TY - JOUR
T1 - Development and validation of motivational messages to improve prescription medication adherence for patients with chronic health problems
AU - Kreps, Gary L.
AU - Villagran, Melinda M.
AU - Zhao, Xiaoquan
AU - McHorney, Colleen A.
AU - Ledford, Christy
AU - Weathers, Melinda
AU - Keefe, Brian
N1 - Funding Information:
We gratefully acknowledge the support of the members of the Fairfax County Health Literacy Initiative, Harris Interactive, and assorted staff at both the Center for Health and Risk Communication at George Mason University and the US Outcomes Research Division at Merck and Co., Inc.
Funding Information:
Role of funding: This research program was funded through a grant from Merck and Co., Inc. There was active collaboration between the Center for Health and Risk Communication at George Mason University and the US Outcomes Research Division at Merck and Co., Inc. on the design, data collection, analysis, interpretation of data, preparation of the research report, and the decision to submit this research for publication.
PY - 2011/6
Y1 - 2011/6
N2 - Objective: Poor adherence with prescription medications is a serious problem in health care, especially true for patients with chronic diseases. Previous strategies to promote adherence have generally not resulted in long-term improvements. This research program is designed to improve on past intervention strategies by developing evidence-based and theoretically grounded communication interventions to promote increased adherence. Methods: Phase 1 of this research program used qualitative methods to examine the uncertainties and concerns that influence medication adherence, identify messages for addressing these concerns, and develop refined motivational messages for promoting medication adherence. Phase 2 of this research program experimentally assessed chronic disease patients' evaluations of the refined motivational messages. Results: Phase 1 qualitative research indicated that patient concerns about their need for the prescribed medication (commitment) was the primary adherence issue, followed by concerns about side effects and the safety of prescription medications, and concerns about the medication costs. These three key issues were translated into draft motivational messages which were evaluated, validated, and refined. Phase 2 experimental research showed that exposure to motivational messages increased consumers' intention to adhere with medication recommendations. Conclusion: Follow-up intervention research is warranted to test the use of these motivational messages to promote medication adherence. Practice implications: Pharmacies and pharmacists have the potential to perform a central role in providing consumers with the relevant information they need to make responsible decisions that lead to increased adherence with prescription medication recommendations.
AB - Objective: Poor adherence with prescription medications is a serious problem in health care, especially true for patients with chronic diseases. Previous strategies to promote adherence have generally not resulted in long-term improvements. This research program is designed to improve on past intervention strategies by developing evidence-based and theoretically grounded communication interventions to promote increased adherence. Methods: Phase 1 of this research program used qualitative methods to examine the uncertainties and concerns that influence medication adherence, identify messages for addressing these concerns, and develop refined motivational messages for promoting medication adherence. Phase 2 of this research program experimentally assessed chronic disease patients' evaluations of the refined motivational messages. Results: Phase 1 qualitative research indicated that patient concerns about their need for the prescribed medication (commitment) was the primary adherence issue, followed by concerns about side effects and the safety of prescription medications, and concerns about the medication costs. These three key issues were translated into draft motivational messages which were evaluated, validated, and refined. Phase 2 experimental research showed that exposure to motivational messages increased consumers' intention to adhere with medication recommendations. Conclusion: Follow-up intervention research is warranted to test the use of these motivational messages to promote medication adherence. Practice implications: Pharmacies and pharmacists have the potential to perform a central role in providing consumers with the relevant information they need to make responsible decisions that lead to increased adherence with prescription medication recommendations.
KW - Chronic diseases
KW - Communication interventions
KW - Medication adherence
KW - Motivational messages
UR - http://www.scopus.com/inward/record.url?scp=79958773377&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79958773377&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2011.04.029
DO - 10.1016/j.pec.2011.04.029
M3 - Article
C2 - 21602010
AN - SCOPUS:79958773377
SN - 0738-3991
VL - 83
SP - 375
EP - 381
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -