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Improving Medication Adherence With Telemedicine for Adults With Severe Mental Illness
Lara N Schulze1, Ulrike Stentzel1, Jessica Leipert1
1Institute for Community Medicine (Schulze, Stentzel, Hoffmann, van den Berg) and Department of Psychiatry and Psychotherapy (Schulze, Leipert, Schulte, Freyberger, Grabe), University Medicine Greifswald, Greifswald, Germany; Department for Psychiatry and Psychotherapy, HELIOS Hanseklinikum Stralsund, Stralsund, Germany (Freyberger); Psychosomatics and Psychotherapy, Bethanien Hospital for Psychiatry, Greifswald, Germany (Langosch).
Objective:
The study evaluated a telephone call and text message intervention to improve adherence to medication among patients with severe mental illness.
Methods:
A randomized clinical trial was conducted, and outpatients with schizophrenia or bipolar disorder were assigned to the intervention group or to a usual care control group. The intervention was provided by trained nurses. Medication adherence was measured with the Medication Adherence Report Scale.
Results:
The study sample comprised 120 participants. Logistic regression analysis showed that intervention group participants were significantly more likely than control group participants to be medication adherent at 6 months (odds ratio=4.11, p=.007). The superiority of the intervention emerged during months 4 to 6. Social desirability, diagnosis, and medication did not affect the results.
Conclusions:
Telemedicine via telephone can deliver low-threshold support to patients who are otherwise at high risk of progressive nonadherence to their psychotropic medication after 6 months.
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