• Inpatients
• Medication Adherence
• Polypharmacy
• Self-Management

• Humans
• Polypharmacy
• Medication Adherence
• Self-Management/methods
• Patient Discharge
• Hospitalization
• Female

• Research Foundation

• Evaluation study
• Medication errors
• Medication safety
• Medication self-management
• Medication use
• Medicines
• Patient diary

• dimensions
• experimental studies
• factors
• medication
• patient adherence
• systematic review

• Humans
• Health Care Costs
• Databases, Factual
• Patient Compliance
• World Health Organization

• IHI
• 101034369 Innovative Health Initiative
• IHI
• Innovative Health Initiative

• Humans
• Patient Satisfaction
• Patient Safety
• Hospitalization
• Patient Discharge
• Research Design
• Pharmacists

• The Danish Research Unit for Hospital Pharmacy, Amgros I/S, Copenhagen, Denmark

• Humans
• Patient Discharge
• Medication Reconciliation/methods
• Retrospective Studies
• State Medicine
• Hospitals
• Drug-Related Side Effects and Adverse Reactions/epidemiology
• Drug-Related Side Effects and Adverse Reactions/prevention & control
• Pharmacists
• Pharmacy Service, Hospital

• Beliefs about medication
• Medicines adherence
• People centered care
• Person centered care
• Shared decision making

Background: Acute gastroenteritis is one of the most common causes of dehydration in children. Parents’ education is an essential part of its management. In this study, we assessed the efficacy of discharge instructions in the pediatric emergency department for parents of children with acute gastroenteritis, together with disease prognosis and parents’ satisfaction.

Methods: An observational prospective cohort study was conducted among parents of children with acute gastroenteritis, with mild-to-moderate dehydration, who presented to the pediatric emergency room from March 2018 to July 2018. Parents were interviewed upon their child’s presentation and in follow-up phone calls after one week to assess the parents’ knowledge and the disease’s prognosis.

Results: There were a total of 218 parents of children with acute gastroenteritis of mild and moderate dehydration. The mean age was four years and one month ± three years and seven months. Forty-four percent of study participants had reasonable awareness of their child’s condition, and most patients (86%) improved fully. The exact adherence to instructions was 54%, the proportion of children who returned to the emergency department was 13%, and parental satisfaction and appreciation of the provided education was 98%.

Conclusion: In the study group, not strictly following fluid rehydration plans in discharge instructions did not negatively affect the course of improvement. This indicates that simple instructions to rehydrate with any fluid a child might accept and give clear red flags for observation are likely to be enough to treat gastroenteritis of mild-to-moderate severity.

• Parkinson’s disease
• adherence
• elderly
• hospital discharge
• medication change
• polypharmacy
• potentially inappropriate medication

• 01GY1804 Federal Ministry of Education and Research

• beliefs about medicines
• preventive drugs
• primary non-adherence
• stroke

• Apoteket AB and Västerbotten County Council

• hospitalization
• medication adherence
• medication self-efficacy
• patient participation
• patient satisfaction
• self-administration of medication

• ZonMw

• Beliefs about medication
• Medication management
• Older people
• Polypharmacy

• adherence
• cardiovascular
• elderly
• medication errors

• medication management
• medication use
• older people
• polypharmacy
• self-management

• Aftercare
• Aged
• Hospitals
• Humans
• Medication Therapy Management
• Patient Discharge
• Polypharmacy

Nonadherence is a major problem in the treatment of psychotic disorders. It has been hypothesized that nonadherent patients with schizophrenia are not a homogeneous population and subtypes of nonadherence might exist, but this hypothesis has not been specifically tested.

To test the hypothesis of subtypes of nonadherence in schizophrenia and schizoaffective disorder.

This prospective study included 110 consecutively admitted patients diagnosed with schizophrenia or schizoaffective disorder. Assessments were performed at baseline and at 6 mo follow-up after discharge. Sociodemographic, clinical, psychopathological and treatment-related variables were evaluated. Adherence was defined as the concurrence of adherence to antipsychotic treatment and outpatient follow-up during the six-month period. Adherence to antipsychotic treatment was defined as the concurrence of objective and subjective adherence. Sixty-four patients (58%) fulfilled nonadherence criteria at the end of the follow-up period and were categorized according to their subtype of nonadherence.

In nonadherent patients (n = 64), 32 (50%) fulfilled criteria of intentional nonadherence, and 32 (50%) of unintentional nonadherence (UNA). Unintentional nonadherent patients, as compared to intentional nonadherent patients, are characterized by older age, lower educational level, worse cognitive and negative symptoms, greater severity, worse knowledge of their treatment regimen, greater prevalence of supervision of the treatment, lower number of prior hospitalizations and greater use of nonpsychiatric treatment, anticholinergics and hypnotics. Low educational level (OR = 26.1; 95%CI: 2.819-241), worse treatment knowledge at six months (OR per unit = 0.904; 95%CI: 0.853-0.957) and nonpsychiatric treatment at six months (OR = 15.8; 95%CI: 1.790-139) were independently associated to UNA.

Differentiated subtypes of nonadherence according to intentionality seem to exist in patients with schizophrenia and schizoaffective disorder. Our findings suggest the need for differentiated approach, both in future research and in clinical practice.

• Adherence
• Hospitalization
• Psychosis
• Hypothesis
• Unintentional nonadherence
• Intentional nonadherence

• Discharged patient
• Education
• Experience
• Information
• Injury
• Pain
• Pain management
• Trauma