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Motivational interviewing for adherence: post-training attitudes and perceptions of physicians who treat asthma patients

机译：参加动机性访谈：治疗哮喘患者的医师的培训后态度和看法

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Objective: The aim of this study was to evaluate the attitudes and perceptions of health care professionals (HCPs) who have been trained in motivational interviewing (MI) to improve adherence. Another objective of this study was to compare groups of HCPs with different levels of training in adherence (trained vs untrained; previous training in adherence education [AdhE] vs specific training in MI). Methods: For this study, a national questionnaire-based survey was conducted among HCPs treating asthma. A total of 360 HCPs were surveyed (allergists: n=110; pulmonologists: n=120; general practitioners: n=130). Of them, 180 physicians had received a training intervention (training in AdhE: n=90; training in MI to promote adherence: n=90). Results: Of the total surveyed HCPs, 92.8% reported adherence is highly important in asthma control. More professionals trained in MI compared to those trained in AdhE considered that “simplifying treatment as far as possible” (85.6% vs 68.9%, P =0.0077), “involving the patient in treatment plans” (85.6% vs 71.1%, P =0.0187), “giving the patient self-care patterns” (52.2% vs 36.7%, P =0.0357) and “performing MI” (42.2% vs 15.6%, P <0.0001) were the most important interventions to promote adherence. “Empathy between doctor and patient” (93.3% vs 77.8%, P =0.0036) and “concordance of medical and patient treatment goals” (96.7% vs 72.2%, P <0.0001) were the factors perceived as having the greatest influence in improving adherence to asthma treatment by the physicians in the MI group as opposed to those in the AdhE group. The use of MI in asthma consultation was the most highly valued resource to promote adherence to treatment among all the professionals, particularly those who had received specific MI training compared to those who had received any kind of previous training in AdhE (96.7% vs 66.7%, P <0.0001). Conclusion: MI is considered an important tool to promote adherence to asthma treatment among HCPs, especially among those specifically trained in that aspect. MI training interventions seem to influence HCPs’ approaches to improve self-care and to engage patients in treatment plans rather than approaches solely centered on AdhE.
机译：目的：本研究的目的是评估经过动机面试（MI）培训以提高依从性的医疗专业人员（HCP）的态度和看法。这项研究的另一个目标是比较接受了不同程度的坚持训练的HCP组（训练与未训练;先前的坚持教育[AdhE]训练与MI的特定训练）。方法：在这项研究中，对治疗哮喘的HCP进行了基于全国问卷的调查。共调查了360个HCP（过敏症患者：n = 110;肺科医生：n = 120;全科医生：n = 130）。其中，有180名医生接受了培训干预（AdhE培训：n = 90; MI促进依从性培训：n = 90）。结果：在所有接受调查的HCP中，有92.8％的依从性对控制哮喘非常重要。与接受AdhE培训的人员相比，接受MI培训的专业人员更多，认为“尽可能简化治疗”（85.6％vs 68.9％，P = 0.0077），“使患者参与治疗计划”（85.6％vs 71.1％，P = 0.0187），“给予患者自我保健模式”（52.2％vs 36.7％，P = 0.0357）和“表现MI”（42​​.2％vs 15.6％，P <0.0001）是促进依从性的最重要干预措施。认为“医患之间的空虚”（93.3％vs 77.8％，P = 0.0036）和“医疗和患者治疗目标的一致性”（96.7％vs 72.2％，P <0.0001）是被认为对改善病情影响最大的因素。 MI组的医生与AdhE组的医生坚持哮喘治疗的依从性不同。在所有专业人员中，尤其是接受过特定MI培训的人员与以前接受过任何AdhE培训的人员相比，在哮喘咨询中使用MI是促进坚持治疗的最有价值资源（96.7％vs 66.7％ ，P <0.0001）。结论：MI被认为是在HCP中，尤其是在那方面经过专门培训的人中，促进坚持治疗哮喘的重​​要工具。 MI培训干预措施似乎会影响HCP改善自我护理并使患者参与治疗计划的方法，而不是仅以AdhE为中心的方法。

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