Title: The Impact of Stakeholder Preferences on Service User Adherence to Treatments for Schizophrenia and Metabolic Comorbidities
year: 2016
Journal: PLoS One
Volume: 11
Issue: 11
Pages: e0166171
Epubdate: 17/11/2016
Alternate Journal: PloS one
ISSN: 1932-6203
Legal note: PMC5112999
Article Number: 27851771
Abstract: OBJECTIVE: To determine how stakeholder opinions of treatments influence service user decisions to adhere to courses of actions necessary to treat metabolic conditions. METHODS: Qualitative open-ended interviews were conducted with 20 service providers, 25 service users, and 9 caregivers. Grounded theory was used to generate an understanding that linked preferences of care with adherence to follow-up treatments. RESULTS: Participants spoke about several considerations when discussing adherence: Resource limitations were the predominant consideration. Social considerations such as stigma and support surfaced in caregiver and service-user interviews. The influence of symptoms, especially their absence could reduce adherence, and organizational considerations related to the opinions they had about the qualifications of professionals. DISCUSSION: A rational patient model partially organizes our findings, but emotional components related to stigma and the opinion of service providers do not fit well into such a model. If service providers do not consider components of the decision making process which fall outside of the rational patient model, they may incorrectly be leveraging suboptimal values to bring about adherence to treatment plans. Being sensitive to the values of service users and their caregivers may allow service providers to better act on points that may bring about change in non-compliant service users with schizophrenia and metabolic comorbidities.
Notes: 1932-6203 Poremski, Daniel ORCID: http://orcid.org/0000-0003-4492-0442 Sagayadevan, Vathsala D/O Wang, Peizhi Lum, Alvin Subramaniam, Mythily Ann, Chong Siow Journal Article United States PLoS One. 2016 Nov 16;11(11):e0166171. doi: 10.1371/journal.pone.0166171. eCollection 2016.
URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112999/pdf/pone.0166171.pdf
URI: https://open-access.imh.com.sg/handle/123456789/5026
Authors Address: Research Division, Institute of Mental Health, Singapore, Singapore.
Database Provider: NLM
language: eng
Appears in Collections:2016




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