Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.8/9072 |
Resumo: | Patient therapeutic adherence lies at the core of mental health care. Health Care professionals and organizations play a major role in promoting adherence among people with mental disorders. However, defining therapeutic adherence remains complex. We used Rodgers’ evolutionary concept analysis to explore the concept of therapeutic adherence in the context of mental health. We conducted a systematic literature search on Medline/PubMed and CINAHL for works published between January 2012 and December 2022. The concept analysis showed that major attributes of therapeutic adherence include patient, microsystem and meso/exosystem-level factors. Antecedents are those related to patients, such as their background, beliefs and attitudes, and acceptance of mental illness–and those related to patient-HCP therapeutic engagement. Lastly, three different consequences of the concept emerged: an improvement in clinical and social outcomes, commitment to treatment, and the quality of healthcare delivery. We discuss an operational definition that emerged from the concept analysis approach. However, considering the concept has undergone evolutionary changes, further research related to patient adherence experiences in an ecological stance is needed. |
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Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept AnalysisConcept analysisMental healthTherapeutic adherenceEcological approachPatient therapeutic adherence lies at the core of mental health care. Health Care professionals and organizations play a major role in promoting adherence among people with mental disorders. However, defining therapeutic adherence remains complex. We used Rodgers’ evolutionary concept analysis to explore the concept of therapeutic adherence in the context of mental health. We conducted a systematic literature search on Medline/PubMed and CINAHL for works published between January 2012 and December 2022. The concept analysis showed that major attributes of therapeutic adherence include patient, microsystem and meso/exosystem-level factors. Antecedents are those related to patients, such as their background, beliefs and attitudes, and acceptance of mental illness–and those related to patient-HCP therapeutic engagement. Lastly, three different consequences of the concept emerged: an improvement in clinical and social outcomes, commitment to treatment, and the quality of healthcare delivery. We discuss an operational definition that emerged from the concept analysis approach. However, considering the concept has undergone evolutionary changes, further research related to patient adherence experiences in an ecological stance is needed.MDPIIC-OnlineLaranjeira, CarlosCarvalho, DanielValentim, OlgaMoutinho, LídiaMorgado, TâniaTomás, CatarinaGomes, JoãoQuerido, Ana2023-12-11T16:21:50Z2023-02-222023-02-22T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/9072engLaranjeira, C.; Carvalho, D.; Valentim, O.; Moutinho, L.; Morgado, T.; Tomás, C.; Gomes, J.; Querido, A. Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis. Int. J. Environ. Res. Public Health 2023, 20, 3869. https://doi.org/10.3390/ijerph200538691661-7827https://doi.org/10.3390/ijerph200538691660-4601info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-17T15:58:45Zoai:iconline.ipleiria.pt:10400.8/9072Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:51:37.364907Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis |
title |
Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis |
spellingShingle |
Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis Laranjeira, Carlos Concept analysis Mental health Therapeutic adherence Ecological approach |
title_short |
Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis |
title_full |
Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis |
title_fullStr |
Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis |
title_full_unstemmed |
Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis |
title_sort |
Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis |
author |
Laranjeira, Carlos |
author_facet |
Laranjeira, Carlos Carvalho, Daniel Valentim, Olga Moutinho, Lídia Morgado, Tânia Tomás, Catarina Gomes, João Querido, Ana |
author_role |
author |
author2 |
Carvalho, Daniel Valentim, Olga Moutinho, Lídia Morgado, Tânia Tomás, Catarina Gomes, João Querido, Ana |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
IC-Online |
dc.contributor.author.fl_str_mv |
Laranjeira, Carlos Carvalho, Daniel Valentim, Olga Moutinho, Lídia Morgado, Tânia Tomás, Catarina Gomes, João Querido, Ana |
dc.subject.por.fl_str_mv |
Concept analysis Mental health Therapeutic adherence Ecological approach |
topic |
Concept analysis Mental health Therapeutic adherence Ecological approach |
description |
Patient therapeutic adherence lies at the core of mental health care. Health Care professionals and organizations play a major role in promoting adherence among people with mental disorders. However, defining therapeutic adherence remains complex. We used Rodgers’ evolutionary concept analysis to explore the concept of therapeutic adherence in the context of mental health. We conducted a systematic literature search on Medline/PubMed and CINAHL for works published between January 2012 and December 2022. The concept analysis showed that major attributes of therapeutic adherence include patient, microsystem and meso/exosystem-level factors. Antecedents are those related to patients, such as their background, beliefs and attitudes, and acceptance of mental illness–and those related to patient-HCP therapeutic engagement. Lastly, three different consequences of the concept emerged: an improvement in clinical and social outcomes, commitment to treatment, and the quality of healthcare delivery. We discuss an operational definition that emerged from the concept analysis approach. However, considering the concept has undergone evolutionary changes, further research related to patient adherence experiences in an ecological stance is needed. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-11T16:21:50Z 2023-02-22 2023-02-22T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.8/9072 |
url |
http://hdl.handle.net/10400.8/9072 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Laranjeira, C.; Carvalho, D.; Valentim, O.; Moutinho, L.; Morgado, T.; Tomás, C.; Gomes, J.; Querido, A. Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis. Int. J. Environ. Res. Public Health 2023, 20, 3869. https://doi.org/10.3390/ijerph20053869 1661-7827 https://doi.org/10.3390/ijerph20053869 1660-4601 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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MDPI |
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MDPI |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137007431057408 |