Motivational interviewing to explore culturally and linguistically diverse people's comorbidity medication self-efficacy

Williams,A, Manias,E, Cross,W and Crawford,K 2015, Motivational interviewing to explore culturally and linguistically diverse people's comorbidity medication self-efficacy, Journal of Clinical Nursing, vol. 24, no. 9-10, pp. 1269-1279, doi: 10.1111/jocn.12700.

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Title Motivational interviewing to explore culturally and linguistically diverse people's comorbidity medication self-efficacy
Author(s) Williams,A
Manias,EORCID iD for Manias,E
Journal name Journal of Clinical Nursing
Volume number 24
Issue number 9-10
Start page 1269
End page 1279
Publisher Wiley
Publication date 2015-05
ISSN 0962-1067
Keyword(s) Cardiovascular disease
Chronic kidney disease
Culturally and linguistically diverse groups
Motivational interviewing
Summary Aims and objectives: To examine the perceptions of a group of culturally and linguistically diverse participants with the comorbidities of diabetes, chronic kidney disease and cardiovascular disease to determine factors that influence their medication self-efficacy through the use of motivational interviewing. Background: These comorbidities are a global public health problem and their self-management is more difficult for culturally and linguistically diverse populations living in English-speaking communities. Few interventions have been tested in culturally and linguistically diverse people to improve their medication self-efficacy. Design: A series of motivational interviewing telephone calls were conducted in the intervention arm of a randomised controlled trial using interpreter services. Methods: Patients with these comorbidities aged ≥18 years of age whose preference it was to speak Greek, Italian or Vietnamese were recruited from nephrology outpatient clinics of two Australian metropolitan hospitals in 2009. Results: The average age of the 26 participants was 73·5 years. The fortnightly calls averaged 9·5 minutes. Thematic analysis revealed three core themes which were attitudes towards medication, having to take medication and impediments to chronic illness medication self-efficacy. A lack of knowledge about medications impeded confidence necessary for optimal disease self-management. Participants had limited access to resources to help them understand their medications. Conclusion: This work has highlighted communication gaps and barriers affecting medication self-efficacy in this group. Culturally sensitive interventions are required to ensure people of culturally and linguistically diverse backgrounds have the appropriate skills to self-manage their complex medical conditions. Relevance to clinical practice: Helping people to take their medications as prescribed is a key role for nurses to serve and protect the well-being of our increasingly multicultural communities. The use of interpreters in motivational interviewing requires careful planning and adequate resources for optimal outcomes.
Language eng
DOI 10.1111/jocn.12700
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
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Document type: Journal Article
Collection: School of Nursing and Midwifery
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