Supporting adherence to oral anticancer agents : clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists

Background: Healthcare provider (HCP) activities and attitudes towards patients strongly influence medication adherence. The aim of this study was to assess current clinical practices to support patients in adhering to treatment with oral anticancer agents (OACA) and to explore clues to improve the management of medication adherence. Methods: A cross-sectional, observational study among HCPs in (haemato-) oncology settings in Belgium and the Netherlands was conducted in 2014 using a composite questionnaire. A total of 47 care activities were listed and categorised into eight domains. HCPs were also asked about their perceptions of adherence management on the items: insight into adherence, patients' communication, capability to influence, knowledge of consequences and insight into causes. Validated questionnaires were used to assess beliefs about medication (BMQ) and shared decision making (SDM-Q-doc). Results: In total, 208 HCPs (29% male) participated; 107 from 51 Dutch and 101 from 26 Belgian hospitals. Though a wide range of activities were reported, certain domains concerning medication adherence management received less attention. Activities related to patient knowledge and adverse event management were reported most frequently, whereas activities aimed at patient's self-efficacy and medication adherence during ongoing use were frequently missed. The care provided differed between professions and by country. Belgian physicians reported more activities than Dutch physicians, whereas Dutch nurses and pharmacists reported more activities than Belgian colleagues. The perceptions of medication adherence management were related to the level of care provided by HCPs. SDM and BMQ outcomes were not related to the care provided. Conclusions: Enhancing the awareness and perceptions of medication adherence management of HCPs is likely to have a positive effect on care quality. Care can be improved by addressing medication adherence more directly e. g., by questioning patients about (expected) barriers and discussing strategies to overcome them, by asking for missed doses and offering (electronic) reminders to support long-term medication adherence. A multidisciplinary approach is recommended in which the role of the pharmacist could be expanded

Concepts of ‘self’ in delusion resolution

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Politeness, hypocrisy, and Protestant Dissent in England after the Toleration Act, c. 1689 - c. 1750

The concept of politeness has been central to studies of eighteenth-century England; less attention has been given to its impact on religious coexistence. This article argues that, while politeness has typically been associated with rejection of the religious divisions of the previous century, it could also be used to perpetuate them. Focusing on the position of Protestant Dissenters in relation to wider society after the Toleration Act of 1689, it argues that cultures of politeness complicated, rather than eased, their social integration. Furthermore, it highlights the centrality of religious questions to social and cultural change in eighteenth-century England

Cognitive and affective perspectives on formation and maintenance of grandiose delusions of a patient with schizophrenia

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Sustainability of Treatment Effect of a 3-year Early Intervention Programme for First-episode Psychosis in Hong Kong

Parallel Session 1 – Health and Health Services: abstract no. S2published_or_final_versio

Subjective recovery in patients with first-episode psychosis in Hong Kong

Poster PresentationINTRODUCTION: The concept of recovery can be organized into two types: objective and subjective (1). Objective recovery is defined as the remission of clinical symptoms and improved everyday functioning, while subjective recovery is a personal understanding of recovery that varies individually. Understanding subjective recovery facilitates treatment adherence. The study aims to investigate the subjective determinants of perceived non-recovery to patients with first-episode psychosis in Chinese sample and the factors affecting subjective recovery ...published_or_final_versio

12-year follow-up student of mortality due to suicide among first-episode psychosis cohort: Is the early intervention program more effective in reducing excess mortality due to suicide in psychosis

Oral Presentation: O10. Treatment and clinical service: no. O10.8published_or_final_versio

Web-Based Psychoeducation Program for Caregivers of First-Episode of Psychosis: An Experience of Chinese Population in Hong Kong

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Relationship between cognitive function and symptomology with self-stigma in patients with schizophrenia-spectrum disorders

E-PosterBACKGROUND: Self-stigma can be understood as a process of an individual gaining awareness of the associated stereotypes, agreeing with them and thus applying them to oneself [1]. This suggests the involvement of complex cognitive processes behind the development of self-stigma. Previous studies have also suggested that clinical symptoms are related to both cognitive function and self-stigma [2,3]. The current study examined the relationship of cognitive functions, clinical symptoms and self-stigma ...published_or_final_versio