2.50
Hdl Handle:
http://hdl.handle.net/10755/158321
Type:
Presentation
Title:
Bipolar medication groups: Treatment outcomes and patient perspectives
Abstract:
Bipolar medication groups: Treatment outcomes and patient perspectives
Conference Sponsor:Western Institute of Nursing
Conference Year:2003
Author:Wright, Heidi
P.I. Institution Name:Kaiser Permanente
Title:Staff Nurse
Contact Address:Dan B. Moore Building, 6600 Bruceville Road, South Sacramento, CA, 95823, USA
Contact Telephone:919.688.2000
Background: Despite the well-documented effectiveness of lithium and other pharmacologic agents in reducing the frequency and severity of mood episodes in patients with bipolar disorder, emergency room use and hospitalization rates among this patient population remain high. The discrepancy between theoretical and actual treatment outcome is explainable by poor medication compliance, which in turn suggests an inadequate medical support system. In recent years, efforts have been made to improve patients' treatment collaboration by developing more holistically supportive health care delivery models. The bipolar medication groups (Med Groups) at Kaiser Permanente, South Sacramento, constitute such an approach, providing a combination of medical, educational, and psychotherapeutic components in an accessible, consumer-friendly environment. Facilitated by an RN/MD team, they provide weekly, ongoing access for maintenance treatment and crisis intervention. Research purpose: To determine whether Med Groups make a positive difference in outpatient treatment of bipolar disorder. Method: 70 patients treated for bipolar disorder at our psychiatric clinic, separated into Med Group attenders (experimental group or EXP) and non-attenders (control group or CTRL), took a written knowledge test and filled out a questionnaire addressing psychosocial functioning. They were also assigned to one of 11 focus groups to discuss their illness-related experience. Individual comments from audiotape transcriptions were grouped according to the topics of knowledge, psychosocial functioning, treatment compliance, and satisfaction with services. Results: Although the written knowledge test showed no significant difference between EXP and CTRL, self-reported psychosocial functioning, including illness-related knowledge, was significantly better among EXP (1% level). Content analysis of focus group comments also showed a significant advantage for EXP in psychosocial functioning, compliance, knowledge, and treatment satisfaction. Both quantitative and qualitative results from this study support the research thesis that Med Groups have a positive impact on patients' subjective experience and therefore on treatment outcome. These results suggest that Med Groups should be further studied and developed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBipolar medication groups: Treatment outcomes and patient perspectivesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158321-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Bipolar medication groups: Treatment outcomes and patient perspectives </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wright, Heidi</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kaiser Permanente</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Dan B. Moore Building, 6600 Bruceville Road, South Sacramento, CA, 95823, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">919.688.2000</td></tr><tr><td colspan="2" class="item-abstract">Background: Despite the well-documented effectiveness of lithium and other pharmacologic agents in reducing the frequency and severity of mood episodes in patients with bipolar disorder, emergency room use and hospitalization rates among this patient population remain high. The discrepancy between theoretical and actual treatment outcome is explainable by poor medication compliance, which in turn suggests an inadequate medical support system. In recent years, efforts have been made to improve patients' treatment collaboration by developing more holistically supportive health care delivery models. The bipolar medication groups (Med Groups) at Kaiser Permanente, South Sacramento, constitute such an approach, providing a combination of medical, educational, and psychotherapeutic components in an accessible, consumer-friendly environment. Facilitated by an RN/MD team, they provide weekly, ongoing access for maintenance treatment and crisis intervention. Research purpose: To determine whether Med Groups make a positive difference in outpatient treatment of bipolar disorder. Method: 70 patients treated for bipolar disorder at our psychiatric clinic, separated into Med Group attenders (experimental group or EXP) and non-attenders (control group or CTRL), took a written knowledge test and filled out a questionnaire addressing psychosocial functioning. They were also assigned to one of 11 focus groups to discuss their illness-related experience. Individual comments from audiotape transcriptions were grouped according to the topics of knowledge, psychosocial functioning, treatment compliance, and satisfaction with services. Results: Although the written knowledge test showed no significant difference between EXP and CTRL, self-reported psychosocial functioning, including illness-related knowledge, was significantly better among EXP (1% level). Content analysis of focus group comments also showed a significant advantage for EXP in psychosocial functioning, compliance, knowledge, and treatment satisfaction. Both quantitative and qualitative results from this study support the research thesis that Med Groups have a positive impact on patients' subjective experience and therefore on treatment outcome. These results suggest that Med Groups should be further studied and developed. </td></tr></table>en_GB
dc.date.available2011-10-26T20:43:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:43:48Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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