Building Adherence to Live With And Navigate my Cystic Fibrosis (CF) Experience

Building Adherence to Live With And Navigate my CF Experience

The investigators research group and others have found that patient-reported adherence to all aspects of the regimen is suboptimal and objective measures suggest even poorer adherence. There is little data, however that identifies and examines the reason for nonadherence in an adult Cystic Fibrosis (CF) population or identifies effective strategies for improving adherence.

The investigators propose to evaluate the relative efficacy of a Motivational Interviewing-focused intervention (MI) in improving adherence and reducing CF-related morbidity compared to a CF education intervention (CFE; attention control group). Specifically, The investigators hypothesize that MI will result in improved regimen adherence and reduced CF morbidity compared to the CFE control group.

Inclusion Criteria:

• Have a doctor confirmed diagnosis of CF
• Age 16 years old or older
• Prescribed an inhaled mucolytic, inhaled antibiotic therapy, chronic macrolide therapy and/or hypertonic saline therapy for the previous 12 months.
• Scheduled for a regular visit at either the pediatric or the adult CF clinic at Johns Hopkins Hospital.

Exclusion Criteria:

• Burkholderia cepacia complex isolated from the respiratory tract within the past 2 years.
• Had a lung transplant
• Participated in NA_00008649 A pilot study of Motivational Interviewing for adults with CF.