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Adherence to medication in the community: audit cycle of interventions to improve the assessment of adherence

Farooq, Saeed; Choudry, Abid

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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
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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