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Are attitudes towards medication adherence associated with medication adherence behaviours among patients with psychosis? A systematic review and meta analysis

Richardson, M., McCabe, R. ORCID: 0000-0003-2041-7383 and Priebe, S. (2013). Are attitudes towards medication adherence associated with medication adherence behaviours among patients with psychosis? A systematic review and meta analysis. Social Psychiatry and Psychiatric Epidemiology, 48(4), pp. 649-657. doi: 10.1007/s00127-012-0570-1

Abstract

Background
Studies have shown patient attitudes to be an important predictor for health related behaviours including medication adherence. It is less clear whether patient attitudes are also associated with medication adherence among patients with psychoses.

Method
We conducted a systematic review and meta analysis of the data of studies that tested the association of attitude measures with medication adherence among patients with psychoses. 14 studies conducted between 1980 and 2010 were included.

Results
Results show a small to moderate mean weighted effect size (r + = 0.25 and 0.26 for Pearson and Spearman correlations, respectively).

Conclusions
Theory based interventions that target potentially modifiable attitude components are needed to assess the relationship between positive patient attitudes and adherence behaviours among patients with psychoses.

Publication Type: Article
Additional Information: This is a post-peer-review, pre-copyedit version of an article published in 'Social Psychiatry and Psychiatric Epidemiology'. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00127-012-0570-1.
Publisher Keywords: Medication adherence, Attitudes, Psychoses
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Departments: School of Health Sciences > Healthcare Services Research & Management
URI: http://openaccess.city.ac.uk/id/eprint/21764
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