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Medication adherence in patients with schizophrenia: a qualitative study of the patient process in motivational interviewing

Overview of attention for article published in BMC Psychiatry, May 2018
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Title
Medication adherence in patients with schizophrenia: a qualitative study of the patient process in motivational interviewing
Published in
BMC Psychiatry, May 2018
DOI 10.1186/s12888-018-1724-9
Pubmed ID
Authors

Jos Dobber, Corine Latour, Lieuwe de Haan, Wilma Scholte op Reimer, Ron Peters, Emile Barkhof, Berno van Meijel

Abstract

Motivational interviewing (MI) may be an effective intervention to improve medication adherence in patients with schizophrenia. However, for this patient group, mixed results have been found in randomized controlled trials. Furthermore, the process of becoming (more) motivated for long-term medication adherence in patients with schizophrenia is largely unexplored. We performed a qualitative multiple case study of MI-sessions to analyse the interaction process affecting motivation in patients with schizophrenia. Fourteen cases of patients with schizophrenia, who recently experienced a psychotic relapse after medication-nonadherence, were studied, comprising 66 audio-recorded MI-sessions. In the MI-sessions, the patients expressed their cognitions on medication. We used these cognitions to detect the different courses (or patterns) of the patients' ambivalence during the MI-intervention. We distinguished successful and unsuccessful cases, and used the cross-case-analysis to identify success factors to reach positive effects of MI. Based on the expressed cognitions on medication, we found four different patterns of the patient process. We also found three success factors for the intervention, which were a trusting relationship between patient and therapist, the therapist's ability to adapt his MI-strategy to the patient's process, and relating patient values to long-term medication adherence. The success of an MI-intervention for medication adherence in patients with schizophrenia can be explained by well-defined success factors. Adherence may improve if therapists consider these factors during MI-sessions.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 138 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 138 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 16 12%
Student > Master 16 12%
Student > Ph. D. Student 12 9%
Student > Bachelor 12 9%
Other 8 6%
Other 22 16%
Unknown 52 38%
Readers by discipline Count As %
Medicine and Dentistry 22 16%
Nursing and Health Professions 20 14%
Psychology 17 12%
Pharmacology, Toxicology and Pharmaceutical Science 8 6%
Computer Science 2 1%
Other 13 9%
Unknown 56 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 March 2019.
All research outputs
#14,399,094
of 23,061,402 outputs
Outputs from BMC Psychiatry
#3,122
of 4,761 outputs
Outputs of similar age
#186,208
of 329,133 outputs
Outputs of similar age from BMC Psychiatry
#109
of 129 outputs
Altmetric has tracked 23,061,402 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,761 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.9. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 329,133 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 40th percentile – i.e., 40% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 129 others from the same source and published within six weeks on either side of this one. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.