title: 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.
authors.affiliation: Federal Neuro-Psychiatric Hospital, Kaduna, Nigeria. Email:dradeponleab@yahoo.com
authors.forename: Ademola B
authors.initials: AB
authors.lastname: Adeponle
authors.forename: Brett D
authors.initials: BD
authors.lastname: Thombs
authors.forename: Moruf L
authors.initials: ML
authors.lastname: Adelekan
authors.forename: Laurence J
authors.initials: LJ
authors.lastname: Kirmayer
mesh_terms: D000293:Adolescent; D000328:Adult; D000359:Aftercare; D000368:Aged; D001071:Appointments and Schedules; D015331:Cohort Studies; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D011446:Prospective Studies; D055815:Young Adult