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Motivational Enhancement and MEMS Review to Improve Medication Adherence

Published online by Cambridge University Press:  22 February 2012

Marc I. Rosen ,
Caitlin Ryan  and
Michael Rigsby
Marc I. Rosen*
Affiliation:
VA Connecticut Healthcare System, USA. Marc.Rosen@Yale.edu
Caitlin Ryan
Affiliation:
VA Connecticut Healthcare System, USA.
Michael Rigsby
Affiliation:
VA Connecticut Healthcare System, USA.
*
*Address for correspondence: Marc I. Rosen, MD, Associate Professor of Psychiatry, VA Connecticut Healthcare System, Department of Psychiatry, 116A, West Haven, CT 06516, USA.
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Abstract

Electronic caps (most often Microelectronic Monitoring Systems; MEMS) that record date and time of bottle opening have been widely used to describe medication adherence. This paper expands upon descriptions of adherence-focused therapy built around review of MEMS data with the patient, adding the application of Motivational Enhancement Therapy (MET) principles. MEMS Feedback Therapy involves (a) motivational interviewing to complement the skill-building aspects of MEMS review; (b) detailed MEMS review with discussion of patterns of missed doses, and thoughts, feelings and habits accompanying missed doses; and (c) medication-taking routines to suggest after MET and MEMS review have prepared the patient to follow advice.

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Type
Articles
Information
Behaviour Change , Volume 19 , Issue 4 , 01 December 2002 , pp. 183 - 190
Copyright
Copyright © Cambridge University Press 2002

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