Telephone nurse counseling for medication adherence in ulcerative colitis: A preliminary study

Barriers to Mesalamine Adherence in Patients with Inflammatory Bowel Disease: A Qualitative Analysis

“…We previously reported that telephone counseling from trained nurses did not significantly improve objective measures of adherence, whereas others have reported that such phone calls improved patients' self-reports of adherence. 12,14 A randomized controlled trial of educational and motivational interventions in patients with UC found that this approach maintained adherence but did not significantly improve it in baseline nonadherers. 13,34 Further work is required to tailor motivational interventions to improve the priority of adherence in patients' lifestyles.…”

“…10 Broad, simplistic approaches to improving adherence, such as telephone reminders or education, have yielded mixed results, suggesting that adherence behavior is a more complex phenomenon. [11][12][13][14][15] Recent systematic reviews of existing intervention strategies have highlighted their limitations and the need for a further understanding of this problem. 16,17 Our understanding of adherence behavior in patients with IBD is thus incomplete, as the methodology of many studies only allows examination of surrogate markers of beliefs or behaviors, such as gender or socioeconomic status, rather than patient-reported barriers to adherence.…”

The role of family nurse practitioners : promoting oral medication adherence to maintenance treatment among adolescents with inflammatory bowel disease

“…Cognitive-behavioural interventions enhanced adherence by altering thinking patterns that contributed to non-adherence while also establishing behavioural patterns that supported adherence using behavioural intervention strategies . Psychosocial interventions were provided as a single intervention strategy in two studies (Cook et al, 2010;Greenley et al, 2011). They were also provided in multi-component interventions in three other studies (Hommel, Herzer et al, 2011;Hommel et al, 2012;Hommel, Hente et al, 2013).…”

“…They were also provided in multi-component interventions in three other studies (Hommel, Herzer et al, 2011;Hommel et al, 2012;Hommel, Hente et al, 2013). Cook et al(2010) conducted a preliminary test of telephone nurse counselling to address cognitive and emotional barriers to medication adherence in 278 patients with UC aged 18 years and older. The purpose of this study was to evaluate the effects of motivational interviewing and cognitive-behavioural techniques (CBT) on adherence to 5-ASA (mesalamine).…”

“…FNPs should consider routine visits as an excellent teaching and learning environment, and book longer visits as needed. The formal educational program designed and delivered by a gastroenterologist nurse practitioner (Waters et al, 2005) and the IBD-focused motivational interviewing counselling delivered by a RN (Cook et al, 2010) demonstrated the feasibility and acceptability in improving medication adherence. These IBD-focused educational interventions can be applied to FNP practice.…”