Title :

Nurses' perceptions of medication adherence in schizophrenia: results of the ADHES cross-sectional questionnaire survey

Author(s) :

Emsley, Robin [Auteur]
University of Stellenbosch Business School [Cape Town] [USB ]
Alptekin, Köksal [Auteur]
Azorin, J.M. [Auteur]
Cañas, Fernando [Auteur]
Dubois, Vincent [Auteur]
Gorwood, Philip [Auteur]
Université Paris Descartes - Paris 5 [UPD5]
Haddad, Peter M. [Auteur]
Naber, Dieter [Auteur]
Olivares, José Manuel [Auteur]
Papageorgiou, Georgios [Auteur]
Roca, Miguel [Auteur]
Thomas, Pierre [Auteur]
Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Hargarter, Ludger [Auteur]
Schreiner, Andreas [Auteur]

Journal title :

Therapeutic Advances in Psychopharmacology

Volume number :

5

Pages :

339-350

Publication date :

2015

English keyword(s) :

adherence
antipsychotic
nurse
schizophrenia
survey

HAL domain(s) :

Sciences cognitives

English abstract : [en]

OBJECTIVES: Poor adherence to antipsychotic treatment is a widespread problem within schizophrenia therapy with serious consequences including increased risks of relapse and rehospitalization. Mounting evidence supports ...
Show more >OBJECTIVES: Poor adherence to antipsychotic treatment is a widespread problem within schizophrenia therapy with serious consequences including increased risks of relapse and rehospitalization. Mounting evidence supports the key roles that nurses play in monitoring patient progress and facilitating long-term treatment adherence. The Adherencia Terapéutica en la Esquizofrenia (ADHES) nurses' survey was designed to assess the opinions of nurses on the causes and management of partial/nonadherence to antipsychotic medication. METHODS: A questionnaire-based cross-sectional survey of 4120 nurses from Europe, the Middle East and Africa. Interpretation of results was based on a descriptive comparison of responses. RESULTS: Nurses perceived 54% of patients seen in the preceding month to be partially/nonadherent to treatment. Most nurses (90%) reported some level of experience with administration of long-acting injectable (LAI) antipsychotics, with 24% of nurses administering >10 injections per month. The majority (85%) of nurses surveyed believed that improving adherence would improve patient outcomes. Nearly half (49%) reported that most of their patients depend on a family member or other nonprofessional carer to remind them to take their medication as prescribed. A similar proportion of nurses (43%) reported that most of their patients relied on a professional to remind them to take medication. Most nurses (92%) felt that ensuring continuous medication with LAI antipsychotics would yield long-term benefits for patients, but their opinion was that over a third of patients were unaware of LAI antipsychotic treatments. In a series of forced options, the strategy used most often by respondents (89%) to promote medication adherence was to build trusting relationships with patients while listening to and interpreting their needs and concerns. Respondents also rated this as the most effective strategy that they used (48%). CONCLUSION: Nurses are highly aware of adherence issues faced by their patients; further patient education on treatment options is needed.Show less >

Language :

Anglais

Audience :

Non spécifiée

Administrative institution(s) :

Université de Lille
CNRS
CHU Lille

Collections :

• Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193

Research team(s) :

Équipe Psychiatrie & Croyance (PsyCHIC)

Submission date :

2019-02-13T14:50:51Z
2020-04-06T09:36:25Z
2020-04-06T09:41:50Z
2021-05-17T09:45:42Z
2021-05-17T09:51:01Z