Appointment attendance in patients with schizophrenia

Daniels, Karin; Loganathan, Muruga; Wilson, R. Mark; Kasckow, John

doi:10.2217/cpr.14.34

Cited by 13 publications

(13 citation statements)

References 35 publications

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“…With regards to client factors, the hypothesised relationship between greater psychopathology and poorer adherence (Daniels et al, 2014; Fanning et al, 2012) was not supported. However, information about symptoms was only available for a small number of the included groups, and it is likely that clients recruited into research studies demonstrated a level of clinical stability which gave their referring clinician confidence in their ability to participate.…”

Section: Discussionmentioning

confidence: 98%

“…Non-adherence was associated with a lack of insight, positive symptoms, younger age, male gender, history of substance abuse, unemployment and low social functioning. A subsequent review focussing on appointment attendance (not including medication adherence) found that more severe psychopathology was associated with appointment non-attendance (Daniels, Loganathan, Wilson, & Kasckow, 2014). However, there is no review investigating adherence to group therapies.…”

Section: Introductionmentioning

confidence: 99%

“…This review will systematically examine adherence to group psychosocial therapies for people with psychosis and examine whether there are any specific demographic or clinical correlates of poor adherence. Following the findings of previous systematic reviews in this area (Daniels et al, 2014; Nosé et al, 2003), the role client-related factors (age, gender and symptoms) have in influencing adherence will be investigated. Furthermore, group-related factors such as the therapeutic approach of the group and therapy duration will be explored.…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of adherence to group interventions in psychosis: do people attend?

et al. 2021

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Background Evidence supports the use of group therapy for symptom reduction and improving functioning in people with psychosis. However, research guidelines highlight the importance of establishing the feasibility of interventions. Adherence is an important indicator of feasibility and an essential step in supporting the development of the evidence base for group interventions. This review aims to estimate adherence, and possible barriers and facilitators, to psychotherapeutic groups in people with psychosis. Methods Embase, Ovid MEDLINE and PsycINFO databases were searched for cross-referencing terms related to group therapy and psychosis. Studies were assessed against inclusion criteria and methodological quality was evaluated. Data wasextracted from each paper including the average session attendance, demographic, clinical, study and therapy-related characteristics and the impact of these on adherence levels evaluated. Results Fifty-nine original research papers were included, reporting on 52 independent studies which consisted of 66 therapy groups comprised of 2109 participants. Average adherence was 76.4% (s.d. = 17.4). Adherence was improved by receiving incentives and was higher in participants of older age. Study sample size was inversely associated with adherence levels. Study quality was variable with approximately 61.5% found to be at risk of bias. The results support the feasibility of group therapy and suggest that adherence in people with psychosis is not dissimilar to those for people experiencing common mental health difficulties. These findings, alongside efficacy evidence, support the use of group interventions in people with psychosis but also highlight the need for further high-quality research on the efficacy for these approaches.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A systematic review of adherence to group interventions in psychosis: do people attend?

et al. 2021

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“…Furthermore, overall adherence for all of the 14 participants who used the system exceeded 80% for each of the 3 months. This is important for a population considered to be at risk for appointment nonadherence (Daniels, Loganathan, Wilson, & Kasckow, ; Velligan et al., ).…”

Section: Discussionmentioning

confidence: 99%

Telehealth Monitoring of Patients with Schizophrenia and Suicidal Ideation

Kasckow

Gao

Hanusa

et al. 2015

Suicide & Life Threat Behav

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A telehealth system was developed to monitor risk following hospitalization for suicidal ideation. We hypothesized that 3 months of telehealth monitoring will result in a greater reduction in suicidal ideation. Veterans with schizophrenia admitted with recent suicidal ideation and/or a suicidal attempt were recruited into a discharge program of VA Usual Care with daily Health Buddy© monitoring (HB) or Usual Care (UC) alone. Fifteen of 25 were randomized to HB and 10 received UC. Daily adherence in the use of the HB system during months 1-3 was, respectively, 86.9%, 86.3%, and 84.1%. There were significant improvements in Beck Scale for Suicide Ideation scores in HB participants. There were no changes in depressive symptoms. Telehealth monitoring for this population of patients appears to be feasible.

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“…Our pilot findings suggest that the use of our telehealth monitoring system is feasible in monitoring post-discharge suicide risk in this population. The population we studied is considered to be at high risk for non-adherence (Daniels et al, 2014). …”

Section: Discussionmentioning

confidence: 99%

Using telehealth to augment an intensive case monitoring program in veterans with schizophrenia and suicidal ideation: A pilot trial

Kasckow

Zickmund

Gurklis

et al. 2016

Psychiatry Research

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Veterans with schizophrenia admitted for suicidal ideation were recruited into a post-discharge program consisting of Intensive Case Monitoring (ICM) with daily monitoring with the Health Buddy (HB; experimental group) or ICM alone (control group). This study tested the feasibility of the telehealth monitoring intervention in this population. Secondly, we determined whether augmentation of ICM with our intervention for 3 months would result in a reduction in suicidal ideation. Twenty of 25 telehealth participants could set up the device. Monthly adherence for telehealth participants was > 80%. A qualitative analysis of endpoint surveys revealed that the majority of participants had positive responses. In both groups, there were improvements in Beck Scale for Suicidal Ideation (BSS) scores at endpoint relative to baseline. No group differences were present with survival analysis when using remission (i.e., BSS score = 0) as the outcome; however, in a subgroup with a history of suicide attempt, there was a trend (p = .093) for a higher rate of remission for those in the HB condition. In conclusion, telehealth monitoring for this population appears to be feasible for those who are able to start using the system. The pilot data obtained should help investigators design better telehealth interventions for this population.

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Appointment attendance in patients with schizophrenia

Cited by 13 publications

References 35 publications

A systematic review of adherence to group interventions in psychosis: do people attend?

A systematic review of adherence to group interventions in psychosis: do people attend?

Telehealth Monitoring of Patients with Schizophrenia and Suicidal Ideation

Using telehealth to augment an intensive case monitoring program in veterans with schizophrenia and suicidal ideation: A pilot trial

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