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Effectiveness of Interventions to Promote Medication Adherence in Schizophrenic Populations in Thailand: A Systematic Review

Author

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  • Suchanart Inwanna

    (Department of Population Health Sciences, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
    Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand)

  • Cherdsak Duangchan

    (Department of Population Health Sciences, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
    Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok 10210, Thailand)

  • Alicia K. Matthews

    (Department of Population Health Sciences, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA)

Abstract

Medication non-adherence is a leading cause of poor treatment outcomes among Thai patients with psychiatric disorders and creates challenges for psychiatric nurses. This systematic review synthesized research on intervention effectiveness for antipsychotic medication adherence in Thai schizophrenic populations. Following PRISMA guidelines, searches were completed in seven databases, including PubMed, PsycINFO, CINAHL, Web of Science, Scopus, ThaiJO, and Google Scholar. No restriction dates were used. Screening and extraction of data were performed systematically. Eligible studies consisted of nine quasi-experimental and two randomized control trial studies. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used to assess the studies’ methodological quality. This review revealed that individual counseling combined with cognitive-behavioral therapy (CBT) and motivational interviewing (MI) techniques improved and maintained medication adherence behavior over time. Post-testing after intervention completion and at 3- and 6-month follow-ups showed that treatment group participants were more adherent than control group participants ( p < 0.01). These findings suggest that incorporating CBT and MI into clinical practice can enhance medication adherence behavior. Booster session efficacy for reinforcing and sustaining adherence should be investigated. Greater rigor is warranted in future intervention studies based on a quality appraisal of previous studies.

Suggested Citation

  • Suchanart Inwanna & Cherdsak Duangchan & Alicia K. Matthews, 2022. "Effectiveness of Interventions to Promote Medication Adherence in Schizophrenic Populations in Thailand: A Systematic Review," IJERPH, MDPI, vol. 19(5), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2887-:d:762224
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    Cited by:

    1. Gyeongseon Shin & Bohwa Jang & Green Bae & Ha-Lim Jeon & SeungJin Bae, 2022. "The Impact of Payment Scheme Changes on Medication Adherence and Persistence of Patients Diagnosed with Depression in Korea," IJERPH, MDPI, vol. 19(17), pages 1-12, September.

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