The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes

Daniel Bressington,1 Esther Coren,1 Douglas MacInnes21Department of Health, Well-Being and Family, 2Centre for Health and Social Care Research, Canterbury Christ Church University, Canterbury, UKBackground: Nonadherence with medicine prescribed for mental health is a common problem that results in p...

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Autores principales:	Bressington D, Coren E, MacInnes D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Nursing RT1-120
Acceso en línea:	https://doaj.org/article/04043e8ed5a64808927499bd64c6c697
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spelling	oai:doaj.org-article:04043e8ed5a64808927499bd64c6c6972021-12-02T08:45:09ZThe effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes2230-522Xhttps://doaj.org/article/04043e8ed5a64808927499bd64c6c6972013-05-01T00:00:00Zhttp://www.dovepress.com/the-effects-of-training-mental-health-practitioners-in-medication-mana-a13184https://doaj.org/toc/2230-522XDaniel Bressington,1 Esther Coren,1 Douglas MacInnes21Department of Health, Well-Being and Family, 2Centre for Health and Social Care Research, Canterbury Christ Church University, Canterbury, UKBackground: Nonadherence with medicine prescribed for mental health is a common problem that results in poor clinical outcomes for service users. Studies that provide medication management-related training for the mental health workforce have demonstrated that improvements in the knowledge, attitudes, and skills of staff can help to address nonadherence. This systematic review aims to establish the effectiveness of these training interventions in terms of clinician-related outcomes.Methods: Five electronic databases were systematically searched: PubMed, CINAHL, Medline, PsycInfo, and Google Scholar. Studies were included if they were qualitative or quantitative in nature and were primarily designed to provide mental health clinicians with knowledge and interventions in order to improve service users' experiences of taking psychotropic medications, and therefore potentially address nonadherence issues.Results: A total of five quantitative studies were included in the review. All studies reported improvements in clinicians' knowledge, attitudes, and skills immediately following training. The largest effect sizes related to improvements in clinicians' knowledge and attitudes towards nonadherence. Training interventions of longer duration resulted in the greatest knowledge- and skills-related effect sizes.Conclusion: The findings of this review indicate that training interventions are likely to improve clinician-related outcomes; however, due to the methodological limitations of the current evidence base, future research in this area should aim to conduct robust randomized controlled trials with follow-up and consider collecting qualitative data to explore clinicians' experiences of using the approaches in clinical practice.Keywords: staff training, treatment adherence, medication managementBressington DCoren EMacInnes DDove Medical PressarticleNursingRT1-120ENNursing: Research and Reviews, Vol 2013, Iss default, Pp 87-98 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing RT1-120
spellingShingle	Nursing RT1-120 Bressington D Coren E MacInnes D The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes
description	Daniel Bressington,1 Esther Coren,1 Douglas MacInnes21Department of Health, Well-Being and Family, 2Centre for Health and Social Care Research, Canterbury Christ Church University, Canterbury, UKBackground: Nonadherence with medicine prescribed for mental health is a common problem that results in poor clinical outcomes for service users. Studies that provide medication management-related training for the mental health workforce have demonstrated that improvements in the knowledge, attitudes, and skills of staff can help to address nonadherence. This systematic review aims to establish the effectiveness of these training interventions in terms of clinician-related outcomes.Methods: Five electronic databases were systematically searched: PubMed, CINAHL, Medline, PsycInfo, and Google Scholar. Studies were included if they were qualitative or quantitative in nature and were primarily designed to provide mental health clinicians with knowledge and interventions in order to improve service users' experiences of taking psychotropic medications, and therefore potentially address nonadherence issues.Results: A total of five quantitative studies were included in the review. All studies reported improvements in clinicians' knowledge, attitudes, and skills immediately following training. The largest effect sizes related to improvements in clinicians' knowledge and attitudes towards nonadherence. Training interventions of longer duration resulted in the greatest knowledge- and skills-related effect sizes.Conclusion: The findings of this review indicate that training interventions are likely to improve clinician-related outcomes; however, due to the methodological limitations of the current evidence base, future research in this area should aim to conduct robust randomized controlled trials with follow-up and consider collecting qualitative data to explore clinicians' experiences of using the approaches in clinical practice.Keywords: staff training, treatment adherence, medication management
format	article
author	Bressington D Coren E MacInnes D
author_facet	Bressington D Coren E MacInnes D
author_sort	Bressington D
title	The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes
title_short	The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes
title_full	The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes
title_fullStr	The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes
title_full_unstemmed	The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes
title_sort	effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/04043e8ed5a64808927499bd64c6c697
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The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes

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