Mitchell K. Byrne, Lecturer (Correspondence)
Enhancing medication adherence: clinician outcomes from the Medication Alliance training program
Version of Record online: 22 MAR 2004
Australian and New Zealand Journal of Psychiatry
Volume 38, Issue 4, pages 246–253, April 2004
How to Cite
Byrne, M. K., Deane, F. P., Lambert, G. and Coombs, T. (2004), Enhancing medication adherence: clinician outcomes from the Medication Alliance training program. Australian and New Zealand Journal of Psychiatry, 38: 246–253. doi: 10.1111/j.1440-1614.2004.01344.x
Department of Psychology, University of Wollongong, Wollongong, Nsw 2522, Australia. Email: firstname.lastname@example.org
Frank P. Deane, Director; Gordon Lambert, Senior Research Fellow
Illawarra Institute for Mental Health, University of Wollongong, Wollongong, New South Wales, Australia
Tim Coombs, Coordinator of Education and Research
Illawarra Mental Health Service, Illawarra Health, Wollongong, New South Wales, Australia
- Issue online: 22 MAR 2004
- Version of Record online: 22 MAR 2004
- Received 18 July 2003; revised 2 October 2003; accepted 1 December 2003.
- antipsychotic agents;
- health personnel-education;
- patient compliance;
- psychotic disorders;
Objective: Patient nonadherence to psychiatric medication is a key cause of relapse but clinicians do not appear to possess specific adherence skills. We sought to demonstrate that a brief training program on medication adherence strategies could improve the adherence skills, attitudes and knowledge of mental health clinicians.
Methods: Twenty-three Tasmanian mental health workers were provided a 3 day training workshop on strategies to enhance patient adherence to medications (Medication Alliance). Pre- and post-training measures were taken of clinician knowledge about adherence strategies, ability to identify predictors of nonadherence, attitudes toward working with nonadherent patients, and optimism about treatment outcomes for patients. Videotapes of clinicians demonstrating key adherence therapy skills were also collected before and after training and blind-rated by two experienced therapists.
Results: A series of paired samples t-tests indicated significant improvements in skills, knowledge and attitudes.
Conclusions: Compared with similar studies in the UK, Medication Alliance was found to be an effective and efficient training program. However, there is a need for further research to assess maintenance of training effects over time and patient outcomes.