Families and medication use and adherence among Latinos with schizophrenia
Open accessAbstract
BACKGROUND: Medication nonadherence among Latinos with schizophrenia represents a significant treatment obstacle. Although some studies have examined patient and family perceptions of adherence, few have examined these perceptions together. However, such knowledge can provide a deeper understanding of how family processes may contribute to or impede adherence among underserved groups such as Latinos. AIMS: This study explored perceptions of medication and adherence among Latinos with schizophrenia and key family members. METHOD: Purposive sampling was used to collect data from 34 participants: 14 patients with schizophrenia receiving community-based mental health services in an urban public setting and 20 key family members. Informed by grounded theory, semistructured interviews were analyzed by bilingual-bicultural team members. RESULTS: Salient themes emerged indicating facilitators of and obstacles to medication use. Specifically, challenges centered on medication side effects, autonomy and choice, and illness insight, whereas facilitators focused on family support and holistic views of treatment and empowerment. CONCLUSIONS: Because the majority of Spanish-speaking Latinos with schizophrenia live with family, it is important to examine family factors that may influence medication use. Findings suggest that patient and family perceptions of medication should be examined as part of the treatment process, particularly regarding issues of autonomy and choice.
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Patient-HCP therapeutic engagement antecedents include the healthcare provider's influence, friendly and non-judgmental behavior, quality of care of psychiatric patients, and attitudes of caregivers/relatives/families about medication and illness.
“The second category is related to patient-HCP therapeutic engagement and included factors that reported the healthcare provider’s influence [39], how their friendly and non-judgmental behavior facilitates growth [52], how this affects the quality of care of psychiatric patients, and the attitudes of caregivers/relatives/families about the medication and illness [39,73].”
From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [73]
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Research works printed but not linked: 1
- Barrio C Dixon L 2012 Clinician interactions with patients and families Liberman JA Murray RM Comprehensive care of schizophrenia: A textbook of clinical management New York (NY) Oxford University Press 342 356
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Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis
Laranjeira, C., Carvalho, D., Valentim, O., Moutinho, L., Morgado, T., Tomás, C., Gomes, J., & Querido, A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20053869 · Cited by 45 · see citing works
- Authors
- Hernandez, M., & Barrio, C.
- Affiliations
- School of Social Work, University of Southern California, Los Angeles, CA, USA
- University of Southern California (US)
- Corresponding author
- Barrio, Concepción
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2016-10
- Volume
- 26
- Issue
- 1
- Pages
- 14-20
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- PMC
- PMC5299050
- OpenAlex
- W2526542423
- Cited by
- 14
- References
- 44
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 1
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Mental Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Family Process Institute
- National Institute of Mental Health (R36MH102077, R34MH076087)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- schizophrenia, medication adherence, Hispanic Americans, family support, adverse drug reactions, patient autonomy, insight into illness, family perceptions, medication use, community mental health services, Spanish-speaking patients, underserved populations
- MeSH terms
- Adult, Aged, Family, Female, Hispanic or Latino, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Schizophrenia, Schizophrenic Psychology, Social Support, Medication Adherence
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