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Assessing Strategies to Improve Antipsychotic Adherence: The Portuguese Version of the Difficulty Implementing Adherence Strategies

Published online by Cambridge University Press:  23 March 2020

A. Cardoso ,
P. Aguiar ,
M. Byrne  and
M. Xavier
A. Cardoso*
Affiliation:
Faculty of Medical Sciences, Mental health, Lisbon, Portugal
P. Aguiar
Affiliation:
National School of Public Health, Public Health, Lisbon, Portugal
M. Byrne
Affiliation:
University of Wollongong, Psychology, Wollongong, Australia
M. Xavier
Affiliation:
Nova Medical School, Mental Health, Lisbon, Portugal
*
*Corresponding author.

Abstract

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Introduction

Non-adherence is a problem throughout medicine and there are many strategies that are used to improve antipsychotic adherence. A review of the literature identified 33 commonly cited strategies for enhancing consumer adherence. Three core themes were identified: Information/Education; Behavioural strategies; and Cognitive/Motivational strategies.

Aims/objectives

To develop the Portuguese version of the DIAS.

Methods

The DIAS was translated and adapted for Portuguese language. The translation was done by the first author (AC). The accuracy of this translation was discussed in a two focus group of experts, providing opinion on face and content validity. The participants were asked to rate how often they had difficulties using each of the 33 strategies with consumers who were non-adherent. A four point Likert scale was used (1 = never; 4 = always) such that higher scores indicated more frequent difficulty using the strategy.

Results

A convenience sample of 65 mental health professionals working in a variety of settings is being collected. The average score in DIAS was 85.0 (SD14.6). The value of internal reliability coefficient α was 0.93. The intraclass correlation coefficient of total MABQ score was 0.45. The t-test showed that there were no statistically significant differences between the mean values of the measurement scale at two different times (84.5 vs.90.5; P = 0.04).

Conclusion

Interventions to improve antipsychotic adherence would benefit from further research. However, it is important always to bear in mind that none of these strategies can be a substitute a positive therapeutic alliance. The Portuguese version of DIAS will provide professionals with a new tool to evaluate the frequency how strategies are implemented and the impact of each strategy in treatment adherence.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV765
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S478 - S479
Copyright
Copyright © European Psychiatric Association 2016
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