Adherence with Outpatient Appointments and Medication: A Two-Year Prospective Study of Patients with Schizophrenia

Balıkçı, Adem; Erdem, Murat; Zincir, Serkan; Bolu, Abdullah; Zincir, Selma Bozkurt; Ercan, Sarper; Uzun, Özcan

doi:10.5455/bcp.20121130085931

Cited by 18 publications

(20 citation statements)

References 42 publications

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“…"Adherence" is defined as a person's behaviour corresponding with implemented recommendations from a health care provider by the World Health Organization [6]. Poor treatment adherence is widespread in BD in common with other chronic medical conditions [7][8][9]. Most studies report poor treatment adherence rates from 10% to 50% in BD depending on how poor adherence is measured [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Assessing the treatment adherence and clinical correlates of low adherence among bipolar disorder outpatients: a cross-sectional study

Karadağ

Kokurcan

Güriz

et al. 2018

Psychiatry and Clinical Psychopharmacology

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OBJECTIVE: The aim of this study was to assess sociodemographic and clinical correlates of poor treatment adherence among outpatients with bipolar disorder (BD) in remission period. METHODS: This was a cross-sectional study carried out in a University Hospital in Turkey, and 117 outpatients with BD according to DSM-IV-TR criteria were included. All participants were administered a sociodemographic form, the SCID-I, the Morisky 8-item Medication Adherence Questionnaire, the Hamilton Depression Scale, the Young Mania Rating Scale, Schedule for Assessing the three components of insight, and Global Assessment of Functioning Scale. Collected data were analysed via descriptive statistics and logistic regression was used to determine significant variables. RESULTS: Patients with poor treatment adherence were low educated, were more likely to be not married, and had a greater prevalence of anxiety disorder comorbidity. The patients with poor adherence also showed more subsyndromal depressive symptoms but no significant differences were seen in terms of age, gender, living status, social support, or number of episodes between patients with good and poor adherence. Logistic regression analyses revealed that comorbid anxiety disorder, lower education level, and duration of depression period were the main predictors of poor adherence. CONCLUSION: This outcome is consistent with previous studies, and assuring complete adherence in all bipolar patients is difficult, but increasing the number of adherent patients is possible and substantial for sufficient outcome. Improving subsyndromal symptoms and awareness of the patient about the features of the disorder may provide better adherence to treatment and greater functionality of the patient. Psychotherapeutic interventions and psychoeducation should be implemented along with the medical treatment to improve subsyndromal symptoms and to avoid treatment maladherence in advance. Further research is needed to assess the role of interventions in treatment adherence of patients with BD.

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Section: Introductionmentioning

confidence: 99%

Assessing the treatment adherence and clinical correlates of low adherence among bipolar disorder outpatients: a cross-sectional study

Karadağ

Kokurcan

Güriz

et al. 2018

Psychiatry and Clinical Psychopharmacology

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“…Medication non-adherence is a common concern regarding people with mental health problems. 1–5 Non-adherence to antipsychotic medication 6 and poor attendance rates at mental health outpatient clinics 7 have been found to be highly prevalent for these people, 6 7 especially those living with schizophrenia, 8 which is the severest form of psychosis. 9 About half do not adhere to antipsychotic medication, non-adherence rates varying between 47.5–55.8%, 10 11 and 20–36% miss scheduled clinical outpatient appointments.…”

Section: Introductionmentioning

confidence: 99%

Feedback on SMS reminders to encourage adherence among patients taking antipsychotic medication: a cross-sectional survey nested within a randomised trial

et al. 2015

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ObjectivesTo explore feedback on tailored SMS reminders to encourage medication adherence and outpatient treatment among patients taking antipsychotic medication, and associations related to the feedback.DesignA cross-sectional survey nested within a nationwide randomised clinical trial (“Mobile.Net” ISRCTN27704027).SettingPsychiatric outpatient care in Finland.ParticipantsBetween September 2012 and December 2013, 403 of 558 adults with antipsychotic medication responded after 12 months of SMS intervention.Main outcome measureFeedback was gathered with a structured questionnaire based on Technology Acceptance Model theory. Data were analysed by Pearson's χ2 test, binary logistic regression and stepwise multiple regression analyses.ResultsAlmost all participants (98%) found the SMS reminders easy to use and 87% felt that the SMS did not cause harm. About three-quarters (72%) were satisfied with the SMS received, and 61% found it useful. Divorced people were particularly prone to find SMS reminders useful (χ2=13.17, df=6, p=0.04), and people seeking employment were more often ‘fully satisfied’ with the SMS compared with other groups (χ2=10.82, df=4, p=0.029). People who were older at first contact with psychiatric services were more often ‘fully satisfied’ than younger groups (OR=1.02, 95% CI 1.01 to 1.04, p=0.007).ConclusionsThe feedback of patients taking antipsychotic medication on SMS services was generally positive. Overall, people were quite satisfied despite considerable variation in their sociodemographic background and illness history. Our results endorse that the use of simple easy-to-use existing technology, such as mobile phones and SMS, is acceptable in psychiatric outpatient services. Moreover, people using psychiatric outpatient services are able to use this technology. This acceptable and accessible technology can be easily tailored to each patient's needs and could be customised to the needs of the isolated or jobless. This is an area in which much careful evaluation is needed.

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“…In healthcare, appointment reminder is important to reduce the high rate of nonattendance to healthcare appointments [24] [26] [37]. The appointment no-shows prevent patients from getting needed treatments and disrupt the operations of health clinics and practices, leading to serious economic and public health consequences [1] [17] [29].…”

Section: Introductionmentioning

confidence: 99%

Design of Integral Reminder for Collaborative Appointment Management

Wang

Andoh‐Baidoo

2017

Proceedings of the 50th Hawaii International Conference on System Sciences (2017)

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Adherence with Outpatient Appointments and Medication: A Two-Year Prospective Study of Patients with Schizophrenia

Cited by 18 publications

References 42 publications

Assessing the treatment adherence and clinical correlates of low adherence among bipolar disorder outpatients: a cross-sectional study

Assessing the treatment adherence and clinical correlates of low adherence among bipolar disorder outpatients: a cross-sectional study

Feedback on SMS reminders to encourage adherence among patients taking antipsychotic medication: a cross-sectional survey nested within a randomised trial

Design of Integral Reminder for Collaborative Appointment Management

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