Wagoner Scott T, Kavookjian Jan
Department of Psychology, Auburn University, Auburn, AL, USA.
Department of Health Outcomes Research and Policy, Auburn University, Auburn, AL, USA.
J Clin Med Res. 2017 Aug;9(8):659-666. doi: 10.14740/jocmr3081w. Epub 2017 Jul 1.
Inflammatory bowel disease (IBD) is a condition accompanied by several physical and often psychological symptoms (e.g., depression). Treatments generally involve dietary modifications and prescription medications. Of concern, non-adherence rates with prescription medications for this population have been reported to be between 30% and 45%. In order to examine an intervention that has shown promise in improving adherence, researchers systematically reviewed the literature in order to determine the impact of a motivational interviewing (MI) intervention on outcomes for individuals diagnosed with IBD. The outcomes assessed were broad and included, among others, the target behaviors of medication adherence and advice-seeking, and also patient-perceived provider empathy. Results suggest that MI can be effective in improving outcomes for individuals with IBD since patients experienced improved adherence rates, displayed greater advice-seeking behavior, and perceived providers as having more empathy and better communication skills. Further research is required since the pool of retained studies is small, evidencing a paucity of literature focusing on this evidence-based health behavior intervention for the behaviors needed to optimally manage IBD. Further, only adults were examined in these studies, so generalizations to children and adolescents are limited.
炎症性肠病（IBD）是一种伴有多种身体症状且常伴有心理症状（如抑郁症）的疾病。治疗通常包括饮食调整和处方药。令人担忧的是，据报道，该人群对处方药的不依从率在30%至45%之间。为了研究一种在提高依从性方面显示出前景的干预措施，研究人员系统地回顾了文献，以确定动机性访谈（MI）干预对被诊断为IBD的个体的治疗结果的影响。评估的结果范围广泛，其中包括药物依从性和寻求建议等目标行为，以及患者感知到的医护人员的同理心。结果表明，MI对改善IBD患者的治疗结果可能有效，因为患者的依从率提高，寻求建议的行为增多，并且认为医护人员更有同理心和更好的沟通技巧。由于纳入研究的样本量较小，需要进一步研究，这表明针对这种基于循证的健康行为干预措施以优化IBD管理所需行为的文献较少。此外，这些研究仅涉及成年人，因此对儿童和青少年的推广有限。
