Effect of Motivational Interviewing Program on Medication Adherence of Adolescents with Autoimmune Disease
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Abstract: The purpose of this one group pre-post quasi-experimental research was to examine the effect of motivational interviewing program on medication adherence of adolescents with autoimmune disease. The conceptual framework for this study was based on self-care theory and motivational interviewing. The program was applied to 17 adolescents who were 15-21 years old with autoimmune disease and poor medication adherence. The study instruments were the motivational interviewing program on medication adherence of adolescents with autoimmune disease. Data were collected using adolescents’ demographic data, Medication Adherence Report Scale (MARS) questionnaire, motivational interviewing record, and medication record. Data were analyzed using descriptive statistics and the medication adherence scores of adolescents with autoimmune diseases were compared using the Wilcoxon signed-rank test. The result of the study showed that after having motivational interviewing program on medication adherence of adolescents, the mean score and median score of Medication Adherence Report Scale: MARS of post-test were higher than pre-test at the statistical significance of 0.05 (Z = -3.634, p <.001). In conclusion, this motivational interviewing program could be used to improve medication adherence in adolescents with autoimmune disease who have poor medication adherence and should be further evaluated over a longer term and compared with a control group prior to applying it to adolescent groups with other chronic diseases.
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