Interventions Combining Motivational Interviewing and Cognitive Behavior to Promote Medication Adherence: A Literature Review

Aims and objectives: The World Health Organization has indicated medication adherence is a global problem. Both motivational interviewing (MI) and cognitive behavioral therapy (CBT) interventions alone have been found to be effective at improving medication adherence. This article summarizes research that has combined motivational interviewing and cognitive behavioral therapy to improve medication adherence. Background: Projections indicate that by 2015, 33% of cancer treatment will be in pill form, shifting responsibility for managing medication adherence to patients. These regimens are often complex, with multiple doses, drugs, or cycling, and patients often experience side effects from symptoms, making adherence difficult. Patients taking cancer treatment in pill form must strictly adhere to their regimen to achieve a therapeutically effective level for cancer treatment. Design: Literature review. Methods: Data were obtained from six studies that combined MI and CBT in an intervention to promote medication adherence. Analysis was performed based on an integrative review process. Results: Five studies on medication adherence rates using combined MI and CBT reported improved medication adherence rates; and one was trending toward improved medication adherence rates. Conclusions: Combined MI/CBT interventions improved medication adherence in various conditions; and may be effective in challenging clinical conditions, such as when cancer treatment is prescribed in pill form. Relevance to clinical practice: This review focused on interventions that combined motivational interviewing and cognitive behavioral therapy to promote medication adherence. Findings provide nurses with an overview of interventions that may be used in developing programs to help patients manage adherence to cancer treatment in pill form; as well as in other challenging conditions where medication adherence is crucial. A detailed description of the interventions found to be effective is provided to assist nurses in translating evidence into practice

mHealth SMS Text Messaging Interventions and to Promote Medication Adherence: An Integrative Review

Aims and objectives: This article is an integrative review of the evidence for mobile health Short Message Service text messages as an innovative and emerging intervention to promote medication adherence. Authors completed this review to draw conclusions and implications towards establishing a scientific foundation for use of text messages to promote medication adherence, thus informing clinical practice. Background: The World Health Organization has identified medication adherence as a priority global problem. Text messages are emerging as an effective means of improving health behaviours and in some diseases to promote medication adherence. However, a gap in the literature indicates lack of evidence in guiding theories and content of text messages, which should be synthesised prior to use in clinical practice. Design: Integrative review. Methods: Cumulative Index to Nursing and Allied Health Literature, Excerpta Medica dataBASE, Scopus, the Cochrane Library and PubMed were searched for relevant studies between 2004–2014. Inclusion criteria were (1) implementation of a text-message intervention and (2) medication adherence to a prescribed oral medication as a primary outcome. Articles were assessed for quality of methodology and measures of adherence. An integrative review process was used to perform analysis. Results: Thirteen articles meeting the inclusion criteria are included in this review. Nine of 13 studies found adherence rates improved between 15·3—17·8% when using text messages to promote medication adherence. Text messages that were standardised, tailored, one- or two-way and timed either daily to medication regimen, weekly or monthly showed improvement in medication adherence. Conclusions: This review established a scientific basis for text messages as an intervention to improve medication adherence across multiple diseases. Future large rigorous randomised trials are needed to further test text messaging interventions. Relevance to clinical practice: This review provides clinicians with the state of the science with regard to text messaging interventions that promote medication adherence. A description of intervention components are provided to aid nurses in development of text messages and in translating evidence into practice

Writing for Better or Worse: Out of the Scriptorium and into the Digital Stream

The ability to write well grants the writer agency to affect change. Will use of technology affect writing and rhetoric as tools of power? Discuss challenges instructors face; view visuals of digital applications that have proved successful. Learn how writing has historically changed due to inventions and changes in cultur

The Fletcher-Ridenour Blogging Experience: How Two Instructors Can Cooperatively Use Student Blogs to Improve Metacognitive Skills in First-Year Writing and Motivate Students to Stay in School

Presenters will show how to develop a combined blog in which individual student blogs are linked to a main blog shared by several instructors. Presenters will also share sample blogging activities designed for the development of writing and improvement of metacognitive skills