Factors associated with antipsychotic medication adherence in community-based patients with schizophrenia in Hong Kong: a cross sectional study.
The purpose of the present study was to examine the factors affecting adherence to antipsychotic medication in patients with schizophrenia registered with a community psychiatric nursing service in Hong Kong. The study was a cross-sectional observational survey; symptoms, drug attitudes, insight, side-effects, and sociodemographic characteristics were measured and explored in terms of their relationship with medication adherence. A total of 584 patients who were visited by community psychiatric nurses (CPN) participated, and 30% of these patients were non-adherent with their antipsychotic medication. Positive treatment attitudes, awareness of the need for treatment, being prescribed clozapine, receiving state benefits, lower levels of symptoms, and fewer side-effects were associated with adherence. The findings from this study suggest that the clinical efforts of CPN to improve adherence should aim to help patients amplify the personal relevance of treatment and modify patients' attitudes towards medication.
Department of Health, Well-Being and the Family, Canterbury Christ Church University, Kent, UK. daniel.bressington@canterbury.ac.uk
Dan
D
Bressington
Jolene
J
Mui
Richard
R
Gray
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D001364:Awareness; D010054:Brief Psychiatric Rating Scale; D057189:Checklist; D003155:Community Mental Health Centers; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D063046:Patient Medication Knowledge; D011568:Psychiatric Nursing; D012559:Schizophrenia / Q000188:drug therapy* / Q000451:nursing*; D012565:Schizophrenic Psychology; D055815:Young Adult
D014150:Antipsychotic Agents