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A peer support programme for enhancing adherence to oral antipsychotic medication in consumers with schizophrenia

Boardman, Gayelene, McCann, Terence and Kerr, Debra 2014, A peer support programme for enhancing adherence to oral antipsychotic medication in consumers with schizophrenia, Journal of advanced nursing, vol. 70, no. 10, pp. 2293-2302, doi: 10.1111/jan.12382.

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Title A peer support programme for enhancing adherence to oral antipsychotic medication in consumers with schizophrenia
Author(s) Boardman, Gayelene
McCann, Terence
Kerr, DebraORCID iD for Kerr, Debra orcid.org/0000-0002-2956-2432
Journal name Journal of advanced nursing
Volume number 70
Issue number 10
Start page 2293
End page 2302
Total pages 10
Publisher Wiley-Blackwell Publishing
Place of publication Chichester, Eng.
Publication date 2014-10
ISSN 0309-2402
1365-2648
Keyword(s) adherence
antipsychotic
consumer
mental health
nursing
peer support
problem-solving approach
psychosis
schizophrenia
telephone
Summary AIMS: To assess if consumers with schizophrenia who were non-adherent to their oral antipsychotic medication had improved adherence and mental state, after participating in a problem-solving based peer support programme.

BACKGROUND: Many people with schizophrenia are reluctant to take their antipsychotic medications. Peer support, combined with a problem-solving approach, could be used as a strategy to improve adherence outcomes. A peer is an individual with mental illness who offers support to others.

DESIGN: A quasi-experimental time-series design was used to measure the effect of the problem-solving based peer support programme on adherence and mental state.

METHOD: Consumers who were non-adherent to oral antipsychotic medication were recruited from February 2009-June 2010. Peers contacted consumers by a weekly 20-minute telephone call for 8 weeks. Mental state was measured using the Brief Psychiatric Rating Scale-E and medication adherence was measured by self-report at baseline, postintervention (week 8) and follow-up (week 14). Data were analysed using the Friedman's test and Wilcoxon Signed Rank test for pair-wise comparisons.

RESULTS: The study included 22 consumers and six peers: 19 males, mean age 35·1 years. Improvements were identified in medication adherence, negative symptoms and overall mental state between baseline and week 8. These improvements were maintained at week 14.

CONCLUSION: Medication adherence may be enhanced with the addition of a peer support intervention. A problem-solving based peer support programme could be implemented in the community setting for patients who are non-adherent with oral antipsychotic medication.
Language eng
DOI 10.1111/jan.12382
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, John Wiley & Sons
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089860

Document type: Journal Article
Collection: School of Nursing and Midwifery
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