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|Title: ||Medication adherence in depression: Exploring roles and practices of healthcare providers|
|Authors: ||Chong, Wei Wen|
|Keywords: ||medication adherence, depression, patient-centred care, community pharmacist|
|Issue Date: ||21-Nov-2013|
|Publisher: ||University of Sydney
Faculty of Pharmacy|
|Abstract: ||Non-adherence to antidepressant medications is a major barrier to the effective treatment of depression. Healthcare providers are an important point of intervention in addressing adherence-related problems. The objective of the research in this thesis was to explore the potential roles and current practices of healthcare providers in improving antidepressant medication adherence, particularly from a patient-centred approach. Findings from a systematic review highlight the importance of multifaceted interventions involving a collaborative effort from all healthcare providers. In a qualitative study, healthcare providers from various disciplines identified patient education and building partnerships with patients as key approaches to improving antidepressant medication adherence. Although healthcare providers expressed support towards shared decision-making (SDM) in mental healthcare, a number of barriers were perceived to hinder an interprofessional approach to SDM. In addition, a simulated patient study identified areas for improvement in community pharmacists’ practice, including the provision of key educational messages on antidepressant medications and patient-centred communication behaviours. This study also demonstrated the utility of Roter Interaction Analysis Method (RIAS) in analysing brief consultations at community pharmacy counters. The findings gained collectively from this research may inform the development of future adherence interventions that target the improvement of collaborative patient-centred practices in depression care.|
|Access Level: ||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.|
|Rights and Permissions: ||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.|
|Type of Work: ||PhD Doctorate|
|Type of Publication: ||Doctor of Philosophy Ph.D.|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|
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|CHONG Wei Wen - Final Thesis.pdf||3.45 MB||Adobe PDF|
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