Text Message Reminders for Long-Acting Injectable Antipsychotics in Patients with Schizophrenia Spectrum Disorders.

IF 1.5 4区医学 Q3 NURSING

Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-07-06 DOI:10.1177/10783903231183918

Christina J Chen, Wanda Hilliard

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引用次数: 0

Abstract

Background: Individuals with schizophrenia spectrum disorders have a chronic disease process that is difficult to manage. Medication nonadherence increases the risk for relapse and subsequent rehospitalization. Long-acting injectable (LAI) antipsychotics have greater effectiveness in promoting medication adherence.

Aims: To determine whether text message reminders for LAI antipsychotic administration improve medication adherence.

Methods: The setting is a community mental health clinic in the west Texas region. Reminders deliver upon scheduling the appointment 3 weeks, 3 days, and 3 hr before the medication is due. This project aimed to determine the effectiveness of text reminders for LAI compliance in patients with schizophrenia spectrum disorders. Primary outcome measures include compliance percentage and target day variability. After exclusion criteria, there was a sample size of 49 patients.

Results: This pre- and post-intervention study utilized descriptive statistics and nonparametric analysis. Pre-intervention metrics outline 84.39% compliance with 3.55 target day variability. Post-intervention data resulted in a significant increase in compliance percentage to 91.24% (p = .014) and a decrease in target day variability to 1.33 days (p < .05).

Conclusion: Text message reminders may be an effective intervention in increasing LAI compliance for individuals with schizophrenia spectrum disorders.

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针对精神分裂症谱系障碍患者的长效注射抗精神病药物短信提醒。

背景：精神分裂症谱系障碍患者是一种难以控制的慢性疾病。不坚持服药会增加复发和再次入院的风险。长效注射（LAI）抗精神病药物在促进服药依从性方面更有效。目的：确定LAI抗精神病药物用药短信提醒是否能改善服药依从性：地点：德克萨斯州西部地区的一家社区心理健康诊所。提醒短信会在预约服药时间前 3 周、3 天和 3 小时发送。该项目旨在确定短信提醒对精神分裂症谱系障碍患者LAI依从性的有效性。主要结果指标包括依从性百分比和目标日变异性。排除标准后，样本量为 49 名患者：这项干预前后的研究采用了描述性统计和非参数分析。干预前的指标概述了 84.39% 的依从性和 3.55% 的目标日变异性。干预后的数据显示，依从性百分比显著提高至 91.24% (p = .014)，目标日变异性降低至 1.33 天 (p < .05)：短信提醒可能是提高精神分裂症谱系障碍患者LAI依从性的有效干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Psychiatric Nurses Association NURSING-PSYCHIATRY

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).