Allied health clinicians' beliefs and attitudes about medication adherence in depressive disorders

Feros, Danielle L; Byrne, Mitchell K.; Deane, Frank P.; Lambert, Gordon; Meadows, Graham; Favilla, Amanda; Gray, Jill Louise

doi:10.1111/j.1365-2753.2009.01298.x

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Coupled with the finding that clinician optimism is associated with adherence, perhaps provider attitudes towards treatment, manifest in communication, can influence patient’s expectations of prescribed treatment. Indeed, when studied outside of the context communication, clinician attitudes towards medications have been found to impact patient’s medication adherence in mental health [55]. …”

Section: Discussionmentioning

confidence: 99%

The effect of clinician-patient alliance and communication on treatment adherence in mental health care: a systematic review

2012

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BackgroundNonadherence to mental health treatment incurs clinical and economic burdens. The clinician-patient alliance, negotiated through clinical interaction, presents a critical intervention point. Recent medical reviews of communication and adherence behaviour exclude studies with psychiatric samples. The following examines the impact of clinician-patient alliance and communication on adherence in mental health, identifying the specific mechanisms that mobilise patient engagement.MethodsIn December 2010, a systematic search was conducted in Pubmed, PsychInfo, Web of Science, Cochrane Library, Embase and Cinahl and yielded 6672 titles. A secondary hand search was performed in relevant journals, grey literature and reference.Results23 studies met the inclusion criteria for the review. The methodological quality overall was moderate. 17 studies reported positive associations with adherence, only four of which employed intervention designs. 10 studies examined the association between clinician-patient alliance and adherence. Subjective ratings of clinical communication styles and messages were assessed in 12 studies. 1 study examined the association between objectively rated communication and adherence. Meta-analysis was not possible due to heterogeneity of methods. Findings were presented as a narrative synthesis.ConclusionsClinician-patient alliance and communication are associated with more favourable patient adherence. Further research of observer rated communication would better facilitate the application of findings in clinical practice. Establishing agreement on the tasks of treatment, utilising collaborative styles of communication and discussion of treatment specifics may be important for clinicians in promoting cooperation with regimens. These findings align with those in health communication. However, the benefits of shared decision making for adherence in mental health are less conclusive than in general medicine.

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Section: Discussionmentioning

confidence: 99%