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

Journal article

Bressington, D., Coren, E. and MacInnes, D. 2013. The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes. Nursing: Research and Reviews. 3, pp. 87-98. https://doi.org/10.2147/NRR.S44366
AuthorsBressington, D., Coren, E. and MacInnes, D.
Abstract

Background: 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.

Year2013
JournalNursing: Research and Reviews
Journal citation3, pp. 87-98
PublisherDovepress
ISSN2230-522X
Digital Object Identifier (DOI)https://doi.org/10.2147/NRR.S44366
Publication dates
Print27 May 2013
Publication process dates
Deposited28 May 2013
Publisher's version
Output statusPublished
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Coren, E. 2009. Measuring appropriate outcomes in evaluating interventions for families recovering from child sexual abuse.
The conduct of systematic research reviews for SCIE knowledge reviews
Coren, E. and Fisher, M. 2006. The conduct of systematic research reviews for SCIE knowledge reviews. London, UK Social Care Institute for Excellence.
Systematic Map 1: The extent and impact of parental mental health problems on the family, the interventions available and the acceptability, accessibility and effectiveness of interventions
Bates, S. and Coren, E. 2006. Systematic Map 1: The extent and impact of parental mental health problems on the family, the interventions available and the acceptability, accessibility and effectiveness of interventions. London, UK Social Care Institute for Excellence.
Collection of examples of service user and carer participation in systemic reviews
Carr, S. and Coren, E. 2007. Collection of examples of service user and carer participation in systemic reviews. London, UK Social Care Institute for Excellence.
A systematic review of the evidence base for developing a physical activity, sport and health legacy from the London 2012 Olympic and Paralympic Games: report to funders
Weed, M., Coren, E., Fiore, J., Mansfield, L., Wellard, I., Chatziefstathiou, D. and Dowse, S. 2008. A systematic review of the evidence base for developing a physical activity, sport and health legacy from the London 2012 Olympic and Paralympic Games: report to funders. Canterbury, UK Physical Activity Network West Midlands on behalf of Regional Physical Activity Teams in the West Midlands, the East Midlands, the East of England, London and the South East.
The contribution of social work and social care to the reduction of health inequalities: four case studies
Coren, E., Iredale, W., Bywaters, P., Rutter, D. and Robinson, J. 2010. The contribution of social work and social care to the reduction of health inequalities: four case studies. London, UK Social Care Institute for Excellence.
Meta-analysis of parenting programmes in improving maternal psychosocial health
Barlow, J., Coren, E. and Stewart-Brown, S. 2002. Meta-analysis of parenting programmes in improving maternal psychosocial health. British Journal of General Practice (BJGP). 52 (476), pp. 223-233.
Joining up for evidence informed practice - a role for social work education? A Discussion Paper
Coren, E. 2008. Joining up for evidence informed practice - a role for social work education? A Discussion Paper. The Kent Journal of Practice Research. 2 (1), pp. 1-6.
The child's voice in service evaluation: ethical and methodological issues
Hutchfield, J. and Coren, E. 2011. The child's voice in service evaluation: ethical and methodological issues. Child Abuse Review. https://doi.org/10.1002/car.1142
Action for children: child outcomes-focused evaluation - final data collection report
Coren, E., Hutchfield, J., Iredale, W. and Thomae, M. 2010. Action for children: child outcomes-focused evaluation - final data collection report. Canterbury, UK Canterbury Christ Church University.
Report of the committee of inquiry into current care and treatment practices in the central mental hospital
Parrott, J., Casey, T., Finnerty, S., MacInnes, D. and McMorrow, D. 2007. Report of the committee of inquiry into current care and treatment practices in the central mental hospital. Mental Health Commission.
Parent training support for intellectually disabled parents
Coren, E., Hutchfield, J., Thomae, M. and Gustafsson, C. 2010. Parent training support for intellectually disabled parents. Cochrane Database of Systematic Reviews (Online). 6, p. CD007987. https://doi.org/10.1002/14651858.CD007987.pub2
Relatives and informal caregivers
MacInnes, D. 2000. Relatives and informal caregivers. in: Chaloner, C. and Coffey, M. (ed.) Forensic Mental Health Nursing: Current Approaches Oxford Blackwell Science. pp. 208-231
The nurse as researcher
MacInnes, D. 2001. The nurse as researcher. in: Forster, S. (ed.) The Role of the Mental Health Nurse Cheltenham Nelson Thornes. pp. 160-181
The nurse as therapist and counsellor
MacInnes, D., MacDonald, N. and Morrissey, M. 2001. The nurse as therapist and counsellor. in: Forster, S. (ed.) The Role of the Mental Health Nurse Cheltenham Nelson Thornes. pp. 64-91
Advancing practice in family nursing across the cancer continuum
Flanagan, J., Holmes, S. and MacInnes, D. 2002. Advancing practice in family nursing across the cancer continuum. in: Clarke, D., Flanagan, J. and Kendrick, K. (ed.) Advancing Nursing Practice in Cancer and Palliative Care Basingstoke Palgrave Macmillan. pp. 117-139
Relatives and carers of clients with schizophrenia
MacInnes, D. 1996. Relatives and carers of clients with schizophrenia. Mental Health Occupational Therapy Magazine. 1 (1), pp. 16-21.
Illness representations: a way forward in developing therapeutic interventions
MacInnes, D. 1998. Illness representations: a way forward in developing therapeutic interventions. Mental Health Occupational Therapy Magazine. 3 (1), pp. 13-18.
The differences between health professionals in assessing levels of caregiver burden
MacInnes, D. 1998. The differences between health professionals in assessing levels of caregiver burden. Journal of Psychiatric and Mental Health Nursing. 5 (4), pp. 265-271. https://doi.org/10.1046/j.1365-2850.1998.00135.x
The relationship between building design and escapes from secure units
Enser, J. and MacInnes, D. 1999. The relationship between building design and escapes from secure units. The Journal of the Royal Society for the Promotion of Health. 119 (3), pp. 170-174. https://doi.org/10.1177/146642409911900307
Interventions in forensic psychiatry: the caregivers perspective
MacInnes, D. 2000. Interventions in forensic psychiatry: the caregivers perspective. British Journal of Nursing. 9 (15), pp. 992-998.
Nursing in prisons - past, present and future
MacInnes, D. 2000. Nursing in prisons - past, present and future. Health Matters in Prisons. 5 (1), pp. 14-20.
The differences in perceived burdens between forensic and non-forensic caregivers of individuals suffering from schizophrenia
MacInnes, D. and Watson, J. 2002. The differences in perceived burdens between forensic and non-forensic caregivers of individuals suffering from schizophrenia. Journal of Mental Health. 11 (4), pp. 375-388. https://doi.org/10.1080/09638230020023741
Evaluating an assessment scale of irrational beliefs for people with mental health problems
MacInnes, D. 2003. Evaluating an assessment scale of irrational beliefs for people with mental health problems. Nurse Researcher. 10 (4), pp. 53-67.
Contributors to stress among prison service staff
Holmes, S. and MacInnes, D. 2003. Contributors to stress among prison service staff. British Journal of Forensic Practice. 5 (2), pp. 16-24.
The theories underpinning rational emotive behaviour therapy: where's the supportive evidence?
MacInnes, D. 2004. The theories underpinning rational emotive behaviour therapy: where's the supportive evidence? International Journal of Nursing Studies. 41 (6), pp. 685-695. https://doi.org/10.1016/j.ijnurstu.2004.02.004
The development of a tool to measure service user satisfaction with in-patient forensic services: The Forensic Satisfaction Scale
MacInnes, D., Beer, D., Keeble, P., Rees, D. and Reid, L. 2010. The development of a tool to measure service user satisfaction with in-patient forensic services: The Forensic Satisfaction Scale. Journal of Mental Health. 19 (3), pp. 272-281. https://doi.org/10.3109/09638231003728133
Self-esteem and self-acceptance: an examination into their relationship and their effect on psychological health
MacInnes, D. 2006. Self-esteem and self-acceptance: an examination into their relationship and their effect on psychological health. Journal of Psychiatric and Mental Health Nursing. 13 (5), pp. 483-489.
The evaluation of a short group programme to reduce self-stigma in people with serious and enduring mental health problems
MacInnes, D. and Lewis, M. 2008. The evaluation of a short group programme to reduce self-stigma in people with serious and enduring mental health problems. Journal of Psychiatric and Mental Health Nursing. 15 (1), pp. 59-65. https://doi.org/10.1111/j.1365-2850.2007.01212.x
Interventions in forensic psychiatry: the caregiver's perspective
MacInnes, D. 2000. Interventions in forensic psychiatry: the caregiver's perspective. British Journal of Nursing. 9 (15), pp. 992-8.
A UK perspective on developing an evidence base for social work practice: some gaps and some opportunities
Coren, E. 2008. A UK perspective on developing an evidence base for social work practice: some gaps and some opportunities. in: Adams, A., Erath, P. and Jovelin, E. (ed.) Social Work and Science - An Uneasy Relationship? Institut für Vergleichende Sozialarbeitswissenschaft und Interkulturelle/Internationale Sozialarbeit.
Systematic maps to support the evidence base in social care
Bates, S., Clapton, J. and Coren, E. 2007. Systematic maps to support the evidence base in social care. Evidence & Policy: A Journal of Research, Debate and Practice. 3 (4), pp. 539-551. https://doi.org/10.1332/174426407782516484
The effectiveness of individual and group-based parenting programmes in improving outcomes for teenage mothers and their children: a systematic review
Coren, E., Barlow, J. and Stewart-Brown, S. 2003. The effectiveness of individual and group-based parenting programmes in improving outcomes for teenage mothers and their children: a systematic review. Journal of Adolescence. 26 (1), pp. 79-103. https://doi.org/10.1016/S0140-1971(02)00119-7