Family participation in treatment, post-discharge appointment and medication adherence at a Nigerian psychiatric hospital
- PMID: 19118334
- PMCID: PMC5156562
- DOI: 10.1192/bjp.bp.108.052217
Family participation in treatment, post-discharge appointment and medication adherence at a Nigerian psychiatric hospital
Abstract
In low-income countries, clinicians must seek strategies to improve treatment adherence that are non-resource intensive and easily integrated into existing treatment structures. We conducted a prospective observational cohort study to investigate the relationship of family engagement in treatment during hospitalisation with post-discharge appointment and medication adherence in 81 patients from a Nigerian psychiatric hospital. After controlling for gender, diagnosis, mental state at discharge, and marital status, family involvement was significantly associated with appointment (P=0.047) but not medication adherence (P=0.590). Studies are needed to determine whether interventions based on engaging families in treatment can improve post-discharge adherence in this setting.
Conflict of interest statement
Declaration of interest None.
References
-
- Zygmunt A, Olfson M, Boyer CA, Mechanic D. Interventions to improve medication adherence in schizophrenia. Am J Psychiatry. 2002;159:1653–64. - PubMed
-
- Nosé M, Barbui C, Gray R, Tansella M. Clinical interventions for treatment non-adherence in psychosis: meta-analysis. Br J Psychiatry. 2003;183:197–206. - PubMed
-
- Nosé M, Barbui C, Tansella M. How often do patients with psychosis fail to adhere to treatment programmes? A systematic review. Psychol Med. 2003;33:1149–60. - PubMed
-
- Saxena S, Paraje G, Sharan P, Karam G, Sadana R. The 10/90 divide in mental health research: trends over a 10-year period. Br J Psychiatry. 2006;188:81–2. - PubMed
-
- Breen A, Swartz L, Joska J, Flisher AJ, Corrigall J. Adherence to treatment in poorer countries. A New Research Direction? Psych Services. 2007;58:567–8. - PubMed
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical