Therapeutic relationships and attitudes
Research type
Research Study
Full title
Therapeutic relationships and clinician and service user attitudes towards antipsychotic medication; a mixed methods study.
IRAS ID
192849
Contact name
Karishma Jivraj
Contact email
Duration of Study in the UK
1 years, 0 months, 0 days
Research summary
Evidence has shown that Schizophrenia (and related disorders) consume a disproportionate share of mental health care costs with high rates of relapse resulting in burdens on psychiatric services in the UK. Non adherence to antipsychotic medication is one of the main factors undermining successful relapse prevention; where 40-60% of service users are non-adherent to their medication.
There is a growing evidence base suggesting reasons for non-adherence; including poor therapeutic relationships, lack of shared decision making (SDM) and negative attitudes towards antipsychotic medication. Service users included in SDM have been reported to exhibit more positive attitudes and feel more inclined to adhere to their long term medication plan.
This mixed methods study aims to investigate attitudes towards oral and long acting injectable antipsychotics amongst NHS clinicians and patients with schizophrenia (and related disorders) and explore therapeutic relationships and shared decision making in prescribing practice. 100 service users with a diagnosis of Schizophrenia (and related disorders) and 24 Clinicians with prescribing experience will be recruited to complete questionnaires, standardised assessments and take part in an interview in attempt to understand the role of the therapeutic relationship in decision making and attitude formation towards antipsychotic medication. The study duration is expected to last one year in a NHS mental health outpatient service.REC name
Yorkshire & The Humber - South Yorkshire Research Ethics Committee
REC reference
16/YH/0141
Date of REC Opinion
17 May 2016
REC opinion
Further Information Favourable Opinion