Abstract:While the strategies proposed for each side effect differed, common themes included the maintenance of a balanced lifestyle, healthy eating and sleeping routines, and fostering a positive outlook on life. Understanding the strategies employed by consumers to deal with the adverse effects of their medications may help clinicians to engage more effectively with consumers in the discussion and management of side effects.
“…(P5)In Meehan et al. 's () study cited earlier, consumers indicated that maintaining a balanced lifestyle, healthy eating, and sleeping routines, as well as a positive outlook were among the strategies employed to manage the adverse effects of medication. Such strategies were employed by participants in this study and were also described as being important for maintaining resilience and a stable state of physical and mental health.…”
Section: Resultsmentioning
confidence: 99%
“…Despite this, half to three quarters of people prescribed with antipsychotic medication choose to stop taking it (McCann, Boardman, Clark, & Lu, ; Moritz et al., ; San‐Molina et al., ). There are a multitude of reasons why people cease taking antipsychotic medications, but these drugs have been shown to cause a range of side effects, including musculoskeletal, metabolic, gastrointestinal, cardiovascular, endocrine, hematological, genitourinary, and neurological symptoms (Bell, Farmer, Ries, & Srebnik, ; Meehan, Stedman, & Wallace, ; Rababa'h & Alhmoud, ; Swarbrick & Roe, ; Tandon et al., ). There are significant differences in the side effects caused by individual medications, and two people on the same medication will experience different adverse reactions (Tyrer & Kendall, ).…”
Section: Background Informationmentioning
confidence: 99%
“…Meehan et al. () interviewed 238 consumers, 25 carers, and 16 mental health staff in Australia, and identified and ranked the key side effects that have the most impact. Sedation and tiredness scored highest, followed by weight gain, then difficulty thinking and concentrating.…”
Nurses need to actively work in partnership to support consumers to take an active stance toward choosing to use medication rather than ensuring consumers take medication.
“…(P5)In Meehan et al. 's () study cited earlier, consumers indicated that maintaining a balanced lifestyle, healthy eating, and sleeping routines, as well as a positive outlook were among the strategies employed to manage the adverse effects of medication. Such strategies were employed by participants in this study and were also described as being important for maintaining resilience and a stable state of physical and mental health.…”
Section: Resultsmentioning
confidence: 99%
“…Despite this, half to three quarters of people prescribed with antipsychotic medication choose to stop taking it (McCann, Boardman, Clark, & Lu, ; Moritz et al., ; San‐Molina et al., ). There are a multitude of reasons why people cease taking antipsychotic medications, but these drugs have been shown to cause a range of side effects, including musculoskeletal, metabolic, gastrointestinal, cardiovascular, endocrine, hematological, genitourinary, and neurological symptoms (Bell, Farmer, Ries, & Srebnik, ; Meehan, Stedman, & Wallace, ; Rababa'h & Alhmoud, ; Swarbrick & Roe, ; Tandon et al., ). There are significant differences in the side effects caused by individual medications, and two people on the same medication will experience different adverse reactions (Tyrer & Kendall, ).…”
Section: Background Informationmentioning
confidence: 99%
“…Meehan et al. () interviewed 238 consumers, 25 carers, and 16 mental health staff in Australia, and identified and ranked the key side effects that have the most impact. Sedation and tiredness scored highest, followed by weight gain, then difficulty thinking and concentrating.…”
Nurses need to actively work in partnership to support consumers to take an active stance toward choosing to use medication rather than ensuring consumers take medication.
“…Carers noted that it was crucial that the nurse play a supportive role and be a good communicator to both consumers and carers. The importance of communication and support for carers is consistently described in the mental health literature (McCann et al 2015;Meehan et al 2011;Rowe 2013). Carers frequently feel that their unique needs are not fully understood, let alone addressed by mental health services (Ewertzon et al 2011;Weimand et al 2013).…”
The physical health of people diagnosed with a mental illness is significantly poorer in comparison with the general population. Awareness of this health disparity is increasing; however, strategies to address the problem are limited. Carers play an important role in the physical health care of people with mental illness, particularly in facilitating navigation of and advocating in the health care system. A specialist physical health nurse consultant position has been suggested as a way to address the physical health care disparity and limited research available suggests that positive outcomes are possible. In the present study, a qualitative exploratory research project was undertaken, involving in-depth interviews with people identifying as mental health carers. Two focus groups and one individual interview were conducted involving a total of 13 carers. The resulting data were analyzed thematically. Views and opinions about the proposed physical health nurse consultant (PHNC) position were sought during these interviews and are reported in this paper. Two main sub-themes were evident relating to characteristics of this role: reliability and consistency; and communication and support. Essentially carers expressed a need for support for themselves and consumers in addressing physical health concerns. Successful implementation of this position would require a consistent and reliable approach. Carers are significant stakeholders in the physical health of consumers of mental health services and their active involvement in identifying and tailoring services, including development of the physical health nurse consultant must be seen as a priority.
“…Among other suggestions Colloca and Miller [58] recommend framing the information “positively” by focusing on the proportion of patients who do not experience the side effect. Furthermore, following Meehan et al [59], coping strategies for side effects should be strengthened.…”
Although nonadherence to antipsychotic medication poses a threat to outcome of medical treatment, the processes preceding the intake behavior have not been investigated sufficiently. This study tests a process model of medication adherence derived from the Health Belief Model which is based on cost-benefit considerations. The model includes an extensive set of potential predictors for medication attitudes and uses these attitudes as a predictor for medication adherence. We conducted an online study of 84 participants with a self-reported psychotic disorder and performed a path analysis. More insight into the need for treatment, a higher attribution of the symptoms to a mental disorder, experience of less negative side effects, presence of biological causal beliefs, and less endorsement of psychological causal beliefs were significant predictors of more positive attitudes towards medication. The results largely supported the postulated process model. Mental health professionals should consider attitudes towards medication and the identified predictors when they address adherence problems with the patient in a shared and informed decision process.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
