When compared with those in the control (usual care) group, participants in the AT group are expected to demonstrate significant improvements immediately and at three, six and 12 months after completion of the intervention in: level of medication adherence, readmission rate, mental status, insight into treatment, and level of functioning.
When compared with those in the control (usual care) group, participants in the AT group are expected to demonstrate significant improvements immediately and at three, six and 12 months after completion of the intervention in the following aspects: 1. level of adherence to antipsychotic medication, 2. rate and length of psychiatric hospital readmission, 3. mental status, 4. insight and attitude into illness and treatment, and 5. level of functioning. The primary outcomes are level of antipsychotic medication adherence, re-hospitalization rates and mental status; and the patients' drug attitude will be the mediating factor of the AT.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
134
Systematic and highly structured medication adherence program using the motivational interviewing (MI) technique that focuses on six principles: expressing empathy, developing discrepancy between client's beliefs and evidence, supporting self-efficacy, avoiding argumentation, and rolling with resistance to behavioral change. MI is often able (with in-depth behavioral analysis) to focus on particular consequences of problem behavior, such as medication non-adherence, that have an obvious impact on patients.
Kwai Chung Hospital
Kwai Chung, NT, Hong Kong
Castle Peak Hospital
Tuenmen, NT, Hong Kong
re-hospitalization rate
rate and length of psychiatric hospital readmission immediately, 6 months and 12 months after the completion of the intervention undertaken
Time frame: 12 months after completion of intervention
level of medication adherence
level of adherence to antipsychotic medication measured at recruitment and at immediately, 6 months and 12 months after completion fo the intervention
Time frame: 12 months follow-up
mental status
symptom severity measured at recruitment and at immediately, 6 months and 12 months after completion fo the intervention
Time frame: 12 months follow-up
insight into treatment
insights into illness and treatment measured at recruitment and at immediately, 6 months and 12 months after completion fo the intervention
Time frame: 12 months follow-up
functioning
level of functioning measured at recruitment and at immediately, 6 months and 12 months after completion fo the intervention
Time frame: 12 months follow-up
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