scholarly journals Effectiveness of mental therapy for poor medication adherence in depression: A review

2020 ◽  
Vol 19 (8) ◽  
pp. 1785-1792
Author(s):  
Shuyin Xu ◽  
Bangshan Liu ◽  
Yan Zhang

Purpose: To review the effectiveness and underlying mechanism of different types of psychotherapy to improve medication adherence (MA).Methods: In this review, the status and possible factors influencing medication adherence in patients with depression patients based on  information obtained from various literature.Results: Although the focus of psychologists' analysis of the causes and solutions of mental illness is different, several of these therapies can improve patient compliance with their medications. An effective psychotherapy can change patients’ attitudes towards disease and help them reduce the disease recurrence rate.Conclusion: Psychotherapy has an irreplaceable role in dealing with the major depressive disorder. This review aimed to provide effective instructions for improving medication adherence and reducing disease relapse and recurrence in the future. Keywords: Depression, Medication adherence, Psychotherapy

According to WHO only 50% patients adhere to chronic therapy. The problem of non-adherence has persisted over decades. Over 197 million Indian households have TV sets and on an average Indian’s spend 3 hours, 44 minutes watching television. TV programme is used as intervention by patients to improve medication adherence rates. The objective of the research is to find the effect of TV programme as a form of reminder in improving medication adherence. With the help of a structured questionnaire the information about medication adherence behaviour was obtained from patients suffering from different types of diseases in the state of Sikkim, India. It has been found that when patients use TV programme as a form of reminder the odds of missing the medication consciously reduces by 45.9%. At a personal level the probability that a person will not miss the time of medication is 42.3% higher compared to when it is not used and if the total population is considered, 15.6% less people would not be missing the medication at all when the reminder is used.


Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Anton M Vehovec ◽  
Mary A Dolansky ◽  
Rich Josephson ◽  
Joel W Hughes

Introduction: Mild cognitive impairment is common in patients with HF and is linked to poor medication adherence. Poor medication adherence is associated with higher mortality and hospitalizations. Medication adherence strategies to compensate for cognitive impairment are not well understood. The purpose of this secondary analysis is to identify the type and frequency of compensatory strategies used by patients with HF and mild cognitive impairment and to determine if compensatory strategy use is associated with medication adherence. Methods and Results: The parent study was a longitudinal descriptive study (N=379) to determine the relationships among cognitive impairment and self-management. The Modified Mental Status (3MS), a global measure of cognition and an electronic pill box (Medsignals) were used. A subsample of 156 patients with mild to moderate global cognitive impairment was selected based on a 3MS of less than 90. The frequencies of four compensatory strategies use were: pillbox (n=85, 57%), family reminders (n=17, 11%), reminders including calendars and alarms (n=17, 11%), and combining administration with other tasks (n=51, 33%). An independent samples t-test was performed to test the difference in medication adherence between persons that did and did not use each compensatory strategy. Pillbox use was associated with medication adherence (p<.05). The group that used a pillbox (n=80) had a mean medication adherence of 82.5%, while no pillbox use (n=90) had a mean of 74.8% No other compensatory strategies were related to better medication adherence. Conclusion: In clinical practice, global cognition screening and education on pillbox use to improve medication adherence is recommended. Although other compensatory strategies did not have a significant impact on medication adherence, more research is need to understand compensatory strategies to help patients with mild cognitive impairment improve medication adherence.


Author(s):  
Elke Loots ◽  
Eva Goossens ◽  
Toke Vanwesemael ◽  
Manuel Morrens ◽  
Bart Van Rompaey ◽  
...  

Adherence to prescribed medication regimes improves outcomes for patients with severe mental illness such as schizophrenia or bipolar disorders. The aim of this systematic review and meta-analysis was to compare the effectiveness among interventions to improve medication adherence in patients with schizophrenia or bipolar disorders. Literature published in the last decade was searched for interventions studies to improve adherence in patients with schizophrenia or a bipolar disorder. Interventions were categorised on the basis of type, and the context and effectiveness of the interventions were described. Two review authors independently extracted and assessed data, following criteria outlined by the Cochrane Handbook for Systematic Reviews of Interventions. The GRADEPro (McMaster University, 2020, Ontario, Canada) was used for assessing the quality of the evidence. Twenty-three publications met the selection criteria. Different types of interventions aiming to improve adherence were tested: educational, behavioural, family-based, technological, or a combination of previous types. Meta-analysis could be performed for 10 interventions. When considered separately by subgroups on the basis of intervention type, no significant differences were found in adherence among interventions (p = 0.29; I2 = 19.9%). This review concluded that successful interventions used a combination of behavioural and educational approaches that seem easy to implement in daily practice.


According to WHO only 50% patients adhere to chronic therapy. The problem of non-adherence has persisted over decades. Over 197 million Indian households have TV sets and on an average Indian’s spend 3 hours, 44 minutes watching television. TV programme is used as intervention by patients to improve medication adherence rates. The objective of the research is to find the effect of TV programme as a form of reminder in improving medication adherence. With the help of a structured questionnaire the information about medication adherence behaviour was obtained from patients suffering from different types of diseases in the state of Sikkim, India. It has been found that when patients use TV programme as a form of reminder the odds of missing the medication consciously reduces by 45.9%. At a personal level the probability that a person will not miss the time of medication is 42.3% higher compared to when it is not used and if the total population is considered, 15.6% less people would not be missing the medication at all when the reminder is used.


Author(s):  
Saibal Kumar Saha ◽  
Anindita Adhikary ◽  
Ajeya Jha ◽  
Vijay Kumar Mehta

According to WHO, only 50% of patients adhere to chronic therapy. The problem of non-adherence has persisted over decades. Over 197 million Indian households have TV sets, and on average Indians spend 3 hours, 44 minutes watching television. A TV programme is used as intervention by patients to improve medication adherence rates. The objective of the research is to find the effect of TV programmes as a form of reminder in improving medication adherence. With the help of a structured questionnaire, the information about medication adherence behaviour was obtained from patients suffering from different types of diseases in the state of Sikkim, India. It has been found that when patients use TV programmes as a form of reminder, the odds of missing the medication consciously reduces by 45.9%. At a personal level, the probability that a person will not miss the time of medication is 42.3% higher compared to when it is not used, and if the total population is considered, 15.6% fewer people would not be missing the medication at all when the reminder is used.


Author(s):  
A Habeeb

Abstract Objective This study aimed to assess the quality and readability of websites on chronic rhinosinusitis. Methods A total of 180 results from 3 different search engines regarding ‘chronic rhinosinusitis’, ‘sinusitis’ and ‘sinus infections’ were analysed for readability using the Flesch–Kincaid Grade Level, Flesch Reading Ease Score and Gunning Fog Index. The Discern tool was used to approximate information quality. Results From 180 total searches, 69 unique websites were identified. These had an average Flesch–Kincaid Grade Level of 9.75 (95 per cent confidence interval = 9.12–10.4), a Flesch Reading Ease Score of 45.0 (41.0–49.0) and a Gunning Fog Index of 13.7 (12.9–14.4), which equates to the average reading level of a college or university student. Discern scores were variable but consistently showed good-quality information. Conclusion Chronic rhinosinusitis information is of a high quality but is for a reading level higher than that of the average adult. Standardising patient information should ensure adequate comprehension and improve patient compliance.


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