Improving medication adherence in psychiatric patients with a medication adherence program
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Whitney Peterson, DNP, MSN-Ed, RN, whitpeterso@gmail.com
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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).
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Integrative Review |
Research Approach | Other |
Keywords | Medication Adherence; Telephone Follow-Up; Severe Mental Illness; Medication Non-Adherence |
Grantor | Chamberlain University |
Level | DNP |
Year | 2021 |
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