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Title: The impact of stakeholder preferences on service user adherence to treatments for schizophrenia and metabolic comorbidities
Authors: Poremski D.
Sagayadevan V.
Wang P.
Lum A. 
Subramaniam M.
Ann C.S.
Keywords: Article
decision making
follow up
grounded theory
metabolic disorder
patient compliance
qualitative research
social support
medication compliance
Metabolic Diseases
social stigma
Medication Adherence
Metabolic Diseases
Social Stigma
Social Support
Issue Date: 2016
Citation: Poremski D., Sagayadevan V., Wang P., Lum A., Subramaniam M., Ann C.S. (2016). The impact of stakeholder preferences on service user adherence to treatments for schizophrenia and metabolic comorbidities. PLoS ONE 11 (11) : e0166171. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: Objective: To determine how stakeholder opinions of treatments influence service user decisions to adhere to courses of actions necessary to treat metabolic conditions. Methods: Qualitative open-ended interviews were conducted with 20 service providers, 25 service users, and 9 caregivers. Grounded theory was used to generate an understanding that linked preferences of care with adherence to follow-up treatments. Results: Participants spoke about several considerations when discussing adherence: Resource limitations were the predominant consideration. Social considerations such as stigma and support surfaced in caregiver and service-user interviews. The influence of symptoms, especially their absence could reduce adherence, and organizational considerations related to the opinions they had about the qualifications of professionals. Discussion: A rational patient model partially organizes our findings, but emotional components related to stigma and the opinion of service providers do not fit well into such a model. If service providers do not consider components of the decision making process which fall outside of the rational patient model, they may incorrectly be leveraging suboptimal values to bring about adherence to treatment plans. Being sensitive to the values of service users and their caregivers may allow service providers to better act on points that may bring about change in non-compliant service users with schizophrenia and metabolic comorbidities. © 2016 Poremski et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Source Title: PLoS ONE
ISSN: 19326203
DOI: 10.1371/journal.pone.0166171
Rights: Attribution 4.0 International
Appears in Collections:Staff Publications

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