Adaptation of a Motivational Interviewing Intervention to Improve Antidepressant Adherence Among Latinos
Adaptation of a Motivational Interviewing Intervention to Improve Antidepressant Adherence Among Latinos
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DOI：
10.1037/a0016072
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发表时间：
2010-04-01
影响因子：
3.3
通讯作者：
Guarnaccia, Peter J.
中科院分区：
文献类型：
--
作者：
Interian, Alejandro;Martinez, Igda;Guarnaccia, Peter J.
抗抑郁药依从性差是抑郁症治疗中的一个重要问题，对治疗结果产生不利影响。虽然这是一个常见的问题，但在拉丁美洲人中更为常见。为了解决这个问题，目前的研究采用了动机访谈（MI）干预，以提高拉丁美洲抑郁症患者的依从性。适应过程包括六个焦点小组，引起参与者的观点（N = 30），应用测试案例的干预（N = 7），微调干预，并引起对干预的反馈（N = 5）。从这些适应阶段产生的调查结果进行了描述，沿着的情况下的例子。适应MI的例子包括将抗抑郁药依从性重新定义为对抗问题的一种方式，关注改善抑郁症的动机，而不仅仅是药物治疗，改进给予抗抑郁药信息的方法，以及纳入剂量服用的个性化视觉反馈。这些发现提供了一组拉丁美洲人所经历的抗抑郁药问题的描述，以及对这一人群应用MI的考虑。干预仍然扎根于MI原则，但这一拉丁美洲群体的背景。
Poor antidepressant adherence is a significant issue in depression treatment that adversely affects treatment outcomes. Although being a common problem, it tends to be more common among Latinos. To address this problem, the current study adapted a Motivational Interviewing (MI) intervention to improve adherence among Latinos with depression. The adaptation process included six focus groups that elicited participants perspectives (N = 30), applying the intervention with test cases (N = 7) to fine-tune the intervention, and eliciting feedback on the intervention (N = 5). The findings generated from these adaptation phases are described, along with a case example. Examples of adaptations to the MI included reframing antidepressant adherence as a way to luchar (struggle) against problems, focusing on motivation for improving depression and not just medication, refining methods for imparting antidepressant information, and inclusion of personalized visual feedback on dose-taking. The findings provide a description of the antidepressant issues experienced by a group of Latinos, as well as considerations for applying MI with this population. The intervention remained grounded in MI principles, but was contextualized for this Latino group.