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Motivational interviewing to explore culturally and linguistically diverse people's comorbidity medication self-efficacy
journal contribution
posted on 2015-05-01, 00:00 authored by A Williams, Elizabeth ManiasElizabeth Manias, W Cross, K CrawfordAims 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.
History
Journal
Journal of Clinical NursingVolume
24Issue
9-10Pagination
1269 - 1279Publisher
WileyPublisher DOI
ISSN
0962-1067eISSN
1365-2702Language
engPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2014, Blackwell Publishing LtdUsage metrics
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No categories selectedKeywords
Cardiovascular diseaseChronic kidney diseaseComorbiditiesCulturally and linguistically diverse groupsDiabetesMedicationMotivational interviewingNursingSelf-efficacySelf-managementScience & TechnologyLife Sciences & BiomedicineBLOOD-PRESSURE CONTROLKIDNEY-DISEASEMANAGEMENTADHERENCEINTERVENTIONFEASIBILITYHEALTH
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