Training general practitioners in behavior change counseling to improve asthma medication adherence.
Abstract
Objective Adherence to asthma medication regimens is problematic in general practice. We developed and evaluated a communication training for general practitioners (GPs) to help them address medication adherence during routine consultations. This paper describes the development of the training and evaluation results of a pilot study.Methods The training was based on behavior change counseling (BCC), a technique derived from motivational interviewing. We developed a five phases BCC consultation model. Participating GPs answered questions at baseline (T0), directly after (T1) and 4-10 months after (T2) the training that assessed their attitudes and confidence regarding adherence communication. They completed evaluation forms at T1 and T2.Results The 19 participating GPs were positive about the course and the feasibility of BCC in GP consultations. Also, after the training, their attitudes and confidence had improved (p<0.05) and all reported to use BCC skills at least sometimes 4-10 months after the training.Conclusion These positive effects provide us with some hope that the training positively influenced the GP's communication behavior.Practice implications If further data on physician behavior and patient outcomes justify implementation of the training, it would then be worthwhile to also involve practice nurses.
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Short MI seminars have been successful in teaching physicians basic MI skills, but proficiency and long-term experience are associated with its success.
“Short MI seminars have been successful in teaching physicians basic MI skills,36,47,48,49 but proficiency and long-term experience are associated with its success.”
Previous studies have shown that 2-day training courses were sufficient to improve use of MI methods compared with TAU.
“Finally, previous studies have shown that 2-day training courses were sufficient to improve use of MI methods compared with TAU29,47,48,49,70 and we aimed at a realistic approach.”
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- Authors
- Broers, S., Smets, E., Bindels, P., Evertsz’, F. B., Calff, M., & de Haes, H.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Smets, Ellen
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2005-09
- Volume
- 58
- Issue
- 3
- Pages
- 279-287
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2013983651
- Cited by
- 50
- References
- 53
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2021: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 2 · 2012: 4
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- asthma, medication adherence, behavior change counseling, motivational interviewing, general practitioners, physician training, physician-patient communication, consultation model, physician confidence, practice nurses
- MeSH terms
- Adult, Asthma, Counseling, Education, Medical, Continuing, Family Practice, Female, Humans, Male, Middle Aged, Netherlands, Patient Compliance, Pilot Projects, Statistics, Nonparametric
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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