K Y Mak1, W T L Lo2, W S Yeung3, Michael Wong4, W S D Chung5, E Chui4, Ka-Lok Tam6, L K Hui7, Jolene Mui8, O W Chan9, K L Wong4. 1. Room 704, Alliance Building, 130-136 Connaught Road Central, Hong Kong. Electronic address: kymak@hku.hk. 2. Kwai Chung Hospital, Kwai Chung, Hong Kong. 3. Department of Psychiatry, Pamela Youde Nethersole Eastern Hospital, Hong Kong. 4. Department of Psychiatry, Queen Mary Hospital, Hong Kong. 5. Tai Po Hospital, Hong Kong. 6. Department of Psychiatry, United Christian Hospital, Hong Kong. 7. Department of Psychiatry, Kowloon Hospital, Hong Kong. 8. Castle Peak Hospital, Hong Kong. 9. Hong Kong Hospital Authority, Hong Kong.
Abstract
AIM: In view of the clinical importance of the adherence issues in schizophrenia management, a consensus group of experienced local psychiatrists and nurse specialists gathered to outline a number of consensus statements for clinicians to consider enhancing adherence in their patients. PROCESS: Prior to the consensus group meeting, three core members drafted eight statements on the issue of adherence in schizophrenia. Using a modified Delphi method, published literature and published guidelines regarding the management of schizophrenia were reviewed by the full panel during the group meeting. After discussion and reflection from each individual member of the consensus group, the eight statements were reworded and electronically voted on anonymously in two steps: acceptance on quality of evidence and practicability in implementation. RESULTS: After modifications of the original statements, there was very high overall level of agreement and acceptance (reaching international standard) on all the five areas of adherence within the eight statements of the finalised statement. CONCLUSIONS: The present consensus statements are the first in Hong Kong to address systematically adherence issues in schizophrenia management. They include areas on adherence assessment and definition, treatment strategies in enhancing adherence, and treatment considerations at specific phases of schizophrenia. They are tailored to be of practical utility in the local Hong Kong setting.
AIM: In view of the clinical importance of the adherence issues in schizophrenia management, a consensus group of experienced local psychiatrists and nurse specialists gathered to outline a number of consensus statements for clinicians to consider enhancing adherence in their patients. PROCESS: Prior to the consensus group meeting, three core members drafted eight statements on the issue of adherence in schizophrenia. Using a modified Delphi method, published literature and published guidelines regarding the management of schizophrenia were reviewed by the full panel during the group meeting. After discussion and reflection from each individual member of the consensus group, the eight statements were reworded and electronically voted on anonymously in two steps: acceptance on quality of evidence and practicability in implementation. RESULTS: After modifications of the original statements, there was very high overall level of agreement and acceptance (reaching international standard) on all the five areas of adherence within the eight statements of the finalised statement. CONCLUSIONS: The present consensus statements are the first in Hong Kong to address systematically adherence issues in schizophrenia management. They include areas on adherence assessment and definition, treatment strategies in enhancing adherence, and treatment considerations at specific phases of schizophrenia. They are tailored to be of practical utility in the local Hong Kong setting.
Authors: Michael Ming Cheuk Wong; Albert Kar Kin Chung; Timothy Ming Hong Yeung; David Tai Wai Wong; Che Kin Lee; Eric Lai; Gloria Fong Yeung Chan; Gregory Kai Lok Mak; Jessica Oi Yin Wong; Roger Man Kin Ng; Ki Yan Mak Journal: CNS Neurosci Ther Date: 2021-03 Impact factor: 5.243