TY - JOUR 
A1 - Pino Sedeño, Tasmania del
AU - González Pacheco, Himar
AU - González de León, Beatriz
AU - Serrano Pérez, Pedro
AU - Acosta Artiles, Francisco Javier
AU - Valcárcel Nazco, Cristina
AU - Hurtado, Isabel
AU - Rodríguez Álvarez, Cristobalina
AU - Trujillo Martín, María del Mar
T1 - Effectiveness of interventions to improve adherence to antidepressant medication in patients with depressive disorders: a cluster randomized controlled trial
Y1 - 2024
SN - 2296-2565
UR - http://hdl.handle.net/11268/12848
AB - Aim: To assess the effectiveness of two interventions of knowledge transfer and behavior modification to improve medication adherence in patients with depressive disorders.

Methods: An open, multicenter, three-arm clinical trial with random allocation by cluster to usual care or to one of the two interventions. The intervention for psychiatrists (PsI) included an educational program based on a patient-centered care model. The intervention for patients and relatives (PtI) included a collaborative care program plus a reminder system that works using an already available medication reminder application. The primary outcome was patient adherence to antidepressant treatment assessed through the Sidorkiewicz Adherence Instrument. Secondary measures were depression severity, comorbid anxiety and health-related quality of life. Mixed regression models with repeated measures were used for data analysis.

Results: Ten psychiatrists and 150 patients diagnosed with depressive disorder from eight Community Mental Health Units in the Canary Islands (Spain) were included. Compared with usual care, no differences in long-term adherence were observed in either group PsI or PtI. The PsI group had significantly improved depression symptoms (B = -0.39; 95%CI: -0.65, -0.12; p = 0.004) during the follow-up period. The PtI group presented improved depression symptoms (B = -0.63; 95%CI: -0.96, -0.30; p < 0.001) and mental quality of life (B = 0.08; 95%CI: 0.004, 0.15; p = 0.039) during the follow-up period.

Conclusion: The assessed interventions to improve adherence in patients with depressive disorder were effective for depression symptoms and mental quality of life, even over the long term. However, no effect on antidepressant adherence was observed.
KW - Antidepresivos
KW - Terapia conductista
KW - Cumplimiento de la medicación
KW - Terapia
KW - Medicamento
KW - Rehabilitación médica
LA - eng
ER -