Adherence Therapy for Patients with Schizophrenia (1 CE)
Number of Credits: 1
This course is for: Clinical Psychologists, Counselors, and Nurses
Course by: Rachel Schoor, PhD
Content by: Chien, W. T., Mui, J., Gray, R., & Cheung, E. (2016). Adherence therapy versus routine psychiatric care for people with schizophrenia spectrum disorders: A randomised controlled trial. BMC Psychiatry, 16(1), 42.
Antipsychotic medications are routinely recommended for long-term schizophrenia management. Yet, treatment adherence remains an issue for this demographic. A randomized controlled trial was conducted to investigate the effectiveness of a motivational interviewing-based adherence therapy among patients with schizophrenia spectrum disorders. Participants with poor antipsychotic medication adherence were recruited from two community psychiatric nursing services and were randomly assigned, in equal proportions, to either the experimental adherence therapy treatment plus treatment as usual, or treatment as usual, control groups. Participants in the adherence therapy group received six sessions of adherence therapy in addition to regular psychiatric care provided by the facility. Study outcomes were assessed using several measures, including participants’ medication adherence, symptom severity, hospitalization rates, insight into illness/ treatment, and functioning. Participants who received adherence therapy evidenced improvement across all of the aforementioned measured areas at 18 months post-intervention compared to participants in the treatment as usual group.
- List 3 reasons why it is imperative for individuals with schizophrenia to receive psychiatric treatment early in course of disease
- Integrate 2 aims of motivational interviewing-based adherence therapy with the study objective
- Identify 3 study weaknesses that limit the generalizability of the findings
- Read and understand Adherence therapy versus routine psychiatric care for people with schizophrenia spectrum disorders: A randomised controlled trial
- Review the Course Description and Learning Objectives
- Consider the strengths and weaknesses of the study, as well as factors concerning study generalizability
- Work through the post-test questions; keep in mind that answer selections should be derived from the respective article
- Return to the referenced article for any missed questions and/or to better understand the relationships between motivational interviewing-based adherence therapy and medication adherence among people with schizophrenia spectrum disorders
REQUIRED CA BRN IMPLICIT BIAS INCLUSION
Implicit biases incorporate an association that occurs outside of conscious awareness that may resultantly lead to a negative patient evaluation derived from irrelevant characteristics; i.e., gender and/or race. A systematic review of the literature was conducted. Thirty-five studies identified the existence of implicit bias in healthcare professionals; all correlational studies evidenced a significant positive relationship between implicit bias levels and lower quality of care (FitzGerald & Hurst, 2017). Continued research in health care settings, combined with greater method homogeneity, should be employed to examine the occurrence and prevalence of implicit biases in healthcare settings as a strategic approach for mitigating related disparities (FitzGerald & Hurst, 2017).