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Adherence to Depression Treatment in Primary Care
3 hours ago
- Table 1. Table 1. Characteristics of Patients in TIP and Treatment as Usual GroupsCharacteristicNo. (%)P ValueTotal(N = 231)TIP(n = 115)Treatment as Usual(n = 116)Age, mean (SD), y67.3 (8.4)67.6 (8.9)67.0 (8.0).59Female167 (72.3)81 (70.4)86 (74.1).53Hispanic31 (13.4)13 (11.3)18 (15.5).35Race/ethnicity Black46 (19.9)23 (20)23 (19.8).51 White163 (70.6)78 (67.8)85 (73.3) Asian9 (3.9)5 (4.4)4 (3.4) Other13 (5.6)9 (7.8)4 (3.4)Marital status Single30 (13.0)15 (13.0)15 (12.9).21 Married98 (42.4)55 (47.8)43 (37.1) Divorced/separated65 (28.1)26 (22.6)39 (33.6) Widowed38 (16.5)19 (16.5)19 (16.4)Living alone77 (33.3)35 (30.4)42 (36.2).35Education level, mean (SD), y14.6 (3.0)14.8 (2.9)14.4 (3.1).31Employment status Full- or part-time56 (24.2)30 (26.1)26 (22.4).92 Unemployed27 (11.7)11 (9.6)16 (13.8) Retired127 (55.0)64 (55.7)63 (54.3) On disability19 (8.2)9 (8.6)11 (9.5)Baseline HAM-D score, mean (SD)17.8 (9.5)17.9 (9.6)17.6 (9.6).93SCID diagnosis Major depression100 (43.3)51 (44.3)49 (42.2).40 Minor depression63 (27.3)27 (23.5)36 (31.0) Did not meet criteria68 (29.4)37 (32.2)31 (26.7)MMSE score, mean (SD)27.9 (2.0)28.0 (2.1)27.8 (2.0).63Psychiatric hospitalization000NAAbbreviations: HAM-D, Hamilton Depression Rating Scale; MMSE, Mini-Mental State Examination; NA, not applicable; SCID, severe combined immunodeficiency; TIP, Treatment Initiation and Participation Program.
- Table 2. Table 2. Logistic Regression Predicting Adherence Based on Site and TIP InterventionAdherence at Follow-up, wkAIC TIPTreatment as UsualOR (95%CI)χ2P ValueOR (95%CI)χ2P Value6204.765.54 (2.57-11.96)19.05<.0013.48 (1.70-7.13)11.60.00112231.282.84 (1.47-5.50)9.60.0022.82 (1.47-5.41)9.78.00224228.061.49 (0.78-2.85)1.48.222.71 (1.41-5.24)8.85.0036 and 12244.183.27 (1.73-6.17)13.34<.0013.30 (1.76-6.19)13.80<.0016, 12, and 24248.382.79 (1.50-5.19)10.50.0013.90 (2.10-7.25)18.58<.001Abbreviations: AIC, Akaike information criterion; OR, odds ratio; TIP, Treatment Initiation and Participation Program.
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Antidepressant Adherence: Are Patients Taking Their
9 hours ago Jun 06, 2012 . Antidepressant NonAdherence in Primary Care Populations. Through a literature search of antidepressant adherence in primary care populations, we encountered considerably more studies (Table 2).[5,10–21] Of these 13 studies, seven were from the United States and six were from various other countries (the majority from Europe).
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Antidepressant Adherence Predicts Depression Response in
9 hours ago Greater adherence to the prescribed antidepressants was considered predictive of a higher likelihood of treatment response at 12 weeks (odds ratio [OR], 2.63; 95% CI, …
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Antidepressant Adherence - Apps on Google Play
1 hours ago Antidepressant Adherence. The purpose of this mobile app is to help you have better treatment satisfaction and better treatment outcome. Specifically, this app will help you understand more about Behavioral Health related diagnoses and medications as well as help you take medications as directed and in a timely manner.
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Antidepressant adherence tool kit is here to help
8 hours ago Antidepressant adherence tool kit. Depression responds remarkably to antidepressant therapy. However, many patients are reluctant to take antidepressants, creating very high rates of nonadherence. Those who adhere to therapy early and continue to take medication as prescribed are more likely to recover from depression and avoid future relapse.
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Adherence to Antidepressant Treatment Among Privately
11 hours ago Background: Antidepressants are effective in treatment of depression, but poor adherence to medication is a major obstacle to effective care.. Objective: We sought to describe patient and provider level factors associated with treatment adherence.. Methods: This was a retrospective, observational study using medical and pharmacy claims from a large health plan, for services provided between ...
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ANTIDEPRESSANT ADHERENCE ACROSS DIVERSE
10 hours ago Jun 20, 2016 . Patients had early adherence if they had a second antidepressant fill within 180 days of the first. We used logistic regression to investigate the relationship between early adherence and patient characteristics. Results. A total of 177,469 adult patients had 184,967 new episodes of depression with a filled antidepressant prescription.
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How can you improve antidepressant adherence? MDedge
5 hours ago Adherence declines over 3 months. Overall, adherence to antidepressants significantly decreased over time. While adherence as measured by the percentage of prescribed doses taken was good (82%) at month 1, it showed a significant linear decrease to 69% at 3 months (P<.0001).When the more stringent measure of adherence was examined—ie, percentage of days with correct intake and timing ...
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Relapse Risk Up With Antidepressant Therapy
2 hours ago WEDNESDAY, Sept. 29, 2021 (HealthDay News) -- For patients with depression who feel well enough to discontinue antidepressant therapy, the risk for relapse is increased for those who discontinue their medication, according to a study published in the Sept. 30 issue of the New England Journal of Medicine.. Gemma Lewis, Ph.D., from University College London, and colleagues …
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Culture as a Factor in Adherence: Learning From Latino
5 hours ago Jul 27, 2017 . While nonadherence to psychiatric medications is a common barrier to recovery for many people with depression or schizophrenia, Latino individuals are at higher risk for antidepressant and antipsychotic nonadherence than non-Latino white patients. 1 Even when socioeconomic status and access to quality care are controlled for, Latinos with depression have lower antidepressant …
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Antidepressant adherence and its predictors in immigrants
2 hours ago nal Health Insurance claims database, immigrants who were newly prescribed antidepressants were identified (n = 2,398). The immigrants were matched with native-born Koreans in a 1:1 ratio. Antidepressant adherence was measured by the medication possession ratio at monthly intervals. Logistic regression was performed to compare antidepressant nonadherence between …
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DVIDS - Images - Antidepressant Adherence App
12 hours ago The Antidepressant Adherence app is a new mobile app to improve patient engagement and compliance for antidepressant medication and other …
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Antidepressant medicine adherence - Aetna
7 hours ago Antidepressant medicine adherence. When patients take medicine correctly, depression is a very treatable condition. You can help increase adherence by educating your patients as soon as treatment starts. Have your patients tell you about their medical conditions and all the medicines they’re taking.
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Risk factors for drug nonadherence in antidepressant
9 hours ago Risk factors for drug nonadherence in antidepressant-treated patients and implications of pharmacist adherence instructions for adherence improvement Atsunobu Murata,1 Takashi Kanbayashi,2 Tetsuo Shimizu,2 Masatomo Miura11Department of Pharmacy, Akita University Hospital, 2Department of Neuropsychiatry, Akita University Graduate School of Medicine, Akita, JapanBackground: The aim of …
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Adherence to antidepressant medications: an evaluation of
3 hours ago Adherence to antidepressant medications: an evaluation of community pharmacists' counseling practices Wei Wen Chong,1,2 Parisa Aslani,1 Timothy F Chen1 1Faculty of Pharmacy, The University of Sydney, Sydney, NSW, Australia; 2Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Background: Recent studies have shown that pharmacists have a role in addressing …
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Escalating Financial Incentives Over 6 Weeks Improves
4 hours ago Providing escalating financial incentives to patients with depression during the first 6 weeks of starting antidepressant therapy may improve adherence to therapy, a study in JAMA Psychiatry suggests.
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183 Antidepressant Adherence and Alternative Future
9 hours ago 183 Antidepressant Adherence and Alternative Future Options in Pacific Islander Youth - Volume 25 Issue 2 Skip to main content Accessibility help We use cookies to distinguish you from other users and to provide you with a better experience on our websites.
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Adherence to antidepressant therapy and mortality rates in
8 hours ago Reference Burnett, Coverdale, Pickens and Dyer 38 Antidepressant adherence is presumably associated with more mindful health behaviours (e.g. physical activity and healthy nutrition) which might mediate the link between antidepressant adherence and increased survival. If so, this explanation might also underlie the effect of antidepressant ...
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Frequently Asked Questions
What are the outcomes of adherence to depression treatment?
Main outcomes and measures: The primary outcome was self-reported adherence on the Brief Medication Questionnaire, with adequate early adherence defined as taking 80% or more of the prescribed doses at 6 and 12 weeks. The secondary outcome was depression severity.
How does a primary care physician help with adherence?
A brief initial assessment for nonadherence risk factors may identify persons for targeted adherence promoting interventions. Primary care physicians provide the majority of mental health treatment in the United States. The standard of treatment is psychiatric medication or referrals for specialty mental health treatment.
Where to study adherence to mental health treatment?
The Veterans Health Administration (VHA) provides an opportunity to study predictors of adherence in a mostly male primary care patient population. We sought to determine predictors of short-term and intermediate adherence to depression treatments.
How does adherence to medication affect patient care?
Results: At 1 month, medication adherence was greater when patients experienced previous pharmacy trouble and traveled for less than 30 minutes to reach the clinic. Appointment attendance improved when patients were ready for treatment, perceived benefits, and saw their physician as collaborative.