Health care providers' perspectives of medication adherence in the treatment of depression: A qualitative study

Wei Wen Chong, Parisa Aslani, Timothy F. Chen

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: Non-adherence to antidepressant medications is a significant barrier to the successful treatment of depression. The purpose of this study was to explore the perspectives of health care providers on antidepressant medication non-adherence in clinical practice. Methods: Individual semi-structured interviews were conducted with a purposive sample of 31 health care providers from a range of disciplines and settings in the state of New South Wales, Australia. Interviews focused on medication adherence issues in depression and participants' strategies in addressing them. Interviews were audio recorded, transcribed verbatim and thematically content analyzed using a constant comparison approach. Results: Participants acknowledged medication non-adherence to be a complex problem in depression, and attributed this problem to patient, medication and environmental-specific issues. Five approaches in addressing non-adherence were reported: patient education, building partnerships with patients, pharmacological management, developing behavioural skills and building supportive networks. Challenges to the management of non-adherence were lack of time and skills, assessment of medication adherence, transition period immediately post-discharge and conflicts in views between providers. Conclusion: Participants were able to identify issues and strategies in addressing antidepressant non-adherence; however, barriers were also identified that could impact on providers' ability to address this issue effectively. More research is needed to develop effective multidisciplinary strategies that take into account providers' perspectives in improving adherence to antidepressant medications.

Original languageEnglish
Pages (from-to)1657-1666
Number of pages10
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume48
Issue number10
DOIs
Publication statusPublished - Oct 2013

Fingerprint

Medication Adherence
Health Personnel
Antidepressive Agents
medication
Depression
health care
Interviews
South Australia
New South Wales
Aptitude
Patient Education
Therapeutics
interview
Pharmacology
management
Research
lack
ability
education

Keywords

  • Antidepressant medications
  • Depression
  • Health care providers
  • Medication adherence

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Epidemiology
  • Health(social science)
  • Social Psychology

Cite this

Health care providers' perspectives of medication adherence in the treatment of depression : A qualitative study. / Chong, Wei Wen; Aslani, Parisa; Chen, Timothy F.

In: Social Psychiatry and Psychiatric Epidemiology, Vol. 48, No. 10, 10.2013, p. 1657-1666.

Research output: Contribution to journalArticle

@article{2e3c9d29897742c2bfea9353f1d659a6,
title = "Health care providers' perspectives of medication adherence in the treatment of depression: A qualitative study",
abstract = "Purpose: Non-adherence to antidepressant medications is a significant barrier to the successful treatment of depression. The purpose of this study was to explore the perspectives of health care providers on antidepressant medication non-adherence in clinical practice. Methods: Individual semi-structured interviews were conducted with a purposive sample of 31 health care providers from a range of disciplines and settings in the state of New South Wales, Australia. Interviews focused on medication adherence issues in depression and participants' strategies in addressing them. Interviews were audio recorded, transcribed verbatim and thematically content analyzed using a constant comparison approach. Results: Participants acknowledged medication non-adherence to be a complex problem in depression, and attributed this problem to patient, medication and environmental-specific issues. Five approaches in addressing non-adherence were reported: patient education, building partnerships with patients, pharmacological management, developing behavioural skills and building supportive networks. Challenges to the management of non-adherence were lack of time and skills, assessment of medication adherence, transition period immediately post-discharge and conflicts in views between providers. Conclusion: Participants were able to identify issues and strategies in addressing antidepressant non-adherence; however, barriers were also identified that could impact on providers' ability to address this issue effectively. More research is needed to develop effective multidisciplinary strategies that take into account providers' perspectives in improving adherence to antidepressant medications.",
keywords = "Antidepressant medications, Depression, Health care providers, Medication adherence",
author = "Chong, {Wei Wen} and Parisa Aslani and Chen, {Timothy F.}",
year = "2013",
month = "10",
doi = "10.1007/s00127-012-0625-3",
language = "English",
volume = "48",
pages = "1657--1666",
journal = "Social Psychiatry",
issn = "0037-7813",
publisher = "D. Steinkopff-Verlag",
number = "10",

}

TY - JOUR

T1 - Health care providers' perspectives of medication adherence in the treatment of depression

T2 - A qualitative study

AU - Chong, Wei Wen

AU - Aslani, Parisa

AU - Chen, Timothy F.

PY - 2013/10

Y1 - 2013/10

N2 - Purpose: Non-adherence to antidepressant medications is a significant barrier to the successful treatment of depression. The purpose of this study was to explore the perspectives of health care providers on antidepressant medication non-adherence in clinical practice. Methods: Individual semi-structured interviews were conducted with a purposive sample of 31 health care providers from a range of disciplines and settings in the state of New South Wales, Australia. Interviews focused on medication adherence issues in depression and participants' strategies in addressing them. Interviews were audio recorded, transcribed verbatim and thematically content analyzed using a constant comparison approach. Results: Participants acknowledged medication non-adherence to be a complex problem in depression, and attributed this problem to patient, medication and environmental-specific issues. Five approaches in addressing non-adherence were reported: patient education, building partnerships with patients, pharmacological management, developing behavioural skills and building supportive networks. Challenges to the management of non-adherence were lack of time and skills, assessment of medication adherence, transition period immediately post-discharge and conflicts in views between providers. Conclusion: Participants were able to identify issues and strategies in addressing antidepressant non-adherence; however, barriers were also identified that could impact on providers' ability to address this issue effectively. More research is needed to develop effective multidisciplinary strategies that take into account providers' perspectives in improving adherence to antidepressant medications.

AB - Purpose: Non-adherence to antidepressant medications is a significant barrier to the successful treatment of depression. The purpose of this study was to explore the perspectives of health care providers on antidepressant medication non-adherence in clinical practice. Methods: Individual semi-structured interviews were conducted with a purposive sample of 31 health care providers from a range of disciplines and settings in the state of New South Wales, Australia. Interviews focused on medication adherence issues in depression and participants' strategies in addressing them. Interviews were audio recorded, transcribed verbatim and thematically content analyzed using a constant comparison approach. Results: Participants acknowledged medication non-adherence to be a complex problem in depression, and attributed this problem to patient, medication and environmental-specific issues. Five approaches in addressing non-adherence were reported: patient education, building partnerships with patients, pharmacological management, developing behavioural skills and building supportive networks. Challenges to the management of non-adherence were lack of time and skills, assessment of medication adherence, transition period immediately post-discharge and conflicts in views between providers. Conclusion: Participants were able to identify issues and strategies in addressing antidepressant non-adherence; however, barriers were also identified that could impact on providers' ability to address this issue effectively. More research is needed to develop effective multidisciplinary strategies that take into account providers' perspectives in improving adherence to antidepressant medications.

KW - Antidepressant medications

KW - Depression

KW - Health care providers

KW - Medication adherence

UR - http://www.scopus.com/inward/record.url?scp=84885429409&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84885429409&partnerID=8YFLogxK

U2 - 10.1007/s00127-012-0625-3

DO - 10.1007/s00127-012-0625-3

M3 - Article

C2 - 23179094

AN - SCOPUS:84885429409

VL - 48

SP - 1657

EP - 1666

JO - Social Psychiatry

JF - Social Psychiatry

SN - 0037-7813

IS - 10

ER -