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P-1241 - Nurses' Perceptions of Assessment, Causes and Management of Partial/non-adherence to Medication: Results of the Emea Adhes Survey in Schizophrenia

Published online by Cambridge University Press:  15 April 2020

R. Emsley
Affiliation:
Department of Psychiatry, University of Stellenbosch, Faculty of Health Sciences, Cape Town, South Africa
K. Alptekin
Affiliation:
Department of Psychiatry, Dokuz Eylül University School of Medicine, Izmir, Turkey
J.-M. Azorin
Affiliation:
Sainte Marguerite Hospital, Marseille, France
F. Canas
Affiliation:
Department of Psychiatry, Hospital Dr R Lafora, Madrid, Spain
V. Dubois
Affiliation:
Cliniques Universitaires St-Luc, Brussels, Belgium
P. Gorwood
Affiliation:
CMME, Hôpital Sainte-Anne Paris Descartes, Paris, France
D. Naber
Affiliation:
Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
J.M. Olivares
Affiliation:
Department of Psychiatry, Hospital Meixoeiro, Complejo Hospitalario Universitario de Vigo, Vigo, Spain
G. Papageorgiou
Affiliation:
Department of Psychiatry, Evangelismos General Hospital, Athen, Greece
M. Roca
Affiliation:
Hospital Juan March, Institut Universitari d’Investigació en Ciències de la Salut (IUNICS), Universitat de les Illes Balears, Palma de Mallorca, Spain
P. Thomas
Affiliation:
Hôpital M. Fontan, Lille, France
L. Hargarter
Affiliation:
Medical & Scientific Affairs, Janssen EMEA, Johnson & Johnson, Neuss, Germany
A. Schreiner
Affiliation:
Medical & Scientific Affairs, Janssen EMEA, Johnson & Johnson, Neuss, Germany

Abstract

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Introduction

Partial/non-adherence to medication is common amongst patients with schizophrenia. Nurses play an important role in assessing and managing mental health problems and are often involved in helping patients manage and adhere to their medication. As such, the perception of nurses regarding the burden and potential causes of non-adherence is vital in addressing the adherence problem.

Objectives

The ADHES nurses survey collected opinions of nurses across the EMEA (Europe, Middle East and Africa) region.

Aim

To ascertain nurses' perceptions of assessment, potential causes and management of partial/non-adherence to medication in patients with schizophrenia.

Methods

The survey was conducted from January-March 2010 in 29 countries across EMEA, comprising 14 questions addressing the issue of partial/non-adherence and the use of long-acting injectable (LAI) antipsychotic medication in patients with schizophrenia.

Results

Results were obtained from 4120 respondents. Nurses estimated high levels of partial/non-adherence (mean 54%) amongst patients with schizophrenia and 85% believed improving medication adherence would have a huge/sizable impact on patient outcomes. 93% believed that continuous medication with an LAI would have long-term benefits for patients with schizophrenia, and that many patients (mean 40%) would prefer LAI medication.

Conclusion

Nurses recognize the issue of partial/non-adherence to medication in patients with schizophrenia. Most nurses believe patients are well informed about LAI antipsychotics, however, approximately a third of nurses believe patients to be poorly informed. There is a need to address the problem of partial/non-adherence in clinical practice with a multidisciplinary approach to avoid suboptimal treatment outcomes in patients with schizophrenia.

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Copyright
Copyright © European Psychiatric Association 2012
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