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Enhancing patient adherence: outcomes of medication alliance training on therapeutic alliance, insight, adherence, and psychopathology with mental health patients

Journal Article


Abstract


  • The results of interventions to enhance patient adherence to medication have been

    inconsistent. This research investigated the utility of an enhanced adherence training programme to

    ascertain its effectiveness and the possible mechanisms of that effect. Forty-six clinicians were trained

    in ‘medication alliance’, and data were collected from 51 patients matched to the clinician. Data on

    clinician changes in skills, knowledge, and attitudes, in relation to enhancing patient adherence and

    patient changes in adherence, insight, and psychopathology were collected at baseline and at 6 and

    12 months. The quality of the therapeutic relationship between the clinician and the patient was also

    assessed. The results indicated significant improvements in both clinician and patient measures, the

    majority of which were maintained over time. The quality of the therapeutic relationship was also

    enhanced. A hypothesized explanatory model accounting for the data was supported. It was concluded

    that clinician training to support improved patient adherence should include strategies that also

    enhance the therapeutic alliance.

Publication Date


  • 2011

Citation


  • Byrne, M. K. & Deane, F. P. (2011). Enhancing patient adherence: outcomes of medication alliance training on therapeutic alliance, insight, adherence, and psychopathology with mental health patients. International Journal of Mental Health Nursing, 20 (4), 284-295.

Scopus Eid


  • 2-s2.0-79960089445

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/2090

Has Global Citation Frequency


Number Of Pages


  • 11

Start Page


  • 284

End Page


  • 295

Volume


  • 20

Issue


  • 4

Place Of Publication


  • Australia

Abstract


  • The results of interventions to enhance patient adherence to medication have been

    inconsistent. This research investigated the utility of an enhanced adherence training programme to

    ascertain its effectiveness and the possible mechanisms of that effect. Forty-six clinicians were trained

    in ‘medication alliance’, and data were collected from 51 patients matched to the clinician. Data on

    clinician changes in skills, knowledge, and attitudes, in relation to enhancing patient adherence and

    patient changes in adherence, insight, and psychopathology were collected at baseline and at 6 and

    12 months. The quality of the therapeutic relationship between the clinician and the patient was also

    assessed. The results indicated significant improvements in both clinician and patient measures, the

    majority of which were maintained over time. The quality of the therapeutic relationship was also

    enhanced. A hypothesized explanatory model accounting for the data was supported. It was concluded

    that clinician training to support improved patient adherence should include strategies that also

    enhance the therapeutic alliance.

Publication Date


  • 2011

Citation


  • Byrne, M. K. & Deane, F. P. (2011). Enhancing patient adherence: outcomes of medication alliance training on therapeutic alliance, insight, adherence, and psychopathology with mental health patients. International Journal of Mental Health Nursing, 20 (4), 284-295.

Scopus Eid


  • 2-s2.0-79960089445

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/2090

Has Global Citation Frequency


Number Of Pages


  • 11

Start Page


  • 284

End Page


  • 295

Volume


  • 20

Issue


  • 4

Place Of Publication


  • Australia