Maximizing Treatment Adherence in Psychiatry Utilizing Mobile Messaging for Support

Abstract

Purpose: The purpose of this quality improvement (QI) initiative was to explore the use of mobile health (mHealth) messaging as a valuable technology to support treatment adherence in psychiatry settings. Background: Nonadherence in psychiatry is the failure to adhere to treatment regimens leading to poor treatment outcomes and exacerbating symptoms. Nationally, nonadherence accounts for over 100,000 deaths and nearly $300 billion annually in losses. Methods: A descriptive, quantitative approach was used for this project, and mobile messaging was hypothesized as a viable way to connect with patients beyond the clinic appointment to provide support and serve as a reminder to adhere to prescribed medication. Results: 18 participants, 9 fully completing the questionnaire. Data analysis of the 11 item post-intervention questionnaire revealed that 44% of participants found the text reminders to be helpful after the intervention period, and 67% thought it should be included ongoing in the treatment plan. Additionally, the questionnaire results revealed that 89% of the participants were able to maintain treatment adherence through the intervention week, indicating that text messages can be a supportive method in outpatient mental health clinics. Conclusion: The quality improvement project was useful in helping participants at Integrated Medical Clinic, LLC remember to take their medications during the intervention week.