A Pharmacy-Based Coaching Program to Improve Adherence to Antidepressant Treatment Among Primary Care Patients

The effects on adherence and depressive symptoms of a community pharmacy-based coaching program, including a take-home videotape, were evaluated in a randomized controlled trial in the Netherlands. A total of 147 depressed primary care patients who had a new antidepressant prescription were included...

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Bibliographic Details
Published in:	Psychiatric services (Washington, D.C.) Vol. 56; no. 4; pp. 487 - 489
Main Authors:	Brook, Oscar Hugo, van Hout, Hein, Stalman, Wim, Nieuwenhuyse, Hugo, Bakker, Bram, Heerdink, Eibert, de Haan, Marten
Format:	Journal Article
Language:	English
Published:	Washington, DC American Psychiatric Publishing 01-04-2005 American Psychiatric Association American Psychiatric Publishing, Inc
Subjects:	Adult and adolescent clinical studies Antidepressive Agents - therapeutic use Biological and medical sciences Depression - drug therapy Depression - psychology Electronics - instrumentation Follow-Up Studies Humans Medical sciences Patient Compliance Patient Education as Topic Pharmaceutical Services - organization & administration Primary Health Care Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychoses Schizophrenia Netherlands Europe Human Drug compliance Surveillance Primary health care Mental health Antidepressant agent Patient Treatment compliance Therapeutic schedule Psychiatry Public health
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Summary:	The effects on adherence and depressive symptoms of a community pharmacy-based coaching program, including a take-home videotape, were evaluated in a randomized controlled trial in the Netherlands. A total of 147 depressed primary care patients who had a new antidepressant prescription were included in the study. Adherence was measured with an electronic pill container and was also derived from pharmacy medication records; the latter method was associated with an overestimation of adherence of only 5 percent. Intention-to-treat analyses showed no intervention effect on adherence (73 percent compared with 76 percent), whereas analyses of patients who received the intervention (per protocol) showed improved adherence (73 percent compared with 90 percent). Neither analysis showed effects on depressive symptoms.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-News-3 content type line 23
ISSN:	1075-2730 1557-9700
DOI:	10.1176/appi.ps.56.4.487