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2016 - Priebe Bremner - Discontinuing financial incentives - BMJOpen.pdf (985.66 kB)

Discontinuing financial incentives for adherence to antipsychotic depot medication: long-term outcomes of a cluster randomised controlled trial

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posted on 2023-06-09, 03:08 authored by Stefan Priebe, Stephen BremnerStephen Bremner, Hana Pavlickova
Objectives: In a cluster randomised controlled trial, offering financial incentives improved adherence to antipsychotic depot medication over a 1-year period. Yet, it is unknown whether this positive effect is sustained once the incentives stop. Methods and analyses: Patients in the intervention and control group were followed up for 2 years after the intervention. Primary and secondary outcomes were assessed at 6 months and 24 months post intervention. Assessments were conducted between September 2011 and November 2014. Results: After the intervention period, intervention and control groups did not show any statistically significant differences in adherence, neither in the first 6 months (71% and 77%, respectively) nor in the following 18 months (68%, 74%). There were no statistically significant differences in secondary outcomes, that is, adherence =95% and untoward incidents either. Conclusions: It may be concluded that incentives to improve adherence to antipsychotic maintenance medication are effective only for as long as they are provided. Once they are stopped, adherence returns to approximately baseline level with no sustained benefit. Trial registration number: ISRCTN77769281.

History

Publication status

  • Published

File Version

  • Published version

Journal

BMJ Open

ISSN

0959-8138

Publisher

BMJ Publishing Group

Issue

9

Volume

6

Page range

:e011673

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2016-09-27

First Open Access (FOA) Date

2016-09-27

First Compliant Deposit (FCD) Date

2016-09-27

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