Mobile phone text message reminders of antipsychotic medication: is it time and who should receive them? A cross-sectional trust-wide survey of psychiatric inpatients

BMC Psychiatry

Research Article

Christine Lewis¹  Athanasios Prountzos²  Eugenia Kravariti²  Daniel Hayes²  Sook Kuan Wong²  Katherine Bogart³  Chike Ify Okocha⁴  Anthony Akenzua⁴ 

[1] Bexley Crisis Resolution and Home Treatment Team, Erith Centre, Park Crescent, DA8 3EE, Erith, UK;Department of Psychosis Studies, Institute of Psychiatry at the Maudsley, King’s College London, De Crespigny Park, Denmark Hill, SE5 8AF, London, UK;Department of Psychosis Studies, Institute of Psychiatry at the Maudsley, King’s College London, De Crespigny Park, Denmark Hill, SE5 8AF, London, UK;Wandsworth Psychological Therapies and Wellbeing, Springfield University Hospital, 61 Glenburnie Road, SW17 7DJ, London, UK;Oxleas NHS Foundation Trust, Pinewood House, Pinewood Place, DA2 7WG, Dartford, Kent, UK;

关键词: Antipsychotics;    Medication adherence;    Electronic reminders;    SMS;    Mobile phone;    Inpatients;   

DOI  :  10.1186/1471-244X-14-15

 received in 2013-09-04, accepted in 2014-01-18,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundPoor adherence to antipsychotic medication is a widespread problem, and the largest predictor of relapse in patients with psychosis. Electronic reminders are increasingly used to improve medication adherence for a variety of medical conditions, but have received little attention in the context of psychotic disorders. We aimed to explore the feasibility and acceptability of including short message service (SMS) medication reminders in the aftercare plan of service users discharged from inpatient care on maintenance antipsychotic medication.MethodsWe conducted a cross-sectional, trust-wide survey in the inpatient units of the Oxleas National Health Service (NHS) Foundation Trust in the UK between June 29 and August 3, 2012. Using a self-report questionnaire and the Drug Attitude Inventory, we examined inpatient attitudes towards antipsychotic drugs, past adherence to antipsychotic medication, frequency of mobile phone ownership, and interest in receiving SMS medication reminders upon discharge from the ward. Predictors of a patient’s interest in receiving electronic reminders were examined using simple logistic regression models.ResultsOf 273 inpatients, 85 met eligibility criteria for the survey, showed decisional capacity, and agreed to participate. Of the 85 respondents, over a third (31-35%) admitted to have forgotten to take/collect their antipsychotic medication in the past, and approximately half (49%) to have intentionally skipped their antipsychotics or taken a smaller dose than prescribed. Male patients (55%), those with negative attitudes towards antipsychotics (40%), and those unsatisfied with the information they received on medication (35%) were approximately 3 to 4 times more likely to report past intentional poor adherence. The large majority of respondents (80-82%) reported having a mobile phone and knowing how to use SMS, and a smaller majority (59%) expressed an interest in receiving SMS medication reminders after discharge. No variable predicted a patient’s interest in receiving electronic reminders of antipsychotics.ConclusionsAutomatic SMS reminders of antipsychotic medication were acceptable to the majority of the survey respondents as an optional service offered upon discharge from inpatient care. Automatic electronic reminders deserve further investigation as a flexible, minimally invasive, cost-effective and broadly applicable tool that can potentially improve antipsychotic adherence and clinical outcomes.

【 授权许可】

Unknown   
© Bogart et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.