A Conceptual Protocol for a Single-Session Solution-Focused Brief Therapy for Medication Adherence Intervention Delivered by General Providers

Abstract

Jiangqin Tan,1,* Wanxiang Zheng,2,* Chen Xu,3 Xiaolong Qu,2 Jingxing Wu,3 Min Jiang,2 Haiyan Xu4 1Team 17, Group 5, School of Basic Medicine, Army Military Medical University, Chongqing, People’s Republic of China; 2Department of Cardiology, Southwest Hospital, Army Military Medical University, Chongqing, People’s Republic of China; 3Department of Military Psychology, School of Psychology, Army Military Medical University, Chongqing, People’s Republic of China; 4Experimental Research Center for Medical and Psychological Science, School of Psychology, Army Military Medical University, Chongqing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Haiyan Xu, Army Military Medical University, No. 30, Gaotanyan Street, Shapingba District, Chongqing, 400038, People’s Republic of China, Email [email protected]: New approaches to medication adherence interventions are needed. This manuscript presents a highly structured protocol of a single-session solution-focused brief therapy (SFBT) for medication adherence intervention (SFBT-MAI) delivered by general providers. It conceptually integrates the procedure of tailored interventions, techniques of SFBT, and the four steps of Qitang Lin’ conceptualization of single-session SFBT. With specific techniques and examples to reduce operational difficulties, the SFBT-MAI includes two parts. The first part focuses on selecting non-adherent patients and clarifying their barriers to medication adherence. The second part focuses on individualized interventions with four steps: closing, hoping, empowering, and changing and acting. It is hoped that this work will improve the effectiveness of medication adherence interventions for patients with coronary heart disease and to promote the use of brief psychological interventions in clinical practice.Keywords: medication adherence, tailored intervention, psychological intervention, solution-focused brief therapy, general provider, coronary heart disease

Keywords

• medication adherence
• tailored intervention
• psychological intervention
• solution-focused brief therapy
• general provider
• coronary heart disease