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Telenursing Intervention Increases Psychiatric Medication Adherence in Schizophrenia Outpatients

University of Tennessee College of Nursing, lbeebe1{at}utk.edu

Kathlene Smith

Tennessee Wesleyan College, Fort Sanders Nursing Department, Knoxville, Tennessee

Carol Crye

Knoxville, Tennessee

Caryn Addonizio

University of Tennessee, Knoxville

D. J. Strunk

Lincoln Memorial University School of Nursing, Harrogate, Tennessee

Whitney Martin

School of Nursing, University of Tennessee, Knoxville

Josh Poche

outpatient mental health

BACKGROUND: Promoting medication adherence is a critical issue in optimizing both physical and mental health in persons with schizophrenia. Average antipsychotic medication adherence is only 50%; few studies have examined nonpsychiatric medication adherence. Psychosocial interventions with components of problem solving and motivation have shown promise in improving adherence behaviors. OBJECTIVES: This study examines telephone intervention problem solving (TIPS) for outpatients with schizophrenia. TIPS is a weekly, provider-initiated, proactive telenursing intervention designed to help persons with schizophrenia respond to a variety of problems, including adherence problems. STUDY DESIGN : The authors completed objective measures of adherence to psychiatric and nonpsychiatric medications in 29 community-dwelling persons with schizophrenia, monthly for 3 months. STUDY RESULTS : Persons receiving TIPS had significantly higher objective adherence to psychiatric medications throughout the study period, F(1, 20) = 5.47, p = .0298. CONCLUSIONS: Clinicians should consider using TIPS as an adjunct to face-to-face appointments to support adherence in persons at risk. J Am Psychiatr Nurses Assoc, 2008; 14(3), 217–224. DOI: 10.1177/1078390308318750

Key Words: schizophrenia • telephone • medication adherence

Journal of the American Psychiatric Nurses Association, Vol. 14, No. 3, 217-224 (2008)
DOI: 10.1177/1078390308318750


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