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Telephone-based motivational interviewing for medication adherence: a systematic review

  • Systematic Reviews
  • Published:
Translational Behavioral Medicine

ABSTRACT

Adherence to prescribed medications continues to be a problem in the treatment of chronic disease. Motivational interviewing (MI) has been shown to be successful for eliciting patients’ motivations to change their medication-taking behaviors. Due to the constraints of the US healthcare system, patients do not always have in-person access to providers. Because of this, there is increasing use of non-traditional healthcare delivery methods such as telephonic counseling. A systematic review was conducted among published studies of telephone-based MI interventions aimed at improving the health behavior change target of medication adherence. The goals of this review were to (1) examine and describe evidence and gaps in the literature for telephonically delivered MI interventions for medication adherence and (2) discuss the implications of the findings for research and practice. The MEDLINE, CINAHL, psycINFO, psycARTICLES, Academic Search Premier, Alt HealthWatch, Health Source: Consumer Edition, and Health Source: Nursing/Academic Edition databases were searched for peer-reviewed research publications between 1991 and October 2012. A total of nine articles were retained for review. The quality of the studies and the interventions varied significantly, which precluded making definitive conclusions but findings among a majority of retained studies suggest that telephone-based MI may help improve medication adherence. The included studies provided promising results and justification for continued exploration in the provision of MI via telephone encounters. Future research is needed to address gaps in the current literature but the results suggest that MI may be an efficient option for healthcare professionals seeking an evidence-based method to reach remote or inaccessible patients to help them improve their medication adherence.

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Conflict of Interest

All authors of this manuscript declare that they have no conflicts of interest.

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Authors and Affiliations

  1. Harrison School of Pharmacy, Health Outcomes Research and Policy, Auburn University, 056 James E Foy Hall, Auburn, AL, 36849, USA

    Benjamin S Teeter MS & Jan Kavookjian PhD

Authors
  1. Benjamin S Teeter MS
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  2. Jan Kavookjian PhD
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Corresponding author

Correspondence to Benjamin S Teeter MS.

Additional information

Implications

Practice: Motivational interviewing may be effective at increasing adherence to medication regimens when provided telephonically.

Policy: Research funding for interventions that have the ability to reach populations that do not have access to in-person providers is crucial to improve patient and public health.

Research: Future research should describe the motivational interviewing training that providers received, how treatment fidelity was evaluated throughout the study, and employ rigorous study designs that utilize health plan or pharmacy claims data to assess medication adherence among the chronically ill across specific diseases or conditions.

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Teeter, B.S., Kavookjian, J. Telephone-based motivational interviewing for medication adherence: a systematic review. Behav. Med. Pract. Policy Res. 4, 372–381 (2014). https://doi.org/10.1007/s13142-014-0270-3

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  • DOI: https://doi.org/10.1007/s13142-014-0270-3

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