Using long-acting injectable (LAI) antipsychotic medications can improve the outcomes of patients with schizophrenia, such as reducing symptom severity and hospitalization risk. However, the outcomes of switching from oral to LAI antipsychotic medications are unclear.
Aims:
The purpose of this review is to provide a summary of the clinical, quality of life, and health care utilization outcomes of switching from oral to LAI antipsychotics among patients with Schizophrenia Spectrum Disorder.
Methods:
We thoroughly searched the PubMed, Scopus, PsycInfo, and CINAHL databases. To conduct the meta-analysis, we used the Comprehensive Meta-Analysis Program.
Results:
Forty-one articles met our inclusion criteria. After switching to LAIs, symptom severity, the number of rehospitalizations, emergency department visits, and overall health care costs were reduced. Also, social functioning significantly improved. However, no differences were observed in the frequency of outpatient visits. Pharmacy costs were increased between pre- and post-LAI initiation.
Conclusion:
Our findings support evidence that changing the route of administration of antipsychotic medications from oral to long-acting intramuscular injections can improve the clinical, quality of life, and health care utilization outcomes in people with schizophrenia. Health care practitioners might consider encouraging LAI use earlier during treatment for schizophrenia for better clinical outcomes and to reduce health care utilization associated with treatment.
Objective: Baduanjin is a traditional Chinese regimen involving flowing movements, breath control, and strengthening to benefit health and well-being. We investigated the effectiveness of Baduanjin for older adults with insomnia.
BACKGROUND: Persons with mental illnesses (MI) who use tobacco are likely to experience poorer physical health and worsened psychiatric symptomology as compared to their non–tobacco-using counterparts. Therefore, engaging them in treatment is an important aspect of evidence-based care.
Coaching as a practice has been used to facilitate personal and professional growth. However, many of the basic concepts of coaching can also be used to positively influence the culture of an organization.
OBJECTIVE: The purpose of this pilot study was to evaluate the effect of a web-based education module on the knowledge, attitudes, and ratings of willingness to access help related to suicide prevention in psychiatric- mental health nurses.
Tobacco use remains the leading cause of preventable disease, disability, and death in the United States and is a significant cause of health disparities.
Anna M. McDaniel PhD, RN, FAAN, Mary E. Cooley PhD, RN, FAAN, Jeannette O. Andrews PhD, RN, FAAN, Stella Bialous DrPH, RN, FAAN, Kelly Buettner-Schmidt PhD, RN, FAAN, Janie Heath PhD, APRN, FAAN, Chizimuzo Okoli PhD, APRN, FAAN, Gayle M. Timmerman PhD, RN, FAAN, and Linda Sarna PhD, FAAN
People living with schizophrenia spectrum disorder (SSD) have poorer medication adherence compared to those with other mental illnesses. Long-acting injectable antipsychotic (LAI) medication use is associated with greater adherence, reduced re-hospitalizations, and improved recovery outcomes when compared to oral formulations.
Despite high tobacco use prevalence among those with serious mental illnesses, few Assertive Community Treatment (ACT) programs provide tobacco treatment. Understanding the factors associated with the intentions to engage in tobacco treatment from both provider and consumer perspectives is important.
The purpose of this pilot study was to evaluate the effect of a web-based education module on the knowledge, attitudes, and ratings of willingness to access help related to suicide prevention in psychiatric-mental health nurses.
Background: Healthcare workers' risk perceptions towards contracting Coronavirus 2019 (COVID-19) may determine their adoption of preventive behaviors. The adoption of six-feet physical distancing and wearing face coverings reduces the spread of COVID-19 in the community setting. Three theoretical models, the Health Belief Model (HBM), the Protection Motivation Theory (PMT) and the Theory of Planned Behavior (TPB) have been used to determine the adoption of preventive practices in relation to infectious diseases.,