Student or educator? Sign up with your school email and get 6 months of Pro free.
Cited by 633

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Compliance therapy in psychotic patients: randomised controlled trial

Open access
Kemp, Roisin, Hayward, Peter, Applewhaite, Grantley, Everitt, Brian, David, Anthony·1996·BMJ

Abstract

Objective : To determine whether compliance therapy, a cognitive-behavioural intervention, could improve compliance with treatment and hence social adjustment in acutely psychotic inpatients, and if so, whether the effect persisted six months later. Design : Randomised controlled trial of compliance therapy and non-specific counselling, each comprising 4-6 sessions lasting 10-60 minutes. Setting : Acute psychiatric admissions ward serving an inner London catchment area. Subjects : 47 patients with psychosis. Main outcome measures : Informant and observer reported measure of compliance; observer assessed global functioning after intervention and three and six months later; self rated attitudes to drug treatment after the intervention and one month later; symptom scores after intervention and six months later. Results : 25 patients received compliance therapy and showed significantly greater improvements in their attitudes to drug treatment and in their insight into illness and compliance with treatment compared with the control group. These gains persisted for six months. The intervention group was 5.2 times more likely than the control group to reach a criterion level of compliance (95% confidence interval 1.5 to 18.3). Global functioning showed a tendency to improve more in the intervention group after a delay (odds ratio 3.0 (0.8 to 11.5) to reach the criterion level at six months). Four subjects given compliance therapy and six in the control group were readmitted during follow up (odds ratio 2.0 (0.48 to 8.2)). Conclusions : Compliance therapy is a pragmatic method for improving compliance with drug treatment in psychotic inpatients and its gains persist for at least six months. Overall functioning may also be enhanced. Key messages: Key messages Compliance is strongly related to attitudes to treatment and to insight The study found that such attitudes may be influenced by a simple and brief intervention known as compliance therapy Compliance therapy compared with non-specific counselling leads to improved compliance The improvement is sustained for at least six months and may lead to improved social functioning

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1136/bmj.312.7027.345

Cites

1 of 1 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 1 references

Research works printed but not linked: 33

  1. Corrigan, 1990, From noncompliance to collaboration in the treatment of schizophrenia., Hosp Community Psychiatry, 41, 1203
  2. Davis, 1986, The natural course of schizophrenia and effective maintenance drug treatment., J Clin Psychopharmacol, 6, 2, 10.1097/00004714-198602001-00002 · DOI
  3. Coid, 1994, The Christopher Clunis enquiry., Psychiatric Bulletin, 18, 449, 10.1192/pb.18.8.449 · DOI
  4. Kane, 1983, Problems of compliance in the outpatient treatment of schizophrenia., J Clin Psychiatry, 44, 3
  5. Marder, 1983, A comparison of patients who refuse and consent to neuroleptic treatment., Am J Psychiatry, 140, 470, 10.1176/ajp.140.4.470 · DOI
  6. Kelly, 1987, Utility of the health belief model in examining medication compliance among psychiatric outpatients., Soc Sci Med, 11, 1205, 10.1016/0277-9536(87)90367-4 · DOI
  7. Sellwood, 1994, Demographic factors associated with extreme non-compliance in schizophrenia., Soc Psychiatry Psychiatr Epidemiol, 29, 172, 10.1007/BF00802014 · DOI
  8. Van Putten, 1974, Why do schizophrenic patients refuse to take their drugs?, Arch Gen Psychiatry, 31, 67, 10.1001/archpsyc.1974.01760130049008 · DOI · Paper page
  9. 10.1001/archpsyc.1976.01770120047004 · DOI · Paper page
  10. Kemp R David A .Insight and compliance. In Blackwell B , ed. Compliance and the treatment alliance in serious mental illness.Newark, NJ:Gordon and Breach Publishing Group (in press).
  11. Falloon, 1984, Developing and maintaining adherence to long-term drug-taking regimens., Schizophr Bull, 10, 412, 10.1093/schbul/10.3.412 · DOI
  12. Goldstein, 1992, Psychosocial Strategies for maximising the effects of psychotropic medications for schizophrenia and mood disorder., Psychopharmacol Bull, 28, 237
  13. Seltzer, 1980, Effect of patient education on medication compliance., Am J Psychiatry, 25, 638
  14. Streicker, 1986, Educating patients about psychiatric medications: failure to enhance compliance., Psychosoc Rehab J, 4, 15
  15. 10.1037/0022-006X.53.5.666 · DOI
  16. 10.1097/00004714-199002000-00006 · DOI
  17. Eckman, 1992, Technique for training patients in illness self-management: a controlled trial., Am J Psychiatry, 149, 1549, 10.1176/ajp.149.11.1549 · DOI
  18. Miller WR Rollnick S .Motivational interviewing: preparing people to change.New York:Guilford Press,1991.
  19. Rollnick, 1992, Negotiating behaviour change in medical settings: the development of brief motivational interviewing., Journal of Mental Health, 1, 25, 10.3109/09638239209034509 · DOI · Paper page
  20. 10.1080/09638239550037343 · DOI
  21. Garety, 1994, Cognitive behavioural therapy for drug-resistant psychosis., Br J Med Psychol, 67, 259, 10.1111/j.2044-8341.1994.tb01795.x · DOI
  22. Lukoff, 1986, Symptom monitoring in the rehabilitation of schizophrenic patients., Schizophr Bull, 12, 578, 10.1093/schbul/12.4.578 · DOI · Paper page
  23. 10.1017/S0033291700050182 · DOI · Paper page
  24. 10.1192/bjp.156.6.798 · DOI · Paper page
  25. Simpson, 1970, Drug-induced extrapyramidal disorders., Acta Psychiatr Scand, 45, 11, 10.1111/j.1600-0447.1970.tb02066.x · DOI · Paper page
  26. 10.1192/bjp.154.5.672 · DOI
  27. 10.2307/2348622 · DOI
  28. 10.1002/sim.4780111304 · DOI · Paper page
  29. 10.1016/0010-440X(89)90113-2 · DOI
  30. 10.1192/bjp.161.5.599 · DOI · Paper page
  31. 10.1001/archpsyc.1990.01810220065008 · DOI
  32. Churchill, 1985, Compliance—how to measure it., Modern Medicine of Canada, 40, 1068
  33. Babiker, 1986, Noncompliance in schizophrenia., Psychiatric Developments, 4, 329

Cited by

See all 633

Metadata

Authors
Kemp, R., Hayward, P., Applewhaite, G., Everitt, B., & David, A.
Venue
BMJ
Publisher
BMJ
Published
1996-02-10
Volume
312
Issue
7027
Pages
345-349
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W1970372026
Cited by
633
References
1
FWCI
18.49
Type
journal article
Language
en
Open access
green
Licence
www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

How to cite

Cite CoChat for the checks on this page, and the paper for its own findings.

This page
CoChat. (2026). Citation check: Compliance therapy in psychotic patients: randomised controlled trial. https://app.cochat.ai/papers/10.1136/bmj.312.7027.345
The paper
Kemp, R., Hayward, P., Applewhaite, G., Everitt, B., & David, A. (1996). Compliance therapy in psychotic patients: randomised controlled trial. BMJ. https://doi.org/10.1136/bmj.312.7027.345

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.