Improving adherence in mental health service users with severe mental illness in South Africa: a pilot randomized controlled trial of a treatment partner and text message intervention vs. treatment as usual
| Autor: | Sumaya Mall, Dan J. Stein, Goodman Sibeko, Ezra Susser, Graham Thornicroft, Peter Williams-Ashman, Peter Milligan, Henk Temmingh, Crick Lund |
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| Přispěvatelé: | Department of Psychiatry and Mental Health, Faculty of Health Sciences |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_treatment Psychological intervention lcsh:Medicine Pilot Projects law.invention South Africa 0302 clinical medicine Randomized controlled trial law Outcome Assessment Health Care Psychiatric hospital Mobile health lcsh:QH301-705.5 Mental Disorders General Medicine Middle Aged Task-shifting Research Note Female Mental health Treatment partner Adult Mental Health Services medicine.medical_specialty Reminder Systems Context (language use) General Biochemistry Genetics and Molecular Biology Medication Adherence 03 medical and health sciences Patient Education as Topic medicine Psychoeducation Humans lcsh:Science (General) Text Messaging business.industry lcsh:R Text message Mental illness medicine.disease Symptomatic relief 030227 psychiatry Psychotherapy lcsh:Biology (General) Adherence Physical therapy business 030217 neurology & neurosurgery lcsh:Q1-390 |
| Zdroj: | BMC Research Notes, Vol 10, Iss 1, Pp 1-8 (2017) BMC Research Notes |
| ISSN: | 1756-0500 |
| Popis: | Objectives Medication non-adherence is a significant problem in treatment of severe mental disorders and is associated with poor clinical outcomes and increased demand on services. Task-shifting interventions incorporating mobile health may improve adherence in mental health service users in low- and middle-income countries. Seventy-seven participants were recruited from a psychiatric hospital in Cape Town, with 42 randomized to receive the intervention and 35 to treatment as usual. Intervention pairs underwent treatment-partner contracting and psychoeducation, and received monthly text message reminders of clinic appointments. Primary outcomes were intervention acceptability and feasibility. Secondary outcome for efficacy were adherence to clinic visit; relapse; quality of life; symptomatic relief and medication adherence. Results Treatment partner and psychoeducation components were acceptable and feasible. The text message component was acceptable but not feasible in its current form. Efficacy outcomes favoured the intervention but did not reach statistical significance. A treatment-partner intervention is acceptable and feasible in a low- and middle-income setting. Work is needed to ensure that additional components of such interventions are tailored to the local context. Appropriately powered efficacy studies are needed. Trial Registration PACTR PACTR201610001830190, Registered 21 October 2016 (Retrospectively registered) |
| Databáze: | OpenAIRE |
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