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Development of a structural model explaining medication compliance of persons with schizophrenia

Authors
 Mi-A Seo  ;  Sung-Kil Min 
Citation
 YONSEI MEDICAL JOURNAL, Vol.46(3) : 331-340, 2005 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2005
MeSH
Adult ; Antipsychotic Agents/administration & dosage* ; Female ; Humans ; Male ; Models, Psychological* ; Patient Compliance/psychology* ; Schizophrenia/drug therapy* ; Self Administration/psychology* ; Social Support
Keywords
Medication compliance ; schizophrenia
Abstract
The purpose of this study was to develop and test a structural model explaining medication compliance of schizophrenia. From a review of the literature, a hypothetical model was developed based on the conceptual framework of the Health Belief Model with medication knowledge, symptom severity and social support as the exogenous variables, and perceived benefits, perceived barriers, substance use and medication compliance as the endogenous variables. Data was collected at various mental health facilities, including psychiatric outpatient clinics of general hospitals and community mental health centers, between March and May, 2001. A structured questionnaire was used by one- on- one interviews to collect data on 208 schizophrenic patients. Well established measurement instruments, with confirmed reliability, were used to assess each method variable. As a result of covariance structural analysis, the hypothetical model was found not to fit the empirical data well, so a parsimonious model was adopted after modifying the model. The final model was able to explain the 33% medication compliance. Medication knowledge, social support and perceived benefits had significant effects on medication compliance. The findings of this study address the importance of medication education and social support to promote medication compliance. It is also suggested that various education programs and support groups are needed to enhance medication compliance.
Files in This Item:
T200500882.pdf Download
DOI
10.3349/ymj.2005.46.3.331
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Min, Sung Kil(민성길)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151060
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