Singh Pavneet, Campbell Tavis, LeBlanc Pamela, King-Shier Kathryn M
Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4, Canada.
Department of Psychology, University of Calgary, Calgary, AB T2N 1N4, Canada.
Patient Prefer Adherence. 2020 Apr 21;14:757-765. doi: 10.2147/PPA.S234997. eCollection 2020.
South Asians (SAs) are among the fastest growing ethnic population in Western countries and have a higher risk of cardiovascular diseases relative to the general population. SAs living in Canada also have poorer adherence to medical regimens for treating cardiovascular disease, relative to other ethnic groups. Motivational interviewing (MI) maybe effective in improving health-related behaviour change in patients; however, the research is nascent on the effectiveness of MI in SAs and may also require cultural adaptation.
To develop a culturally tailored MI-based intervention to improve medication adherence in hypertensive SA patients living in Canada.
Previous literature about medication adherence in SAs was reviewed, along with transcripts and responses to open-ended survey questions from our previous studies with SAs, to draft an MI intervention manual. The manual received extensive feedback from the study team, SA community members and health-care providers who work with SA patients. The feedback was used to refine the manual and make it culturally tailored and relevant to SA hypertensive patients living in Canada.
A culturally tailored MI-based manual which we called a "motivational communication manual" was developed to support a study focused on improving medication adherence in SA hypertensive patients. The development process, components (eg, being culturally sensitive, family involvement, providing education about medications, reminders, etc.) and cultural nuances included in the manual are described in this paper.
This is the first culturally tailored MI-based intervention manual that has been developed with the aim of improving medication adherence in hypertensive SA patients and that includes direct feedback from SA community members. Use of this manual may improve the accessibility and adoption of MI-based practices in improving health behaviours in SAs living in Canada as well as encourage further research studies and clinical trials with SA patients.
南亚人是西方国家中增长最快的族裔群体之一，相对于普通人群，他们患心血管疾病的风险更高。与其他族裔群体相比，生活在加拿大的南亚人对心血管疾病治疗方案的依从性也较差。动机性访谈（MI）可能有助于改善患者与健康相关的行为改变；然而，关于MI对南亚人的有效性的研究尚处于初期阶段，可能还需要进行文化调适。
制定一种基于动机性访谈且经过文化调适的干预措施，以提高生活在加拿大的南亚高血压患者的药物依从性。
回顾了以往关于南亚人药物依从性的文献，以及我们之前对南亚人研究的开放式调查问卷的文字记录和回答，以起草一份动机性访谈干预手册。该手册收到了研究团队、南亚社区成员以及为南亚患者提供服务的医疗保健提供者的广泛反馈。这些反馈被用于完善手册，使其在文化上更具针对性，且与生活在加拿大的南亚高血压患者相关。
制定了一份基于动机性访谈且经过文化调适的手册，我们称之为“动机性沟通手册”，以支持一项旨在提高南亚高血压患者药物依从性的研究。本文描述了该手册的制定过程、组成部分（如文化敏感性、家庭参与、提供药物教育、提醒等）以及其中包含的文化细微差别。
这是第一份基于动机性访谈且经过文化调适的干预手册，旨在提高南亚高血压患者的药物依从性，并且包含了南亚社区成员的直接反馈。使用该手册可能会提高基于动机性访谈的实践在改善生活在加拿大的南亚人的健康行为方面的可及性和采用率，并鼓励对南亚患者进行进一步的研究和临床试验。
