Promoting treatment adherence using motivational interviewing: Guidelines and tools

(from the chapter) Promising work has been done in the development and evaluation of methods to promote patient adherence to treatment recommendations; for an overview of this literature. In particular, motivational interviewing (MI), introduced in 1983 by William Miller, has shown promise as a counseling method to promote change. MI is a patient-centered approach to facilitating behavior that was initially developed for the treatment of addictions, and has been widely adapted to facilitate change across a range of patient health behaviors, including those related to the management and prevention of chronic diseases. MI is well suited for use in many healthcare settings, as it can be adapted to very brief (10- to 15-minute) patient encounters. This chapter will present an overview of the empirical support, principles, and techniques of MI and will provide guidelines and tools for the application of this approach to brief interactions within a primary care setting. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (chapter)