8 August 2017
The poster entitled 'Effect of financial incentives on adherence to antipsychotic medication: Does it change over time?' created by Dr Hana Pavlickova received the award for the best poster presentation in the Research Impact category at the William Harvey Day 2014
This work elaborated on our previous findings showing that financial incentives were effective in improving adherence to antipsychotic maintenance medication in difficult-to-engage patients with psychosis (i.e. with adherence lower than 75%) when examined over the 12-month intervention period as a whole (Priebe et al., 2013). However, some studies using financial incentives in other health-related behaviours, particularly in smoking cessation, found that the effect of financial incentives might diminish over time.
Therefore, the aim of the study was to examine whether the effect of financial incentives on adherence to antipsychotic maintenance medication changes over time.
We found that adherence levels increased over timein both the control and the intervention group. However, adherence in the intervention group was superior to that in the control group. This effect appeared already within the first three months of the intervention and remained practically unchanged over the duration of the intervention.
If financial incentives were to be used in practice, clinicians may expect an improvement in adherence already within the first three months after introducing the incentives. This improvement is likely to remain stable over time, as long as financial incentives are offered, with no need to increase the amount. However, if there is no improvement in adherence within the initial three-month period, it is unlikely to occur later.
This work has been carried out in the Unit of Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development.
Priebe S, Yeeles K, Bremner S, Lauber C, Eldridge S, Ashby D, David AS, O'Connell N, Forrest A, Burns T. Effectiveness of financial incentives to improve adherence to maintenance treatment with antipsychotics: cluster randomized controlled trial. BMJ. 2013;347:f5847.
Dr Hana Pavlickova next to the poster
Please click here to see 'Effect of financial incentives on adherence to antipsychotic medication: Does it change over time?' poster [PDF 454KB]