TY - JOUR
T1 - Training general practitioners in behavior change counseling to improve asthma medication adherence
AU - Broers, Sandra
AU - Smets, Ellen
AU - Bindels, Patrick
AU - Bennebroek Evertsz', Floor
AU - Calff, Mart
AU - de Haes, Hanneke
PY - 2005
Y1 - 2005
N2 - Objective: Adherence to asthma medication regimens is problematic in general practice. We developed and evaluated a communication training for general practitioners (GPs) to help them address medication adherence during routine consultations. This paper describes the development of the training and evaluation results of a pilot study. Methods: The training was based on behavior change counseling (BCC), a technique derived from motivational interviewing. We developed a five phases BCC consultation model. Participating GPs answered questions at baseline (T0), directly after (T1) and 4-10 months after (T2) the training that assessed their attitudes and confidence regarding adherence communication. They completed evaluation forms at T1 and T2. Results: The 19 participating GPs were positive about the course and the feasibility of BCC in GP consultations. Also, after the training, their attitudes and confidence had improved (p <0.05) and all reported to use BCC skills at least sometimes 4-10 months after the training. Conclusion: These positive effects provide us with some hope that the training positively influenced the GP's communication behavior. Practice implications: If further data on physician behavior and patient outcomes justify implementation of the training, it would then be worthwhile to also involve practice nurses. (c) 2005 Elsevier Ireland Ltd. All rights reserved
AB - Objective: Adherence to asthma medication regimens is problematic in general practice. We developed and evaluated a communication training for general practitioners (GPs) to help them address medication adherence during routine consultations. This paper describes the development of the training and evaluation results of a pilot study. Methods: The training was based on behavior change counseling (BCC), a technique derived from motivational interviewing. We developed a five phases BCC consultation model. Participating GPs answered questions at baseline (T0), directly after (T1) and 4-10 months after (T2) the training that assessed their attitudes and confidence regarding adherence communication. They completed evaluation forms at T1 and T2. Results: The 19 participating GPs were positive about the course and the feasibility of BCC in GP consultations. Also, after the training, their attitudes and confidence had improved (p <0.05) and all reported to use BCC skills at least sometimes 4-10 months after the training. Conclusion: These positive effects provide us with some hope that the training positively influenced the GP's communication behavior. Practice implications: If further data on physician behavior and patient outcomes justify implementation of the training, it would then be worthwhile to also involve practice nurses. (c) 2005 Elsevier Ireland Ltd. All rights reserved
U2 - https://doi.org/10.1016/j.pec.2005.06.001
DO - https://doi.org/10.1016/j.pec.2005.06.001
M3 - Article
C2 - 16024211
SN - 0738-3991
VL - 58
SP - 279
EP - 287
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -