Missed psychiatric appointments: who returns and who stays away

Sparr, Landy F.; Moffitt, Mary C.; Ward, M. K.

doi:10.1176/ajp.150.5.801

Cited by 109 publications

(22 citation statements)

References 29 publications

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“…Available literatures provide a non-compliance rate of (12-60%). [713] In the present study, non compliance is 41.9%. The mean age (32.36 ± 7.59) of patients who were non-compliant is lower than that of mean age of patients who were compliant (37.69 ± 11.59).…”

Section: Discussionmentioning

confidence: 47%

Attitudes toward Medication and Reasons for Non-Compliance in Patients with Schizophrenia

Chandra¹,

Kumar

Reddy³

et al. 2014

Indian Journal of Psychological Medicine

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Background:Non-compliance for the medication is an important area of concern in schizophrenia as it contributes to relapse and re-hospitalization of the patients. One of the ways to improve the drug compliance is to know crucial factors responsible for poor drug compliance and hence that proper strategies may be planned to improve patient's drug compliance.Aim:The aim of the following study is to find out the attitudes of patients toward medication and reasons for drug non-compliance in schizophrenia and its association with clinical and socio-demographic variables.Materials and Methods:The study was conducted on follow-up patients with schizophrenia for the duration of 5 months. Their socio-demographic details were noted and illness related variables were evaluated using Positive and Negative Syndrome scale (PANSS). Patient's attitudes toward medication and the reasons for treatment non-compliance were assessed using the standardized tools, which consist of Drug Attitude Inventory-10 scale and Rating of Medication Influences scale respectively.Results:Nearly 41.9% of our study sample were non-compliant to medication. A significant association has been found between non-compliance and younger age group, unemployment, early age of onset, high positive PANSS score and poorer insight into the illness. The significant reasons for non-compliance in our study were Denial of illness, financial burden, less access to treatment facilities, Side-effects of the medication, Feeling that the medication was unnecessary and Substance abuse.Conclusions:Findings suggest that there is a need to provide adequate information about mental illness and medications prescribed, to enhance medication compliance and to develop community mental health care facilities.

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Section: Discussionmentioning

confidence: 47%

Attitudes toward Medication and Reasons for Non-Compliance in Patients with Schizophrenia

Chandra¹,

Kumar

Reddy³

et al. 2014

Indian Journal of Psychological Medicine

View full text Add to dashboard Cite

show abstract

“…As reported in earlier studies, in this study too, substance use was significantly associated with noncompliance. [1642]…”

Section: Discussionmentioning

confidence: 99%

“…[15] It is also reported that there is high prevalence of substance abuse in schizophrenia in noncompliant patients. [16] Other contributing factors are low priority accorded to health by patients and their caregivers, higher importance to economic activities, tendency to deal with problems only when they become acute and high emphasis on doctors’ exclusive role in alleviating symptoms of the patient. [17] Noncompliance is strongly related to clinical outcomes such as relapse, rehospitalization, and suicide attempts in schizophrenia[18] and bipolar disorder.…”

Section: Introductionmentioning

confidence: 99%

Treatment compliance and noncompliance in psychoses

Rao

George

Sudarshan

et al. 2017

Indian J Psychiatry

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Background:Compliance or noncompliance with treatment significantly influences course and outcome of psychiatric disorders. While noncompliance has been extensively researched, compliance has received less attention. The current study was conducted to elicit reasons for compliance and noncompliance in patients having psychoses attending psychiatric clinics.Materials and Methods:A total of 196 compliant and 150 noncompliant patients were interviewed using self-designed tools to elicit sociodemographic data, details of illness, and treatment. Factors contributing to compliance and noncompliance were grouped under illness-related, clinician-related, medication-related, family-related, and economic-related domains and compared.Results:Compliance was significantly more in females and middle- and high-socioeconomic status patients. They had less substance use, high physical comorbidity, high attendance in the outpatient department, and better remission. Clinician-related, family-related, and medication-related domains were contributing more to compliance whereas illness-related and economic-related domains seemed to have more bearing on noncompliance.Conclusions:Compliance and noncompliance are determined multidimensionally. Domains related to clinician, family, and medications have to be reinforced to enhance compliance. Illness-related and economic domains have to be resolved to reduce noncompliance.

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“…There are various challenges in continuing care in mental health-care settings, among which missed appointments (MA) are a common occurrence in outpatient care settings,[12] yet little is known about the reasons for MA, especially in the Indian population. Follow-up studies from around the world including India[3456789101112] show that 16–60% of patients will not follow up in spite of the need for further treatment.…”

Section: Introductionmentioning

confidence: 99%

“…[3456789101112] Most common reason for MA in the studies is patient errors such as forgetting or oversleeping followed by social stigma, financial reasons, logistics, or getting the date wrong. [121112] The use of mobile phones has grown exponentially, especially in India. Mobile phones have been used to improve health outcomes in number of studies but its role to improve follow-up in psychiatry is yet to be established.…”

Section: Introductionmentioning

confidence: 99%

Use of Mobile Phone Technology to Improve follow-up at a Community Mental Health Clinic: A Randomized Control Trial

Singh¹,

Manjunatha

Rao³

et al. 2017

Indian Journal of Psychological Medicine

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Background:Mobile phone technology is being used worldwide to improve follow-ups in health care.Aim:Aim of the study is to evaluate whether the use of mobile technology will improve or not the follow-up of Indian patients from a community mental health center.Materials and Methods:Patients or caregivers having mobile phones and consenting for study were enrolled, and sociodemographic and clinical details of patients were taken. Participants were randomized into two groups (short message service [SMS] vs. non-SMS group). At first intervention level, a SMS was sent to SMS group (not in non-SMS group) 1 day before their appointment. At second-level intervention (voice call level), patients from both groups who missed their first appointment were given a voice call requesting them to come for follow-up, and the reasons for first missed appointments (MA) were also elicited. The effect of these two intervention levels (first SMS for SMS group and next voice calls for both groups) on follow-up was evaluated.Results:A total of 214 patients were enrolled in the study. At first SMS intervention level of SMS group (n = 106), 62.26% of participants reached appointment-on-time (RA), while in the non-SMS/as usual group (n = 108), 45.37% of patients RA. The difference of these groups is statistically significant. At second-level intervention (voice call), 66 of 88 (another 15 were unable to contact) were came for follow-up consultation within 2 days of MA. Distance and diagnosis of alcohol dependence were significantly associated with MA. Social reasons were most common reasons for first MA.Conclusion:The use of mobile phone technology in an outpatient community psychiatric clinic improved follow-up significantly.

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Missed psychiatric appointments: who returns and who stays away

Cited by 109 publications

References 29 publications

Attitudes toward Medication and Reasons for Non-Compliance in Patients with Schizophrenia

Attitudes toward Medication and Reasons for Non-Compliance in Patients with Schizophrenia

Treatment compliance and noncompliance in psychoses

Use of Mobile Phone Technology to Improve follow-up at a Community Mental Health Clinic: A Randomized Control Trial

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