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Better quality of life in patients offered financial incentives for taking anti-psychotic medication: Linked to improved adherence or more money?
- Source :
-
Quality of Life Research . Aug2016, Vol. 25 Issue 8, p1897-1902. 6p. 2 Charts. - Publication Year :
- 2016
-
Abstract
- <bold>Purpose: </bold>In a randomised controlled trial, patients were offered financial incentives to improve their adherence to anti-psychotic maintenance medication. Compared to a control group without the incentives, they had an improved adherence and also better subjective quality of life (SQOL) after 1 year. This paper explores the question as to whether this improvement in SQOL was associated with the amount of money received or with the improved adherence itself.<bold>Method: </bold>A secondary analysis was performed using data of the experimental group in the trial. Adherence was assessed as the percentage of all prescribed long-acting anti-psychotic injections that were taken by the patient. In regression models, we tested whether changes in medication adherence and/or the amount of incentives received over the 12-month period was associated with SQOL, as rated on the DIALOG scale.<bold>Results: </bold>Adherence changed from 68.49 % at baseline to 88.23 % (mean difference in adherence = 19.59 %, SD = 17.52 %). The total amount of incentives received within the 1-year study period varied between £75 and £735, depending on the treatment cycle and the number of long-acting injections taken. Improvement in adherence was found to be a significant predictor of better subjective quality of life (β = 0.014, 95 % CI 0.003-0.025, p = 0.014), whilst the amount of incentives received was not (β = 0.0002, 95 % CI -0.002 to 0.002, p = 0.818).<bold>Conclusion: </bold>Improved medication adherence is associated with a more favourable SQOL. This underlines the clinical relevance of improved adherence in response to financial incentives in this patient group. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANTIPSYCHOTIC agents
*QUALITY of life
*MONETARY incentives
*RANDOMIZED controlled trials
*REGRESSION analysis
*DRUG therapy for psychoses
*MENTAL health
*COMPARATIVE studies
*DRUGS
*RESEARCH methodology
*MEDICAL cooperation
*MOTIVATION (Psychology)
*PATIENT compliance
*RESEARCH
*EVALUATION research
*ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 09629343
- Volume :
- 25
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Quality of Life Research
- Publication Type :
- Academic Journal
- Accession number :
- 116816455
- Full Text :
- https://doi.org/10.1007/s11136-016-1238-1