Your Article Summary
See Latest ArticlesPrescriber Fidelity to a Medication Management Evidence-Based Practice in the Treatment of Schizophrenia
Psychiatric Services, 07/02/09
Howard PB et al. - Implementation and monitoring of MedMAP were feasible in these community mental health settings. Additional implementation projects are crucial for advancing evidence-based practice in clinical settings.
Methods- This three-year longitudinal intervention study implemented MedMAP in six community mental health centers in Kentucky.
- Nine psychiatrists and five advanced practice psychiatric nurses with prescriptive authority participated in the study.
- Prescribers were trained in the use of MedMAP about one month before implementation, and MedMAP principles were reinforced throughout the study.
- Four posttraining assessments were conducted at each site at approximately four-month intervals over a period of 30 months.
- An 18-item scale was used to assess baseline and posttraining prescriber fidelity over a period of 30 months in 900 randomly selected medical records.
- Average fidelity scores improved significantly over baseline at each of the four postimplementation fidelity assessments.
- Training effects were most evident at the second posttraining fidelity assessment, but effects persisted over the course of the study.
- There was considerable variability in scores across items both at baseline and subsequently.
- Posttraining improvement was greatest in patient education, documentation of illness and medication history, and simplification of medication regimen.
Related Articles
Beyond symptom dimensions: Schizophrenia risk factors for patient groups derived by latent class analysis
Schizophrenia Research, 10/30/09
Relevance Score: 46%
Functional Magnetic Resonance Imaging of Inner Speech in Schizophrenia
Biological Psychiatry, 10/26/09
Relevance Score: 46%
Sensory Processing in Schizophrenia: Neither Simple nor Intact
Schizophrenia Bulletin, 10/19/09
Relevance Score: 46%
Age at onset and cognition in schizophrenia: meta-analysis
British Journal of Psychiatry, 10/06/09
Relevance Score: 46%
Auditory gating deficit to human voices in schizophrenia: A MEG study
Schizophrenia Research, 10/01/09
Relevance Score: 46%
Today in Child/Adolescent Psych...keeping you current
Receive free subspecialty "5-minute updates" via email
Psychosocial Correlates of Insomnia in An Adolescent Population
Child Psychiatry and Human Development, 12/07/09
Correlates of Long-term Posttraumatic Stress Symptoms in Children Following Hurricane Katrina
Child Psychiatry and Human Development, 12/07/09
Parental Combat Injury and Early Child Development: A Conceptual Model for Differentiating Effects of Visible and Invisible Injuries
Psychiatric Quarterly, 12/07/09
Today in Neuro/Psych Pharmacol...keeping you current
Receive free subspecialty "5-minute updates" via email
Comparing effectiveness of risperidone with first-generation antipsychotic medications in patients with schizophrenia-spectrum disorders
Journal of Psychopharmacology, 12/07/09
The effect of mirtazapine add on therapy to risperidone in the treatment of schizophrenia: A double-blind randomized placebo-controlled trial
Schizophrenia Research, 12/07/09
Quetiapine treatment and improved cognitive functioning in borderline personality disorder
Human Psychopharmacology: Clinical and Experimental, 12/04/09
Today in Other Psychiatry...keeping you current
Receive free subspecialty "5-minute updates" via email
Comparing effectiveness of risperidone with first-generation antipsychotic medications in patients with schizophrenia-spectrum disorders
Journal of Psychopharmacology, 12/07/09
A new clinical rating scale for work absence and productivity: validation in patients with major depressive disorder
BMC Psychiatry, 12/07/09
Primary care and dementia: 2. long-term care at home: psychosocial interventions, information provision, carer support and case management
International Journal of Geriatric Psychiatry, 12/07/09
Today in Schizophrenia/Psychosis...keeping you current
Receive free subspecialty "5-minute updates" via email
Paliperidone palmitate maintenance treatment in delaying the time-to-relapse in patients with schizophrenia: A randomized, double-blind, placebo-controlled study
Schizophrenia Research, 12/07/09
Comparing effectiveness of risperidone with first-generation antipsychotic medications in patients with schizophrenia-spectrum disorders
Journal of Psychopharmacology, 12/07/09
The effect of mirtazapine add on therapy to risperidone in the treatment of schizophrenia: A double-blind randomized placebo-controlled trial
Schizophrenia Research, 12/07/09