TDNet Discover

Medication non-adherence is a prevalent issue among patients diagnosed with psychotic symptoms, which results in relapse and re-hospitalization. Current measures to address medication non-adherence in the psychiatric setting have not been successful. The PICOT question for the project was as follows: For adult patients with psychotic symptoms, does motivational interviewing, compared to standard medication discharge instructions, impact medication compliance in 10 weeks? The Behavior Change Wheel (BCW) guided the project to enhance the implementation of the MI intervention. The model comprises three layers: capability, opportunity, motivation, and behavior. A review of the literature showed that MI is an effective intervention for addressing intervention for promoting medication non-adherence among patients with psychotic symptoms. The project encompassed 307 participants who underwent medication adherence screening using the Medication Adherence Rating Scale (MARS-10) pre/post-intervention. Participants were counseled using MI techniques before undergoing the 1st and 2nd post-intervention evaluation. The pre-intervention MARS-10 score mean was 3.54 (SD=1.088), 1st post-intervention MARS-10 score mean was 7.06 (SD=0.820), 2nd post-intervention MARS-10 score mean was 7.02 (SD=0.802). The paired sample test t-statistic value was -44.910. In conclusion, the project results showed that motivational interviewing (MI) counseling has an outstanding impact on medication adherence in patients diagnosed with psychosis.