Telephone and texting interventions for medication adherence of discharged patients with schizophrenia:A one-year follow-up study
10.3969/j.issn.1000-6729.2015.09.004
- VernacularTitle:出院后精神分裂症患者服药依从性电话和短信干预的1年随访
- Author:
Jinlian QU
;
Tao ZHANG
;
Jie SONG
;
Haiying FANG
- Publication Type:Journal Article
- Keywords:
schizophrenia;
problem-solving;
telephone intervention;
text-messaging intervention;
medication adherence;
follow-up studies
- From:
Chinese Mental Health Journal
2015;(9):656-661
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of problem-solving based telephone and texting interventions for medication adherence of discharged patients with schizophrenia.Method:A total of 178 discharged patients with schizophrenia were randomly assigned to telephone intervention (TI)group (n =63),text-messaging intervention (TMI)group (n =61),and control group (n =54).All patients were routinely treated,and patients in TI and TMI groups were given problem-solving based interventions.Medication adherence and psychotic symptoms were as-sessed by pill counting and the Positive and Negative Symptom Scale (PANSS)at baseline and the first,third, sixth,ninth and twelfth month.Results:Overall,patients with TI had higher medication adherence than those with TMI (P <0.001),and patients with TMI had higher medication adherence than that in control group (P <0.001). PANSS scores in TI and TMI groups were not significantly different (P >0.05),but significantly lower than control group (P <0.01).There was higher rate of re-admission in control group in comparison with TI and TMI groups (9.3% vs.[0% and 1.6%],P <0.05).Conclusion:It suggests that problem-solving based telephone and texting interventions are effective for improving medication adherence in patients with schizophrenia after their discharge from hospital,so as to reducing psychotic symptoms and lowering re-hospitalization risk.In comparison with TMI, TI has a better effect in improving medication adherence.
