
January and February 2020
Pages 69-75

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