2.50
Hdl Handle:
http://hdl.handle.net/10755/335408
Category:
Full-text
Type:
Presentation
Title:
Enhancing Adherence to Treatment for Clients With Serious Mental Illness
Other Titles:
Patient Education and Treatment Modalities
Author(s):
Markley, Valerie N.
Lead Author STTI Affiliation:
Alpha
Author Details:
Valerie N. Markley, BSN, MSN DNP, markley@indiana.edu
Abstract:
Session presented on Saturday, July 26, 2014: Non-adherence to treatment is a common problem in many chronic disorders with higher rates among clients with mental disorders. Non-adherence to treatment greatly compromises the effectiveness of psychiatric treatment and is associated with higher rates of relapse, hospitalization, and increased health care costs. Hildegard Peplau's theory of the nurse-client relationship and Ludwig von Bertalanffy's general system theory provide a model for intervening to increase adherence. The study was conducted over a 90 day period in the outpatient service of a for-profit psychiatric hospital. The intervention involved communication between office visits by an advanced practice nurse who contacted clients via phone or email. Thirteen adult clients between the ages of 21 and 59 agreed to participate (four males and seven females). Patients' diagnoses included bipolar disorder, major depressive disorder, anxiety disorder, and post traumatic stress disorder. All of the participants were new to the clinic and had a history of inconsistent compliance with medications. Clients were asked to keep a daily log of psychotropic medications taken. They were considered as meeting the goal of adherence when taking the medication 75% of the time. Their attendance to psychiatric appointments was also recorded. Chi-Square tests indicated that APRN communication was significantly associated with consistent adherence to medications (?2 (1, N = 13) = 13.00, p < .001) and to psychiatric appointments (?2 (1, N = 13) = 13.00, p < .001). These results support the use of an evidence based intervention to enhance adherence to psychiatric treatment. Recommendations for further study include recruiting the psychiatric providers to provide the intervention and conducting a cost effectiveness analysis.
Keywords:
Adherence; Treatment
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Other Identifiers:
INRC14F12
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleEnhancing Adherence to Treatment for Clients With Serious Mental Illnessen
dc.title.alternativePatient Education and Treatment Modalitiesen
dc.contributor.authorMarkley, Valerie N.en
dc.contributor.departmentAlphaen
dc.author.detailsValerie N. Markley, BSN, MSN DNP, markley@indiana.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335408-
dc.description.abstractSession presented on Saturday, July 26, 2014: Non-adherence to treatment is a common problem in many chronic disorders with higher rates among clients with mental disorders. Non-adherence to treatment greatly compromises the effectiveness of psychiatric treatment and is associated with higher rates of relapse, hospitalization, and increased health care costs. Hildegard Peplau's theory of the nurse-client relationship and Ludwig von Bertalanffy's general system theory provide a model for intervening to increase adherence. The study was conducted over a 90 day period in the outpatient service of a for-profit psychiatric hospital. The intervention involved communication between office visits by an advanced practice nurse who contacted clients via phone or email. Thirteen adult clients between the ages of 21 and 59 agreed to participate (four males and seven females). Patients' diagnoses included bipolar disorder, major depressive disorder, anxiety disorder, and post traumatic stress disorder. All of the participants were new to the clinic and had a history of inconsistent compliance with medications. Clients were asked to keep a daily log of psychotropic medications taken. They were considered as meeting the goal of adherence when taking the medication 75% of the time. Their attendance to psychiatric appointments was also recorded. Chi-Square tests indicated that APRN communication was significantly associated with consistent adherence to medications (?2 (1, N = 13) = 13.00, p < .001) and to psychiatric appointments (?2 (1, N = 13) = 13.00, p < .001). These results support the use of an evidence based intervention to enhance adherence to psychiatric treatment. Recommendations for further study include recruiting the psychiatric providers to provide the intervention and conducting a cost effectiveness analysis.en
dc.subjectAdherenceen
dc.subjectTreatmenten
dc.date.available2014-11-17T13:51:47Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:51:47Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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