Motivational Interviewing in Ethnic Populations

Bahafzallah, Lama; Hayden, K. Alix; Bouchal, Shelley Raffin; Singh, Pavneet; King‐Shier, Kathryn

doi:10.1007/s10903-019-00940-3

Cited by 24 publications

(19 citation statements)

References 60 publications

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“…When targets are resistant to influence, autonomy-supporting strategies may be more effective because they tend to be less forceful than autonomy-limiting strategies and, therefore, less likely to be met with resistance. This prediction is supported by research on motivational interviewing techniques in health settings, which shows that patient-centered and patient-led approaches (which support patients' autonomy) are often more effective than traditional advice giving (which limits patients' autonomy) when behavior change is involved (e.g., Bahafzallah et al, 2020;Britt et al, 2004;Leffingwell et al, 2007) On the other hand, if a target's health beliefs are weak or open to change, it is unclear whether autonomy-limiting or autonomy-supporting strategies would be more effective. For example, a target with no strong opinion about going to the dentist may be more accepting of an agent trying to change their belief about the importance of dental care than a target who fears and has a negative attitude toward the dentist.…”

Section: Agent's Influence Strategies → Target's Relational Beliefs →mentioning

confidence: 89%

The Dyadic Health Influence Model

Co¹,

Re²,

Simpson³

et al. 2020

Preprint

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There is a need to understand how close relationship partners affect one another’s health outcomes through their health behaviors. To fill this gap, we present the Dyadic Health Influence Model (DHIM). The DHIM identifies three paths through which one relationship partner (the agent) can affect the health beliefs and/or behavior of the other partner (the target): (1) the agent’s health-relevant behaviors (health behavior transmission path), (2) the agent’s and target’s relationship-based beliefs and behaviors (relational behaviors path), and (3) the intentional influence the agent uses (influence strategies path). A central premise of the model is that agents’ behaviors result not only from their beliefs about targets’ health, but also from their beliefs about targets and their relationships. We incorporate theory and empirical research to provide initial support for the DHIM paths and identify novel hypotheses that can be derived from the model. Finally, we discuss important moderators of these paths.

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Section: Agent's Influence Strategies → Target's Relational Beliefs →mentioning

confidence: 89%

The Dyadic Health Influence Model

Co¹,

Re²,

Simpson³

et al. 2020

Preprint

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“…Some previous studies have determined that the effectiveness of MI-based interventions is enhanced when the cultural differences of the participants are acknowledged and the intervention is culturally adapted. 19,[41][42][43][44][45] The one study which examined MI in SA populations did not use a Box 1 General Recommendation for Using MI-Based Approaches with Hypertensive South Asian Patients…”

Section: Discussionmentioning

confidence: 99%

“…17 A review of 72 clinical trials using MI suggests that MI is more effective with minority populations than it was with white populations, 18 although the reasons for this were not determined. In addition, a recent review 19 showed that MI, especially when culturally adapted is generally effective in promoting behaviour change in ethnic groups. Culturally adapted interventions are tailored to patients' norms, beliefs, values, language and literacy skills.…”

Section: Introductionmentioning

confidence: 99%

<p>Development of a Culturally Tailored Motivational Interviewing-Based Intervention to Improve Medication Adherence in South Asian Patients</p>

Singh¹,

Campbell²,

LeBlanc³

et al. 2020

PPA

Self Cite

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Background: South Asians (SAs) are among the fastest growing ethnic population in Western countries and have a higher risk of cardiovascular diseases relative to the general population. SAs living in Canada also have poorer adherence to medical regimens for treating cardiovascular disease, relative to other ethnic groups. Motivational interviewing (MI) maybe effective in improving health-related behaviour change in patients; however, the research is nascent on the effectiveness of MI in SAs and may also require cultural adaptation. Aim: To develop a culturally tailored MI-based intervention to improve medication adherence in hypertensive SA patients living in Canada. Methods: Previous literature about medication adherence in SAs was reviewed, along with transcripts and responses to open-ended survey questions from our previous studies with SAs, to draft an MI intervention manual. The manual received extensive feedback from the study team, SA community members and health-care providers who work with SA patients. The feedback was used to refine the manual and make it culturally tailored and relevant to SA hypertensive patients living in Canada. Results: A culturally tailored MI-based manual which we called a "motivational communication manual" was developed to support a study focused on improving medication adherence in SA hypertensive patients. The development process, components (eg, being culturally sensitive, family involvement, providing education about medications, reminders, etc.) and cultural nuances included in the manual are described in this paper. Conclusion: This is the first culturally tailored MI-based intervention manual that has been developed with the aim of improving medication adherence in hypertensive SA patients and that includes direct feedback from SA community members. Use of this manual may improve the accessibility and adoption of MI-based practices in improving health behaviours in SAs living in Canada as well as encourage further research studies and clinical trials with SA patients.

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“…MI has been used in a variety of settings with vulnerable populations. MI interventions have been shown to be effective with disadvantaged and minority populations in regards to positive health decision‐making and medication adherence (Bahafzallah et al., 2020; Clair et al., 2013; Hardcastle et al., 2012; Sampson et al., 2013).…”

Section: Motivational Interviewingmentioning

confidence: 99%

The use of motivational interviewing to overcome COVID‐19 vaccine hesitancy in primary care settings

Breckenridge

Burns

Nye

2021

Public Health Nursing

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Vaccine hesitancy is not a new phenomenon. However, the COVID-19 pandemic has highlighted the impact of political, racial, and health disparities on vaccine hesitancy at a global level. With the creation of the COVID-19 vaccine, a resurgence of vaccine hesitancy has emerged and many are reluctant to receive the vaccination. The reluctance varies from concerns about government interference in vaccine development, to the speed of vaccine development, to long-term health outcomes and potential side effects. Health care professionals need to consider evidence-based approaches that are effective in assisting patients with health care decision-making regarding vaccine uptake. Motivational Interviewing (MI) is an effective technique to positively impact behavior change. Definitions and examples of MI techniques are provided to illustrate how MI can be used to support patient autonomy and provide a safe and trusting environment, with the goal of increasing COVID-19 vaccination uptake.

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Motivational Interviewing in Ethnic Populations

Cited by 24 publications

References 60 publications

The Dyadic Health Influence Model

The Dyadic Health Influence Model

<p>Development of a Culturally Tailored Motivational Interviewing-Based Intervention to Improve Medication Adherence in South Asian Patients</p>

The use of motivational interviewing to overcome COVID‐19 vaccine hesitancy in primary care settings

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