Alexandra Burton1, Stamatina Marougka, Stefan Priebe. 1. Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Unit for Social and Community Psychiatry, London, United Kingdom.
Abstract
AIM: To identify whether financial or material incentives improve treatment adherence in people with severe mental illness. METHOD: A systematic review of studies published between 1950 and 2008 was conducted. EMBASE, MEDLINE, EBM, AMED and PsycINFO were searched. Studies were included if a financial or material incentive was offered and if the sample had a severe mental illness. RESULTS: Fourteen articles were identified; three studies on adherence to psychiatric treatment and one on physical exercise. Ten articles used incentives for adherence to substance misuse treatment programmes. In all studies, financial incentives were associated with an increase in adherence; however the effect was not always maintained once the incentive was withdrawn. CONCLUSION: While existing research suggests that financial incentives may improve treatment adherence in severely mentally ill populations, very few studies focus on psychiatric treatment. Further research may address the long term effectiveness of incentives on adherence in this population.
AIM: To identify whether financial or material incentives improve treatment adherence in people with severe mental illness. METHOD: A systematic review of studies published between 1950 and 2008 was conducted. EMBASE, MEDLINE, EBM, AMED and PsycINFO were searched. Studies were included if a financial or material incentive was offered and if the sample had a severe mental illness. RESULTS: Fourteen articles were identified; three studies on adherence to psychiatric treatment and one on physical exercise. Ten articles used incentives for adherence to substance misuse treatment programmes. In all studies, financial incentives were associated with an increase in adherence; however the effect was not always maintained once the incentive was withdrawn. CONCLUSION: While existing research suggests that financial incentives may improve treatment adherence in severely mentally ill populations, very few studies focus on psychiatric treatment. Further research may address the long term effectiveness of incentives on adherence in this population.
Authors: Stefan Priebe; Julia Sinclair; Alexandra Burton; Stamatina Marougka; John Larsen; Mike Firn; Richard Ashcroft Journal: J Med Ethics Date: 2010-06-27 Impact factor: 2.903
Authors: Catherine Henderson; Martin Knapp; Ksenija Yeeles; Stephen Bremner; Sandra Eldridge; Anthony S David; Nicola O'Connell; Tom Burns; Stefan Priebe Journal: PLoS One Date: 2015-10-08 Impact factor: 3.240
Authors: Stefan Priebe; Ksenija Yeeles; Stephen Bremner; Christoph Lauber; Sandra Eldridge; Deborah Ashby; Anthony S David; Nicola O'Connell; Alexandra Forrest; Tom Burns Journal: BMJ Date: 2013-10-07