The British Journal of Psychiatry (2009) 194: 86-87. doi: 10.1192/bjp.bp.108.052217
© 2009 The Royal College of Psychiatrists
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SHORT REPORT

Family participation in treatment, post-discharge appointment and medication adherence at a Nigerian psychiatric hospital

Ademola B. Adeponle, MD

Federal Neuro-Psychiatric Hospital, Kaduna, Nigeria

Brett D. Thombs, PhD

Department of Psychiatry, McGill University and SMBD-Jewish General Hospital Montreal, Quebec, Canada

Moruf L. Adelekan, MD, MRCPsych

Royal Blackburn Hospital, Blackburn, UK

Laurence J. Kirmayer, MD, FRCCP

Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University and SMBD-Jewish General Hospital Montreal, Quebec, Canada

Correspondence: Ademola B. Adeponle, Dision of Social and Transcultural Psychiatry, Department of Psychiatry, 1033 Pine Avenue West, Montreal, Quebec, H3A 1A1, Canada. Email:dradeponleab{at}yahoo.com

Declaration of interest None.

In low-income countries, clinicians must seek strategies to improve treatment adherence that are non-resource intensive and easily integrated into existing treatment structures. We conducted a prospective observational cohort study to investigate the relationship of family engagement in treatment during hospitalisation with post-discharge appointment and medication adherence in 81 patients from a Nigerian psychiatric hospital. After controlling for gender, diagnosis, mental state at discharge, and marital status, family involvement was significantly associated with appointment (P=0.047) but not medication adherence (P=0.590). Studies are needed to determine whether interventions based on engaging families in treatment can improve post-discharge adherence in this setting.


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