Evidence map›Paper›PMID 39776998›Full record

ArticleGlobal mental health (Cambridge, England)2024

Challenges and strategies for improving medication adherence among adolescent psychiatric patients: A qualitative study.

Clarisse Roswini Kalaman, Norhayati Ibrahim, Choy Qing Cham, Meng Chuan Ho, Uma Visvalingam, Fairuz Nazri Abdul Rahman, Farah Ahmad Shahabuddin, Mohd Radzi Tarmizi A Halim, Ching Sin Siau

Abstract read
In one paragraph

Article in Global mental health (Cambridge, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

9 authors.

Clarisse Roswini KalamanCenter for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0009-0007-6847-6354
Norhayati IbrahimCenter for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0003-1565-7470
Choy Qing ChamCenter for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-9192-1328
Meng Chuan HoCentre for Pre-U Studies, UCSI University (Springhill Campus), Port Dickson, Malaysia.
Uma VisvalingamDepartment of Psychiatry, Hospital Putrajaya, Putrajaya, Malaysia.
Fairuz Nazri Abdul RahmanPsychiatry Department, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Farah Ahmad ShahabuddinDepartment of Psychiatry, Hospital Bahagia Ulu Kinta, Tanjung Rambutan, Malaysia.
Mohd Radzi Tarmizi A HalimFaculty of Business, Economics and Human Development, University Malaysia Terengganu, Kuala Terengganu, Malaysia.
Ching Sin SiauCentre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite significant advancements in the development of psychotropic medications, increasing adherence rates remain a challenge in the treatment and management of psychiatric disorders. The purpose of this study is to qualitatively explore the challenges underlying medication adherence and strategies to improve it among adolescents with psychiatric disorders in Malaysia. This qualitative research design presents results from 17 semi-structured interviews with adolescent psychiatric patients, aged 11 to 19 years old, from public hospitals across Peninsular Malaysia. The data collected from interviews were transcribed and processed through thematic analysis using the NVivo 11 software. A total of three main themes concerning medication adherence were identified: (1) challenges; (2) coping strategies and (3) protective factors. In this study, thirteen subthemes emerge as challenges underlying medication adherence experienced by adolescent psychiatric patients. The coping strategies identified in this study fall under three broad subthemes which are problem-focused strategies, emotion-focused strategies and maladaptive strategies. This study also highlights social support and positive medicinal effects as protective factors for non-adherence issues in adolescent psychiatric patients. In conclusion, this study supports the notion that adherence is a multi-factorial phenomenon. This study can inform future development of interventions and targeted health promotion programmes in enhancing adherence.

Indexed as

adolescent psychiatric patientChallengesMalaysiamedication adherencequalitative study

Identifiers

PMID39776998
PMCPMC11704366

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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.