<p>Abstract
The aim of this quality improvement (QI) project was to explore whether the
implementation of an enhanced telephone reminder system improved the rate of attendance at
initial follow-up appointment and medication adherence. A total of 86 patients, discharged
from inpatient psychiatric units with a follow-up within 7 days of discharge, were eligible to
receive the enhanced telephone contact reminder and follow-up text. A preliminary
retrospective chart review was conducted to collect historical data on medication and
attendance adherence. A prospective interventional design was used to implement the QI
project.
Patients received telephone contact within 24-72 hours of discharge and text message
reminder strategies. A medication adherence assessment was completed at telephone contact
and at initial follow-up appointment. An analysis of the data examined the impact of the
TCM strategy on patient?s rate of adherence to medication and initial follow-up
appointments. Descriptive analysis assessed the frequency of medication adherence in
retrospective and implementation data. Inferential statistics analyzed factors of association
such as prior clinic services and rate of attendance at follow-up appointment.
In the retrospective chart review (n=57), data revealed a 28% attendance rate and an
81% medication adherence at the follow-up appointment, with no statistical difference in a
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history of prior series on attendance. Implementation data on medication adherence at
telephone contact and at first follow-up appointment revealed a 61.5% medication adherence
rate at telephone contact and 80% adherence rate at first follow-up appointment. The
predictor value of a prior history of service on attendance at first follow-up appointment
revealed no statistically significant difference. The project, however, resulted in clinically
significant benefits that promoted individual patients? medication-taking behaviors and
decisions to attend follow-up appointments, and improved clinical practices at the BHC.
| Identifer | oai:union.ndltd.org:PROQUEST/oai:pqdtoai.proquest.com:10815412 |
| Date | 11 April 2019 |
| Creators | Phillips, Martha A. |
| Publisher | University of Louisiana at Lafayette |
| Source Sets | ProQuest.com |
| Language | English |
| Detected Language | English |
| Type | thesis |
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