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Strategies to improve medication adherence in patients with schizophrenia: the role of support services

Authors El-Mallakh PL, Findlay J

Received 8 August 2014

Accepted for publication 18 November 2014

Published 16 April 2015 Volume 2015:11 Pages 1077—1090

DOI https://doi.org/10.2147/NDT.S56107

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 5

Editor who approved publication: Dr Roger Pinder


Peggy El-Mallakh, Jan Findlay

College of Nursing, University of Kentucky, Lexington, KY, USA

Abstract: The purpose of this review is to describe research over the past 10 years on the role of support services in promoting medication adherence in mental health consumers diagnosed with schizophrenia. A literature search was conducted using the terms “medication adherence,” “schizophrenia,” and “support services,” using Medline, PubMed, and CINAHL. Reference lists from published studies were also reviewed to identify additional research studies. Twenty-two articles focused on support-service intervention studies, and these were selected for review. Available support-service interventions include adherence therapy, electronic reminders via text messages and telephones, cognitive–behavioral and motivational strategies, and financial incentives. Support-service intervention strategies need to be tailored to the specific needs of mental health consumers with schizophrenia. More research is needed to investigate effective support services to enhance long-term adherence and adherence to medications for medical illnesses in this population.

Keywords: schizophrenia, medication adherence, support services, therapy, interventions

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