Using Motivational Interviewing to promote medication adherence in patients with major depressive disorder.
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| Titel: | Using Motivational Interviewing to promote medication adherence in patients with major depressive disorder. |
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| Autoren: | Bello O; Department of Graduate Studies, University of Texas Health Science Center at Houston Cizik School of Nursing, 6901 Bertner Ave, Office 682, Houston, TX 77030, United States of America. Electronic address: Ololade.T.Bello@uth.tmc.edu., Kearney K; Department of Graduate Studies, University of Texas Health Science Center at Houston Cizik School of Nursing, 6901 Bertner Ave., office 644, Houston, TX 77030, United States of America. Electronic address: Kelly.Kearney@uth.tmc.edu. |
| Quelle: | Archives of psychiatric nursing [Arch Psychiatr Nurs] 2025 Dec; Vol. 59, pp. 151968. Date of Electronic Publication: 2025 Sep 02. |
| Publikationsart: | Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: W.B. Saunders Country of Publication: United States NLM ID: 8708534 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8228 (Electronic) Linking ISSN: 08839417 NLM ISO Abbreviation: Arch Psychiatr Nurs Subsets: MEDLINE |
| Imprint Name(s): | Publication: Philadelphia, PA : W.B. Saunders Original Publication: Orlando, FL : Grune & Stratton, c1987- |
| MeSH-Schlagworte: | Motivational Interviewing*/methods , Depressive Disorder, Major*/drug therapy , Depressive Disorder, Major*/psychology , Depressive Disorder, Major*/therapy , Medication Adherence*/psychology, Humans ; Male ; Female ; Adult ; Middle Aged |
| Abstract: | Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Background: Medication non-adherence is common in patients with major depressive disorder (MDD) and leads to high relapse rates. Motivational Interviewing (MI), a patient-centered psychotherapy technique, can improve adherence and has been effective in various psychiatric diagnoses. Local Problem: Despite integrated pharmacotherapy and psychotherapy, high readmission rates persist due to medication non-adherence. Method: The project, conducted at an outpatient psychiatric center in the United State, involved patients with MDD. The project employed a pretest-posttest design to evaluate the effect of MI. Implementation: Nurses, nurse practitioners, physicians, and licensed counselors are the key stakeholders in the QI project. MDD patients received four MI sessions, with data collected using the Medication Adherence Rating Scale (MARS). Results: The post-intervention report showed an average increase of 50 % in the participants' MARS score. Conclusion: Incorporating MI reduced relapse rates, improved medication adherence, and enhanced communication between patients and providers. (Copyright © 2025 Elsevier Inc. All rights reserved.) |
| Contributed Indexing: | Keywords: Major depressive disorder; Motivational Interviewing; Nursing; Psychiatry; Psychopharmacology; Psychotherapy; Quality Improvement |
| Entry Date(s): | Date Created: 20251119 Date Completed: 20251119 Latest Revision: 20251119 |
| Update Code: | 20251121 |
| DOI: | 10.1016/j.apnu.2025.151968 |
| PMID: | 41260835 |
| Datenbank: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br />Background: Medication non-adherence is common in patients with major depressive disorder (MDD) and leads to high relapse rates. Motivational Interviewing (MI), a patient-centered psychotherapy technique, can improve adherence and has been effective in various psychiatric diagnoses.<br />Local Problem: Despite integrated pharmacotherapy and psychotherapy, high readmission rates persist due to medication non-adherence.<br />Method: The project, conducted at an outpatient psychiatric center in the United State, involved patients with MDD. The project employed a pretest-posttest design to evaluate the effect of MI.<br />Implementation: Nurses, nurse practitioners, physicians, and licensed counselors are the key stakeholders in the QI project. MDD patients received four MI sessions, with data collected using the Medication Adherence Rating Scale (MARS).<br />Results: The post-intervention report showed an average increase of 50 % in the participants' MARS score.<br />Conclusion: Incorporating MI reduced relapse rates, improved medication adherence, and enhanced communication between patients and providers.<br /> (Copyright © 2025 Elsevier Inc. All rights reserved.) |
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| ISSN: | 1532-8228 |
| DOI: | 10.1016/j.apnu.2025.151968 |