Motivational interviewing: relevance in the treatment of rheumatoid arthritis?

被引:24
作者
Georgopoulou, Sofia [1 ]
Prothero, Louise [1 ]
Lempp, Heidi [1 ]
Galloway, James [1 ]
Sturt, Jackie [2 ]
机构
[1] Kings Coll London, Fac Life Sci & Med, Acad Dept Rheumatol, London, England
[2] Kings Coll London, Florence Nightingale Fac Nursing & Midwifery, London, England
基金
美国国家卫生研究院;
关键词
motivational interviewing; rheumatoid arthritis; intensive management; remission rates; quality of life; RANDOMIZED CONTROLLED-TRIAL; PHYSICAL-ACTIVITY; PSYCHOLOGICAL INTERVENTIONS; THERAPEUTIC ALLIANCE; MEDICATION ADHERENCE; SELF-MANAGEMENT; CLINICAL-TRIAL; RISK-FACTORS; METAANALYSIS; OUTCOMES;
D O I
10.1093/rheumatology/kev379
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Advances in pharmacological treatment options in RA have led to a dramatic potential for improvement in patients' physical and psychological status. Despite advances, poor outcomes, including fatigue, pain, reduced physical activity and quality of life, are still observed. Reasons include non-adherence to medication, insufficient knowledge about the disease and lack of support in coping and effectively self-managing their condition. Motivational interviewing (MI) is a person-centred approach that relies on collaboration and empathy aiming to elicit a person's own motivation for behaviour change. It has been implemented in a variety of long-term conditions, addressing issues such as lifestyle changes with beneficial effects, but it is yet to be widely recognized and adopted in the field of rheumatology. This review will explain the techniques underpinning MI and the rationale for adopting this approach in rheumatology with the aim to increase medication adherence and physical activity and improve patients' coping strategies for pain and fatigue.
引用
收藏
页码:1348 / 1356
页数:9
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