1 Choochart Wong-Anuchit, PhD, RN, Mahasarakham University, Mahasarakham, Thailand.
2 Chutima Chantamit-o-pas, PhD, RN, Burapha University, Chonburi, Thailand.
J Am Psychiatr Nurses Assoc. 2019 Mar/Apr;25(2):122-133. doi: 10.1177/1078390318761790. Epub 2018 Mar 5.
Nonadherence is the leading cause of relapse in mental illness. No quantitative synthesis of multiple studies has been conducted to determine the effect of motivational interviewing (MI)-based compliance/adherence therapy (CAT) interventions on people with severe mental illness.
To synthesize the studies that examined the effectiveness of MI-based CAT interventions to improve psychiatric symptoms.
Quantitative meta-analysis.
Sixteen primary studies were retrieved ( N =1267 participants). MI-based CAT interventions significantly improved psychiatric symptoms with a moderate effect size (ES) of .45. Longer sessions and higher intervention doses showed significantly greater ESs than shorter sessions and lower doses. ESs were significantly lower when participants were older and when there was a longer period between the intervention and outcome measurement.
These findings support the effectiveness of MI-based CAT interventions. Session length and dose effect should be considered when tailoring MI to clients.
不依从是精神疾病复发的主要原因。目前还没有对多项研究进行定量综合分析，以确定基于动机访谈（MI）的依从性/遵医治疗（CAT）干预措施对严重精神疾病患者的影响。
综合研究以评估基于 MI 的 CAT 干预措施对改善精神症状的效果。
定量荟萃分析。
共检索到 16 项原始研究（ N =1267 名参与者）。基于 MI 的 CAT 干预措施可显著改善精神症状，其效应量（ES）为.45。较长的疗程和较高的干预剂量与较短的疗程和较低的剂量相比，具有更显著的 ES。当参与者年龄较大和干预与结果测量之间的时间间隔较长时，ES 显著降低。
这些发现支持基于 MI 的 CAT 干预措施的有效性。在针对患者定制 MI 时，应考虑疗程长度和剂量效应。
