Adherence to treatment among adolescents in a psychiatric ward

Timlin, Ulla; Riala, Kaisa; Kyngäs, Helvi

doi:10.1111/jocn.12024

Cited by 6 publications

(6 citation statements)

References 49 publications

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“…The use of figures can be highly effective when reporting content analysis findings, especially when explaining the purpose and process of the analysis and structure of concepts. Very often, these aspects can be shown in the same figure, for example, a diagram that illustrates the hierarchy of concepts or categories may also give an insight into the analysis process (see, for example, Timlin, Riala, & Kyngäs, 2013). After reporting the results, a discussion of the trustworthiness of the analysis should be provided.…”

Section: Reporting the Analysis Processmentioning

confidence: 99%

Qualitative Content Analysis

et al. 2014

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Background During 2011-2013, women from a municipality in Denmark who were born in 1936, 1941, 1946 or 1951 were invited to cardiovascular screening (n = 1984); of those, ten nonattendees were interviewed about their perspectives on cardiovascular screening. The interviews were re-analysed to gain a deeper understanding of their motives for viewing screening as personally irrelevant. A salutogenic perspective formed the premise for the data analysis. Additional Files Additional le 1. This le contains the checklist 'The COnsolidated criteria for REporting Qualitative research (COREQ): a 32-item checklist for interviews and focus group'.

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Section: Reporting the Analysis Processmentioning

confidence: 99%

Qualitative Content Analysis

et al. 2014

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“…In this work, adolescents were only classified as being adherent or non-adherent; whereas characters of partial treatment are divided into levels of full adherence and non-adherence. The results and conclusions of the previous study [23] are recognized with final adherence definitions. Therefore, adherence (full) explain the majority of attended appointments or completion of the prescribed treatment.…”

Section: Classification Of Adherencementioning

confidence: 85%

“…It is important to have a valid method for measuring adherence [2]. In this study, adherence to treatment was defined based on knowledge from the literature [24] as well as results and main conclusions from a previous study on the present sample [23]. 'In other words, strong preliminary investigations formed the foundation for developing and synthesizing definitions for adherence and non-adherence for this study.…”

Section: Study Limitationsmentioning

confidence: 99%

“…Adolescents were classified into groups according to their adherence, or nonadherence, to either medicinal or non-pharmacological treatment. The definition of adherence used in this study was based on our previously published systematic literature review as well as the results and conclusions of an earlier study [23,24]. Three levels of adherence have been defined in the literature: full adherence, partial adherence and nonadherence [24].…”

Section: Classification Of Adherencementioning

confidence: 99%

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Adherence of 13–17 Year Old Adolescents to Medicinal and Non-pharmacological Treatment in Psychiatric Inpatient Care: Special Focus on Relative Clinical and Family Factors

Timlin

Hakko

Riala

et al. 2014

Child Psychiatry Hum Dev

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Clinical studies investigating adolescents' adherence to medicinal and non-pharmacological treatment in hospitalized psychiatric populations are few. In our study of 13-17 year old adolescents admitted to psychiatric inpatient care, the patients' adherence to treatment in general, and to medicinal and non-pharmacological treatment individually, was examined, with special focus on family and clinical factors. Data on adherence was collected from patients' hospital records. A step-wise logistic regression analysis was used to find the significant predictors of adherence to treatment. Good family or social network relational functioning and use of special services at school were positively related to adherence in adolescents. Involuntary treatment and self-mutilative behavior were related to non-adherence to treatment. The results indicate the importance of addressing adherence to treatment in adolescent psychiatric inpatients. More studies with larger samples are needed to investigate this area further.

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“…Studies were excluded if they primarily focused on the following: 1) criminal psychiatry, forensic psychiatry, substance abuse, sexual problems, or neuropsychiatric illnesses; 2) adolescents with anorexia nervosa with no secondary diagnosis of mental illness or anorexia nervosa treatment adherence with adherence defined entirely in terms of body weight (with no attempt made to investigate mental health issues); and 3) child, adult, or geriatric psychiatry. In addition, a study conducted by the authors was excluded to avoid problems of objectivity and to increase the review's validity (21).…”

Section: Search Strategy and Processmentioning

confidence: 99%

Factors that Affect Adolescent Adherence to Mental Health and Psychiatric Treatment: a Systematic Integrative Review of the Literature

Timlin

Hakko

Heino

et al. 2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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Background: Although adherence to somatic treatment has been studied extensively, adherence to mental health treatment has not. In this study, the term treatment adherence is used to refer to adherence to medication regimes and other non-pharmacological recommended treatments as part of mental health and psychiatric care. Knowledge of factors connected to adolescents' adherence to such treatment is fairly fragmented. Although treatment staff members are broadly aware of the factors that influence adherence, it would be desirable to develop formalized treatment assessment and planning approaches that specifically take these factors into account. Objective: The purpose of this article is to review the available data related to factors that affect adolescents' adherence to both medication and non-pharmacological treatments in mental health and psychiatric care. Methods: A systematic literature search that involved four databases was undertaken. A thematic analysis was conducted on 17 studies to extract relevant information. Results: It appears that an adolescent's own positive beliefs toward his or her treatment are the main factor that improves his or her adherence to that treatment. Good cohesion with close supportive people appears to be positively related to adherence, whereas sociodemographic characteristics (e.g., race, gender) were not related. Conclusions: By identifying the factors related to the treatment adherence of adolescents, this review article can provide guidance to help improve the quality of care and thus further increase adolescents' satisfaction with their mental health and psychiatric treatment.

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Adherence to treatment among adolescents in a psychiatric ward

Abstract: The findings presented herein are likely to be informative in the context of inpatient treatment, and it is expected that the results presented herein will help to improve adolescents' quality of treatment.

Cited by 6 publications

References 49 publications

Qualitative Content Analysis

Qualitative Content Analysis

Adherence of 13–17 Year Old Adolescents to Medicinal and Non-pharmacological Treatment in Psychiatric Inpatient Care: Special Focus on Relative Clinical and Family Factors

Factors that Affect Adolescent Adherence to Mental Health and Psychiatric Treatment: a Systematic Integrative Review of the Literature

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