Background of the Problem
Following a diagnosis of schizophrenia, clinicians often prescribed psychotropic medication for treatment. Unfortunately, a high percentage of patients are unenthusiastic about taking these medications. Patients’ reluctance to follow prescribed neuroleptic regimen limits proven efficacy of antipsychotic medication and treatment success (Cramer and Rosenhenck, 1998; Hui, et al, 2016). Nonadherence is a precursor to symptoms exacerbation, morbidity, mortality and health care cost (Lacro et. al, 2002).
Medication nonadherence is a continuum concept that cannot be delineate as “all or nothing” situation. A full nonadherence is view as the extreme end of the continuum which represen...
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Problem Statement using PICOT design
Population: Functional adults aged 18- 65, diagnosed with schizophrenia living in the community.
Intervention: Using a multi-faceted intervention- a combination of an automatic medication dispenser (“Med E-lert”) and Cognitive Behavioral Group Therapy (CBT).
Comparison: Management of medication with blister-pack (a single intervention) delivery system.
Outcome: Improve medication adherence and reduced hospital readmission rate.
Time: Six months.
For this Evidenced Base Paper (EBP), PICOT Problem question is:
In functional adults aged 18-65 diagnosed with schizophrenia living in the community, how does a combination of an automatic medication dispenser (Med E-lert) and Cognitive Behavioral Group Therapy compared blister-pack medication delivery system affect medication adherence and readmission rate within six month period?
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