Dissertation/Thesis Abstract

Improving the Transition of Care for Psychiatric Patients Moving from Inpatient to Outpatient Psychiatric Healthcare Settings
by Phillips, Martha A., D.N.P., University of Louisiana at Lafayette, 2018, 156; 10815412
Abstract (Summary)

The aim of this quality improvement (QI) project was to explore whether the implementation of an enhanced telephone reminder system improved the rate of attendance at initial follow-up appointment and medication adherence. A total of 86 patients, discharged from inpatient psychiatric units with a follow-up within 7 days of discharge, were eligible to receive the enhanced telephone contact reminder and follow-up text. A preliminary retrospective chart review was conducted to collect historical data on medication and attendance adherence. A prospective interventional design was used to implement the QI project.

Patients received telephone contact within 24–72 hours of discharge and text message reminder strategies. A medication adherence assessment was completed at telephone contact and at initial follow-up appointment. An analysis of the data examined the impact of the TCM strategy on patient’s rate of adherence to medication and initial follow-up appointments. Descriptive analysis assessed the frequency of medication adherence in retrospective and implementation data. Inferential statistics analyzed factors of association such as prior clinic services and rate of attendance at follow-up appointment.

In the retrospective chart review (n = 57), data revealed a 28% attendance rate and an 81% medication adherence at the follow-up appointment, with no statistical difference in a 145 history of prior series on attendance. Implementation data on medication adherence at telephone contact and at first follow-up appointment revealed a 61.5% medication adherence rate at telephone contact and 80% adherence rate at first follow-up appointment. The predictor value of a prior history of service on attendance at first follow-up appointment revealed no statistically significant difference. The project, however, resulted in clinically significant benefits that promoted individual patients’ medication-taking behaviors and decisions to attend follow-up appointments, and improved clinical practices at the BHC.

Indexing (document details)
Advisor: Cartier, Jeanne M.
Commitee: Lemoine, Jennifer M., Patel, Sudha C., Singh, Satnam
School: University of Louisiana at Lafayette
Department: Nursing
School Location: United States -- Louisiana
Source: DAI-B 80/08(E), Dissertation Abstracts International
Subjects: Nursing, Health care management
Keywords: Contact strategies, Medication adherence/nonadherence, Technical/digital medication reminders, Text message reminders, Transition of care, Treatment adherence/nonadherence
Publication Number: 10815412
ISBN: 978-1-392-04144-4
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