The Effect of Short Message Service on Medication Adherence in Patients with Schizophrenia

Authors

  • Ghiasi , Sahar Resident in Psychiatry, Psychiatry Dept., Faculty of Medicine Kerman University of Medical Sciences, Kerman, Iran
  • Mazhari , Shahrzad Ph.D. in Neuropsychiatry, Professor, Neuroscience Research Center, Institute of Neuropharmacology, Psychiatry Dept., Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
  • Nikbakht , Roya Ph.D. in Biostatistics, Biostatistics and Epidemiology Dept., Faculty of Health, Golestan University of Medical Science, Gorgan, Iran
  • Sabahi , Abdolreza Associate Professor, Psychiatry Dept., Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
Abstract:

Introduction: Schizophrenia is a chronic and disabling mental disorder and medication non-adherence remains a significant challenge for the patients and psychiatrists. The present study aimed to assess the impact of short-message service (SMS) on medication adherence in schizophrenic patients as compared with the control group. Methods: A total of 63 patients with schizophrenia were assigned to the intervention group (N= 32) and the control group (N= 31). The patients in the intervention group received a daily SMS that read, ‘‘Please remember to take your medication” at 8:00am and 8:00pm. Medication adherence was assessed by the self-report Medication Adherence Rating Scale (MARS) at baseline and in the 3rd month, and the 6th month. Results: Patients receiving SMS had a significantly greater improvement in medication adherence compared with the control group in the 3rd month, but there was no significant difference in the 6th month. Conclusion: The results of the present study showed that text message reminder for medication intake is an effective and feasible strategy for enhancing medication adherence in patients with schizophrenia.

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Journal title

volume 7  issue 4

pages  390- 397

publication date 2021-03

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