Display Settings:

Format

Send to:

Choose Destination
Patient Educ Couns. 2012 Oct;89(1):143-51. doi: 10.1016/j.pec.2012.07.007. Epub 2012 Aug 9.

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

Author information

  • 1Department of Rheumatology and Pharmacy, Sint Maartenskliniek, Nijmegen, The Netherlands. h.zwikker@maartenskliniek.nl

Abstract

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).

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.

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.

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.

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.

Crown Copyright © 2012. Published by Elsevier Ireland Ltd. All rights reserved.

PMID:
22878029
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk