Evidence map›Paper›PMID 27048373›Full record

SynthesisBMC psychiatry2016

Is adherence therapy an effective adjunct treatment for patients with schizophrenia spectrum disorders? A systematic review and meta-analysis.

Richard Gray, Daniel Bressington, Ada Ivanecka, Sheila Hardy, Martin Jones, Michael Schulz, Suparpit von Bormann, Jacquie White, Kathryn Hoehn Anderson, Wai-Tong Chien

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 7 countries.

Richard GrayHealth Services and Population Research Centre, Hamad Medical Corporation, Doha, Qatar. rgray@hamad.qa.
Daniel BressingtonSchool of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
Ada IvaneckaIndependent Research Consultant, ADIGO, Bratislava, Slovakia.
Sheila HardyNorthamptonshire Healthcare NHS Foundation Trust, Northamptonshire, UK.
Martin JonesUniversity of South Australia Department of Rural Health (DRH), University of South Australia, Whyalla Norrie, Australia.
Michael SchulzDiaconic University of Applied Sciences Bielefeld, Bielefeld, Germany.
Suparpit von BormannResearch and International Affairs Boromarajonani College of Nursing Changwat Nonthaburi, Nonthaburi, Thailand.
Jacquie WhiteLearning Teaching and Quality, Faculty of Health and Social Care, University of Hull, Hull, UK.
Kathryn Hoehn AndersonCenter for Nursing Scholarship & Research, Georgia Southern University Nursing, Statesboro, Georgia, USA.
Wai-Tong ChienSchool of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
Hong Kong Polytechnic University · HKBoromarajonani College of Nursing · THGeorgia Southern University · USHamad Medical Corporation · QAHochschule Bielefeld · DEUniversity College London · GBUniversity of Hull · GBUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor adherence to medication in schizophrenia spectrum disorders leads to inadequate symptom control. Adherence therapy (AT) is an intervention that seeks to reduce patients' psychiatric symptoms by enhancing treatment adherence. We aimed to systematically review the trial evidence of the effectiveness of AT on improving clinical outcomes in these patients.

methodSystematic review and meta-analysis of published RCTs. We included studies testing AT as an adjunct intervention against treatment as usual or a comparator intervention in the general adult psychiatric population. The primary outcome of interest was improvement in psychiatric symptoms.

resultsWe included six studies testing AT in schizophrenia spectrum disorders published since 2006. A meta-analysis showed AT significantly reduced psychiatric symptoms compared to usual treatment over a follow-up period of less than 1 year. We found no significant effects of AT on patients' adherence and adherence attitudes.

conclusionsAT is an effective adjunctive treatment for people with schizophrenia spectrum disorders. PROSPERO: CRD42015016779.

Indexed as

Combined Modality TherapyHumansPatient ComplianceSchizophreniaTreatment OutcomeAdherenceAdherence therapyComplianceMeta-analysisSchizophreniaSchizophrenia-spectrum disordersSystematic review

Identifiers

PMID27048373
PMCPMC4822226
OpenAlexW2327848392

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.