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Skills-based medication training program for patients with schizophrenic disorders: a rater-blind randomized
Uwe B Schirmer1, Tilman Steinert2, Erich Flammer2
1Centre for Psychiatry South-Wuerttemberg, Ravensburg, Germany.
This study shows that an inpatient medication training program significantly improves medication adherence in schizophrenia patients after discharge. Nurses delivered the skills-based training, leading to better adherence rates compared to the control group.
Area of Science:
- Psychiatry
- Clinical Psychology
- Pharmacology
Background:
- Schizophrenia relapses are frequently linked to poor medication adherence.
- Nonadherence to medication is common in patients shortly after hospital discharge.
Purpose of the Study:
- To assess the effectiveness of a skills-based inpatient training program designed to improve medication intake.
- Evaluate the impact of nurse-led training on patient medication adherence.
Main Methods:
- A manual-based inpatient medication training program was developed and delivered by nurses.
- Medication adherence was measured using pill counts, serum drug levels, and patient self-assessment.
- Blinded raters were employed for objective assessment of adherence.
Main Results:
- Four weeks post-discharge, 98% of patients in the intervention group showed adherence via pill count, versus 76% in the control group (P<0.01).
- Serum level measurements indicated adherence in 88.5% of the intervention group compared to 70% in the control group (P<0.05).
Conclusions:
- The inpatient medication training program facilitated by nurses appears effective in improving medication adherence post-hospitalization.
- Skills-based training can enhance autonomous medication intake and reduce relapse rates in schizophrenia patients.
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