Cited by 110Medication Adherence and ComplianceMental Health Treatment and AccessPsychotherapy Techniques and Applications

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Adherence to Mental Health Treatment in a Primary Care Clinic

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Gonzalez, J., Williams, J. W., Noel, P. H., Lee, S.·2005·The Journal of the American Board of Family Medicine

DOI 10.3122/jabfm.18.2.87

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Abstract

BACKGROUND: Patient nonadherence is common for the standard mental health treatments in primary care: antidepressants and referrals to specialty mental health treatment. This is one of few studies to prospectively identify predictors of nonadherence. METHODS: We observed 95 veterans attending an internal medicine clinic prescribed antidepressant medication or referred to mental health treatment. We collected information on sociodemographic factors, health beliefs, preferences about treatment, past experiences, and treatment knowledge. RESULTS: At 1 month, medication adherence was greater when patients experienced previous pharmacy trouble and traveled for less than 30 minutes to reach the clinic. Appointment attendance improved when patients were ready for treatment, perceived benefits, and saw their physician as collaborative. At 6 months, medication adherence was greater when patients reported a preference for medicine treatment, traveled for less than 30 minutes, and perceived greater benefits. Fewer negative effects from previous mental health treatment improved adherence to appointments. In multivariate analyses examining adherence to all treatments, greater readiness for treatment predicted 1-month adherence, whereas being unmarried and seeing the physician as more collaborative improved 6-month adherence. CONCLUSIONS: Adherence to antidepressant medications and to mental health referrals should be examined separately. A brief initial assessment for nonadherence risk factors may identify persons for targeted adherence promoting interventions.

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Authors: Gonzalez, J., Williams, J. W., Noel, P. H., & Lee, S.
Affiliations: The University of Texas at San Antonio Health Science Center (US)
ORCID: Gonzalez, J.
Williams, J. W.
Venue: The Journal of the American Board of Family Medicine
Publisher: American Board of Family Medicine (ABFM)
Published: 2005-03-01
Volume: 18
Issue: 2
Pages: 87-96
ISSN: 1557-2625 (ISSN-L)
1558-7118
DOI: 10.3122/jabfm.18.2.87
OpenAlex: W2134747994
Semantic Scholar: a514fa90bc2f0308c362323eb698d1aba99965e4
Cited by: 110
References: 45
Citations by year: 2026: 3 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 8 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 9 · 2014: 16 · 2013: 8 · 2012: 8
FWCI: 2.83
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: The Journal of the American Board of Family Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Department of Veterans Affairs
Health Services Research and Development
Topics: Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: medication adherence, antidepressants, primary care, veterans, predictors of non-adherence, treatment readiness, physician-patient relationship, health beliefs, travel distance, marital status
MeSH terms: Adult, Aged, Attitude to Health, Mental Disorders, Female, Hospitals, Psychiatric, Hospitals, Veterans, Humans, Male, Middle Aged, Patient Compliance, Physician-Patient Relations, Primary Health Care, Prospective Studies, Quality of Health Care, Surveys and Questionnaires, Referral and Consultation, United States, Directive Counseling

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Adherence to Mental Health Treatment in a Primary Care Clinic

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