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Adherence According to Mary Poppins: Strategies to Make the Medicine Go Down
Author(s) -
Hardeman Suzanne M.,
Narasimhan Meera
Publication year - 2010
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/j.1744-6163.2009.00233.x
Subject(s) - mood , mood disorders , medicine , quality of life (healthcare) , disease , alternative medicine , psychiatry , medline , family medicine , psychology , nursing , anxiety , pathology , political science , law
PURPOSE. This article reviews the prevalence, risk factors, and burden of nonadherence in mood and psychotic disorders, and presents evidence‐based, disease‐specific strategies shown to improve adherence. CONCLUSION. A comprehensive approach based on the goal of remission, designed around the patient's individual needs, facilitates adherence, leads to improved quality of life, and reduces disease burden. PRACTICE IMPLICATIONS. Adherence in mood and psychotic disorders can be improved when providers take time to build trusting relationships; identify risk factors; anticipate nonadherence; individualize treatment; and educate patients, families, and other healthcare providers.