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Evaluation of a training program for improving adherence promotion skills

✍ Scribed by David G. Schlundt; Lisa Quesenberry; James W. Pichert; Rodney A. Lorenz; Elaine J. Boswell


Publisher
Elsevier Science
Year
1994
Tongue
English
Weight
789 KB
Volume
24
Category
Article
ISSN
0738-3991

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✦ Synopsis


A workshop for improving the adherence counseling skills of health professionals was developed and evaluated. Target audiences have included medical students, nursing students, dietetic interns, and practising nurses and dietitians. Four categories of skills are taught: relationship building, interviewing, problem diagnosis, and behavioral intervention. Teaching methods include faculty demonstration, participant rehearsal, and group and individual feedback. The Adherence Promotion Training (APT) workshop has been offered as a 3- to 5-day intensive course and as a semester-long elective. A reliable coding system was developed to assess these skills from videotaped provider-patient interactions. A standardized patient task was given to 60 subjects before and after participation in the adherence counseling skills workshop. Videotapes were coded by trained raters, who were masked to whether the tape came from before or after the workshop. Significant short-term improvements were observed in all four core skills. This uncontrolled evaluation suggests that the Adherence Promotion Training program is a promising way to enhance the ability of health professionals to care for nonadherent patients.


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