Improving medication adherence in psychiatric patients with a medication adherence program

Abstract

Introduction: Medication non-adherence significantly impacts patients with serious mental illness (SMI). It's estimated that over 50% of patients prescribed antipsychotic medication are non-adherent to the prescribed treatment. Medication non-adherence impedes the patient's safety, leads to relapse, and the need for rehospitalization.

Research Methodology: Literature was examined from the past five years (2016-2021) on the use of telephonic follow-up interventions to improve medication adherence in patients with psychiatric disorders and other chronic diseases at risk for mental illness. Databases (PubMed, CINAHL, ProQuest, and the Cochrane Library) were used. The inclusion criteria focused on psychiatric disorders, telephone calls to improve medication adherence, and the use of questionnaires to determine adherence.

Results and Discussion: The implementation of telephonic follow-up after discharge has proven to be an effective strategy to promote medication adherence in patients with mental illness and to provide additional support (emotional, side effect management, appointment reminders, activity involvement) to improve the patient's well-being.

Conclusion and Further Recommendations: Telephonic follow-up is an effective strategy to improve medication adherence in patients with mental illness and other chronic diseases as a short-term intervention (less than 24 months). Further research is needed on the benefits of telephonic follow-up as a long-term intervention (beyond 24 months).

Author Details

Whitney Peterson, DNP, MSN-Ed, RN

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Integrative Review

Research Approach

Other

Keywords:

Medication Adherence, Telephone Follow-Up, Severe Mental Illness, Medication Non-Adherence

Advisor

Unknown

Degree

DNP

Degree Grantor

Chamberlain University

Degree Year

2021

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2022-06-07

Full Text of Presentation

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