Nabeel Al-Saffar|A. A. Deshmukh|P. Carter|Salim M. Adib
Effect of information leaflets and counselling on antidepressant adherence: open randomised controlled trial in a psychiatric hospital in Kuwait
University of Sunderland|University of Sunderland|Kuwait University
abstract objective assess acceptability effectiveness two educational initiatives patterns antidepressant medication use depressed kuwaiti patients setting patients interviewed three occasions psychological medicine hospital kuwait method twohundred seventyeight patients attending hospital outpatient clinic kuwait receiving single antidepressant mild moderate depression randomised control two treatment groups medication dispensed pharmacy normal however members treatment groups additionally received patient information leaflet pil written arabic without counselling clinical pharmacist medication adherence monitored 2 months 5 months later selfreport tablet counting patient knowledge medication acceptability educational interventions assessed 2 months using questionnaires key findings patients treatment groups improved knowledge rationale behind therapy clinic attendance likely patients received pil odds ratio 21 95 confidence interval ci 1332 pil plus counselling 32 ci 2149 good medication adherence 2 5 months common patients given pil 30 ci 1753 pil plus counselling 55 ci 3296 certain preexisting patient attitudes therapy occurrence sideeffects determinants adherence conclusions patient responses educational interventions positive 5 months patients receiving pil likely adhering medication regimen particularly also received counselling clinical pharmacist