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    Using Motivational Interviewing for Medication Adherence in Patients with Schizophrenia Spectrum Disorders

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    Author
    Tellers, Ashlyn
    Issue Date
    2020
    Keywords
    Medication adherence
    Motivational interviewing
    Schizophrenia spectrum disorders
    Therapeutic communication
    Advisor
    Badger, Terry
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Schizophrenia spectrum disorders are psychiatric illnesses that have a high incidence of patients not adhering to their antipsychotic medications. There are multiple factors that contribute to medication nonadherence in patients with a schizophrenia spectrum disorders. Nonadherence with antipsychotic medications can cause poor patient outcomes for patients with these psychiatric illnesses. There is evidence to support that the therapeutic communication intervention, motivational interviewing, can improve medication adherence in patients with schizophrenia spectrum disorders. This quality improvement project used a pre- and post-test design to assess medication adherence pre- and post-intervention. The main outcome of this project was to improve the patient outcome, medication adherence. This project included a study sample of two participants that met inclusion criteria. Patient A’s pre-intervention medication adherence rating scale (MARS) score was 7 out of 10 and Patient B’s score was 4 out of 10. The higher the score on the MARS, the more favorable medication adherence. Patient A was unable to receive a therapeutic session of motivational interviewing because he was acutely psychotic and paranoid. Patient B received one face-to-face motivational interview session and behavioral changes were discussed on how to maintain medication adherence. The one-month follow up post- intervention could not be completed due to appointments being rescheduled by the patients and provider. The post-intervention MARS were not completed and motivational interviewing was unable to be evaluated for effectiveness. Despite the lack of result findings on medication adherence, administering the MARS and utilizing motivational interviewing offered insight about the patient’s beliefs and feelings about their antipsychotic medication. It is recommended for future projects to expand the PDSA cycle to recruit more participants and fully implement the study protocol. Keywords: motivational interviewing, medication adherence, schizophrenia spectrum disorders, and therapeutic communication.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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