Saeed Farooq s.farooq@keele.ac.uk
Adherence to medication in the community: audit cycle of interventions to improve the assessment of adherence
Farooq, Saeed; Choudry, Abid
Authors
Abid Choudry
Abstract
Aims and method To investigate whether medication adherence is monitored during follow-up in out-patient reviews. A retrospective audit was carried out with a sample of 50 follow-up patients with a diagnosis of schizophrenia or schizoaffective disorder. Following this, interventions were made prior to the re-audit (including text messaging clinicians and prompt sheets in the out-patient department to encourage adherence discussions). Results There was an improvement on all the standards set for this audit following the interventions. More doctors had discussed medication adherence (62% second cycle v. 50% first cycle) with their patient and there was increased discussion and documentation regarding medication side-effects (60% second cycle v. 30% first cycle). More clinicians discussed the response to medication (60% second cycle v. 46% first cycle). Clinical implications Treatment adherence is not regularly monitored or recorded in clinical notes in routine psychiatric out-patient appointments. This highlights the need for regular training to improve practice.
Acceptance Date | Apr 21, 2016 |
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Publication Date | Feb 1, 2017 |
Publicly Available Date | Mar 28, 2024 |
Journal | BJPsych Bull |
Print ISSN | 2056-4694 |
Publisher | Royal College of Psychiatrists |
Pages | 41 - 44 |
DOI | https://doi.org/10.1192/pb.bp.115.053520 |
Publisher URL | http://dx.doi.org/10.1192/pb.bp.115.053520 |
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