Do financial incentives increase treatment adherence in people with severe mental illness? A systematic review.

Epidemiologia e psichiatria sociale Pub Date : 2010-07-01

Alexandra Burton, Stamatina Marougka, Stefan Priebe

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Abstract

Aim: To identify whether financial or material incentives improve treatment adherence in people with severe mental illness.

Method: A systematic review of studies published between 1950 and 2008 was conducted. EMBASE, MEDLINE, EBM, AMED and PsycINFO were searched. Studies were included if a financial or material incentive was offered and if the sample had a severe mental illness.

Results: Fourteen articles were identified; three studies on adherence to psychiatric treatment and one on physical exercise. Ten articles used incentives for adherence to substance misuse treatment programmes. In all studies, financial incentives were associated with an increase in adherence; however the effect was not always maintained once the incentive was withdrawn.

Conclusion: While existing research suggests that financial incentives may improve treatment adherence in severely mentally ill populations, very few studies focus on psychiatric treatment. Further research may address the long term effectiveness of incentives on adherence in this population.

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经济激励能提高严重精神疾病患者的治疗依从性吗?系统回顾。

目的:确定经济或物质激励是否能提高严重精神疾病患者的治疗依从性。方法:对1950年至2008年间发表的研究进行系统回顾。检索EMBASE、MEDLINE、EBM、AMED和PsycINFO。如果提供了经济或物质激励，并且样本患有严重的精神疾病，则研究被纳入其中。结果:共鉴定出14篇;三个关于坚持精神治疗的研究一个关于体育锻炼。10篇文章采用奖励措施鼓励遵守药物滥用治疗方案。在所有的研究中，财政激励与依从性的增加有关;然而，一旦奖励被取消，这种效果并不总是保持不变。结论:虽然现有的研究表明，经济激励可能会提高严重精神疾病人群的治疗依从性，但很少有研究关注精神疾病治疗。进一步的研究可能会解决在这一人群中激励依从性的长期有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Epidemiologia e psichiatria sociale

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