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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
pharmacology, toxicology and pharmaceutics
Nurses’ perceptions of medication adherence in schizophrenia: Results of the ADHES cross-sectional questionnaire survey
Therapeutic Advances in Psychopharmacology, Volume 5, No. 6, Year 2015
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Description
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. 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. 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%). Nurses are highly aware of adherence issues faced by their patients; further patient education on treatment options is needed. © 2015, SAGE Publications. All rights reserved.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC4722504/bin/ADHES_nurses_survey_supplementary_file.pdf
Authors & Co-Authors
Emsley, Robin Alexander
South Africa, Stellenbosch
Stellenbosch University
Alpteki̇n, Köksal
Turkey, Izmir
Dokuz Eylül Üniversitesi
Azorin, Jean Michel
France, Marseille
Hôpital Sainte Marguerite
Cañas, Fernando
Spain, Madrid
Hospital Dr. Rodríguez Lafora
Dubois, Vincent
Belgium, Brussels
Cliniques Universitaires Saint-luc
Gorwood, Philip A.P.M.
France, Paris
Centre Hospitalier Sainte-anne
Haddad, Peter M.
United Kingdom, Manchester
The University of Manchester
Naber, Dieter
Germany, Hamburg
Universitätsklinikum Hamburg-eppendorf
Olivares, Jose
Spain, Vigo
Complejo Hospitalario Universitario de Vigo
Papageorgiou, George
Greece, Athens
Evagelismos Hospital
Roca, Miquel
Spain, Palma
Universitat de Les Illes Balears
Thomas, Pierre
France, Lille
Hôpital Fontan 2
Hargarter, Ludger
Unknown Affiliation
Schreiner, Andreas
Unknown Affiliation
Statistics
Citations: 17
Authors: 14
Affiliations: 12
Identifiers
Doi:
10.1177/2045125315612013
ISSN:
20451253
e-ISSN:
20451261
Research Areas
Health System And Policy
Mental Health
Study Design
Cross Sectional Study
Study Approach
Quantitative