Training general practitioners in behavior change counseling to improve asthma medication adherence |
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Authors: | Broers Sandra Smets Ellen Bindels Patrick Evertsz' Floor Bennebroek Calff Mart de Haes Hanneke |
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Institution: | Department of Medical Psychology, University of Amsterdam (AMC UvA), P.O. Box 22660, 1100DD Amsterdam, The Netherlands. |
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Abstract: | OBJECTIVE: Adherence to asthma medication regimens is problematic in general practice. We developed and evaluated a communication training for general practitioners (GPs) to help them address medication adherence during routine consultations. This paper describes the development of the training and evaluation results of a pilot study. METHODS: The training was based on behavior change counseling (BCC), a technique derived from motivational interviewing. We developed a five phases BCC consultation model. Participating GPs answered questions at baseline (T0), directly after (T1) and 4-10 months after (T2) the training that assessed their attitudes and confidence regarding adherence communication. They completed evaluation forms at T1 and T2. RESULTS: The 19 participating GPs were positive about the course and the feasibility of BCC in GP consultations. Also, after the training, their attitudes and confidence had improved (p<0.05) and all reported to use BCC skills at least sometimes 4-10 months after the training. CONCLUSION: These positive effects provide us with some hope that the training positively influenced the GP's communication behavior. PRACTICE IMPLICATIONS: If further data on physician behavior and patient outcomes justify implementation of the training, it would then be worthwhile to also involve practice nurses. |
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