Authors: (including presenting author): :
Lo KC(1), Tang WK(1), Chung YM(1), Li HL(1), Chui MCE(1)
Affiliation: :
(1) Department of Psychiatry, Queen Mary Hospital
Keyword 1: :
adherence therapy
Keyword 2: :
nursing intervention
Keyword 3: :
medication adherence
Introduction: :
Medication Adherence therapy also has evidence on improving medication adherence in patients with psychiatric illnesses. As in 2021, over 80% of psychiatric nurses received the medication adherence therapy training in Department of Psychiatry, Queen Mary Hospital. A comprehensive resource - the Medication Management Handbook (3rd Ed) is available for nurses to share with patients. However, unknown level or frequency of application in daily practice as there is limited documentation of provision of medication adherence therapy during psychiatric inpatient. Further, the supervision on enforcing application appears insufficient
Objectives: :
1. To facilitate of implementation of medication adherence therapy in Inpatient Unit 2. To measure the changes in medication adherence using validated tool.
Methodology: :
This study employed a single‑group pre–posttest design to evaluate the application of medication adherence therapy in a busy inpatient psychiatric setting. Mediation adherence therapy addresses the knowledge, attitude and behavioral components of patients by incorporating psychoeducation, motivational interviewing, and cognitive‑behavioral strategies. Descriptive statistics were used to analyze demographic characteristics of the participants. To examine changes before and after the intervention, paired‑samples t-tests were conducted.
Result & Outcome: :
69 patients were recruited from November 2021 to December 2022. 52 cases completed 1-6 sessions (Mean=4.9). 53.8% are female patients. Mean age 43.2 years old (SD 15.0) (Range from 16-73). It took 35.5 days in average to complete the sessions (SD 32.9). The total score for BMAS increased from 67.6 to 82.6 (p< 0.001), in which attitude score increased by 7.8 and behavioral score increased by 7.2. The percentage of patient reaching cutoff score of 70 which was validated for adequate adherence is increased from 40.4% to 86.5%. Patient reported increased in knowledge in the effects, triggers, relapse prevention, self-management skills, willingness to take drugs, relationship with health care workers, tips to form habits in drug taking. In Conclusion, the implementation of medication adherence therapy in an inpatient psychiatric setting is feasible and effective in improving medication adherence and patient engagement.
