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dc.contributor.authorRuiz Moral, Roger 
dc.contributor.authorPérula de Torres, Luis Ángel
dc.contributor.authorPulido Ortega, Laura
dc.contributor.authorCriado Larumbe, Margarita
dc.contributor.authorRoldán Villalobos, Ana
dc.contributor.authorFernández García, José Ángel
dc.contributor.authorParras Rejano, Juan Manuel
dc.description.abstractObjective: To evaluate the effectiveness of motivational interviewing (MI) in improving medication adherence in older patients being treated by polypharmacy. Methods: Cluster randomized clinical trial in 16 primary care centers with 27 health care providers and 154 patients. Thirty-two health care providers were assigned to an experimental (EG) or control group (CG). Interventions: MI training program and review of patient treatments. Providers in the EG carried out MI, whereas those in the CG used an “advice approach”. Three follow-up visits were completed, at 15 days and at 3 and 6[0] months. Medication adherence in both groups was compared (p<0.05). Results: Patients recruited: 70/84 (EG/CG). Mean age: 76 years; female: 68.8%. The proportion of subjects changing to adherence was 7.6% higher in the EG (p<0.001). Therapeutic adherence was higher for patients in the EG (OR=2.84), women (OR=0.24) and those with high educational levels (OR=3.93). Conclusion: A face-to-face motivational approach in primary care helps elderly patients with chronic diseases who are being treated by polypharmacy to achieve an improved level of treatment adherence than traditional strategies of providing information and advice. Practice Implications: MI is a patient-centered approach that can be used to improve medication adherence in primary
dc.publisherPatient Education and Counselingspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.subjectMedication adherencespa
dc.subjectPatient involvementspa
dc.titleEffectiveness of motivational interviewing to improve therapeutic adherence in patients over 65 years old with chronic diseases: A cluster randomized clinical trial in primary
dc.description.extent152 KBspa

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Atribución-NoComercial-SinDerivadas 3.0 España
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