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801 – Comprehension and Companionship in the Emergency Department as Predictors of Treatment Adherence: a Prospective Study

Published online by Cambridge University Press:  15 April 2020

U. Nitzan ,
E. Hirsch ,
I. Luria ,
S. Aviram ,
G. Walter  and
Y. Bloch
U. Nitzan
Affiliation:
Shalvata Mental Health Center, Hod Hasharon Sackler School of Medicine, Tel-Aviv University
E. Hirsch
Affiliation:
Shalvata Mental Health Center, Hod Hasharon
I. Luria
Affiliation:
Sackler School of Medicine, Tel-Aviv University Outpatient Clinic, Abarbanel Mental Health Center, Tel-Aviv
S. Aviram
Affiliation:
Department of Psychology, Haifa University, Haifa, Israel
G. Walter
Affiliation:
Discipline of Psychiatry, University of Sydney, Sydney, NT, Australia
Y. Bloch
Affiliation:
Shalvata Mental Health Center, Hod Hasharon Sackler School of Medicine, Tel-Aviv University

Abstract

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Introduction:

Lack of adherence to recommended treatment poses major clinical and economic challenges for psychiatry, and requires further study.

Objectives and aims:

We aimed to prospectively investigate the association between the level of understanding of psychiatric emergency department (ED) discharge recommendations and presence of a companion with short term treatment adherence.

Methods:

Sixty subjects were evaluated twice: upon ED discharge and a month later. Instruments included a structured questionnaire based on the MacArthur Competence Assessment Tool for Treatment, MMSE, and corroboration of data with the computerized hospital medical file.

Results:

There was a significant association between patient understanding and adherence with medication instructions (p< .01) and adherence to psychiatric follow-up (p< .05). There was also an association between the presence of a companion and adherence to medication instructions (x2(1)=7.0, p< .01).

Conclusions:

Ensuring patients' understanding of treatment recommendations and encouraging the company of patients are achievable, practical strategies that may improve adherence and thereby promote better outcomes.

Type
Abstract
Information
European Psychiatry , Volume 28 , Issue S1: Abstracts of the 21th European Congress of Psychiatry , 2013 , 28-E276
Copyright
Copyright © European Psychiatric Association 2013
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