The Effect of Information Therapy on Treatment Adherence among Patients Referred to Addiction Treatment Centers

Document Type: Original Article

Authors

1 Medical Informatics Research Center, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

2 School of Nursing, Jiroft University of Medical Sciences, Jiroft AND Modeling in Health Research Center, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

3 Modeling in Health Research Center, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background: The low level of drug adherence in addicts who are quitting is one of the biggest challenges in
the treatment and management of this disease. Therefore, this study aimed to evaluate the effect of
information therapy on adherence to treatment among the patients in addiction treatment centers.
Methods: The present quasi-experimental study was performed on 60 patients referred to addiction
treatment centers in Jiroft City, Iran. The control and experimental groups were selected using simple
random sampling method. The 8-item Morisky Medication Adherence Scale was used for data collection. The
level of adherence to treatment was assessed before and after the intervention, which consisted of 6 one-hour
training sessions per week.
Findings: The adherence to medication was low in both experimental and control groups before the
notification. However, the chi-square value obtained by comparing the frequencies of the experimental and
control groups in three variables of adherence level (high, moderate, and low) was 9.84 which was
statistically significant (P = 0.007). Therefore, there was a significant difference between the experimental
and control groups after information therapy. In fact, the information in the experimental group had a
significant and positive effect.
Conclusion: Because of the low level of adherence to treatment, it is recommended to use information
therapy to give information on timely and correct use of drugs as well as its importance in the treatment of
addiction; so that the level of adherence would improve.


Keywords


. Collins BW, Sasser AB. Medical self-managing-the
hospital librarian's role. Med Ref Serv Q 1998;
17(3): 59-70.
2. Yousefi Afrashteh M, Amiri M, Morovati Z,
Babamiri M, Cheraghi A. Supporting factors of
constancy in quitting drugs: A qualitative study. J
Qual Res Health Sci 2015; 4(3): 280-9. [In Persian].
3. Fariba Z, Salaheddin E, Nayereh G, Soudeh A,
Mahmoud K. The Fifth Edition of the Diagnostic and
Statistical Manual of Mental Disorders;
Development, Review, Prospect. J Res Bahav Sci
2016; 14(1): 125-36. [In Persian].
4. Mitchell DJ. Toward a definition of information
therapy. Proc Annu Symp Comput Appl Med Care
1994; 71-5.
5. Nouruzi A. Infotherapy or bibliotherapy: Alternative
medicine. Information Clinic 2011; 1(1): 1-18.
6. Yarahmadi A, Zare-Farashbandi F, Kachuei A,
Nouri R, Hassanzadeh A. The effects of
non-attendance information therapy on the control of
glycosylated hemoglobin (HbA1C) in type 2 diabetic
patients. J Educ Health Promot 2014; 3: 90.
7. Killian M, Bastas H. The effects of an active learning
strategy on students’ attitudes and students’
performances in introductory sociology classes.
Journal of the Scholarship of Teaching and Learning
2015; 15(3): 53-67.
8. VandenBos GR, Meidenbauer E, Frank-McNeil J.
Psychotherapy theories and techniques: A reader.
Washington, DC: American Psychological
Association; 2014.
9. Talachi H, Ravaghi H, Ayatollahi H, Atlasi R. The
scientific and practical features of clinical librarians
with an emphasis on their role in the process of
evidence-based medicine: A literature review. J
Health Adm 2012; 15(47): 7-12. [In Persian].
10. Kemper DW, Mettler M. Information therapy:
Prescribing the right information to the right person
at the right time. Manag Care Q 2002; 10(4): 43-6.
11. Aliverdinia A, Rezaie A, Peiro F. A sociological
analysis of university students attitude's toward
suicide. Journal of Applied Sociology 2012; 22(4):
1-18. [In Persian].
12. Kikhavandi S, Menati R, Kassani A, Menati W.
Associated factors with addiction relapse in patients
of referring to addiction treatment centers in Ilam: A
case-control study. J Ilam Univ Med Sci 2015; 22(6):
165-73. [In Persian].
13. Najarzadegan MR, Tavalaee A. A prevention survey
about the treatment protocols for the substance abuse
in war injured soldiers. Ann Mil Health Sci Res
2012; 10(2): 163-73. [In Persian].
14. VakiliMofrad H, Bahramian R, Ansari N, Panahi S,
Masoumi L. The effect of distant information
therapy on decreasing anxiety disorders of students
of the hamadan University of Medical Sciences.
Journal of Academic Librarianship and Information
Research 2019; 53(1): 1. [In Persian].
15. Ahmadizadeh S, Bozorgi AS, Kashani L. The role of
information therapy in reducing anxiety in patients
undergoing in vitro fertilisation treatment. Health
Info Libr J 2017; 34(1): 86-91.
16. Jin J, Sklar GE, Min SO, V, Chuen LS. Factors
affecting therapeutic compliance: A review from the
patient's perspective. Ther Clin Risk Manag 2008;
4(1): 269-86.
17. Majid Z, Tanveer M, Ali AS, Tahir F, Minhaj A,
Khan HA, et al. Opioids use and abuse: Prescription
practice, attitude, and beliefs among Doctors of
Karachi. Cureus 2019; 11(7): e5253.
18. Velasco D, Simonovich SD, Krawczyk S, Roche B.
Barriers and facilitators to intraoperative alternatives
to opioids: Examining CRNA perspectives and
practices. AANA J 2019; 87(6): 459-67.
19. Beygi A, Shirazi M, Pasandide M. The effectiveness
of life skills training on enhancement of quality of
life and coping styles in methadone maintenance
therapy members. Research on Addiction 2013;
7(26): 95-110. [In Persian].
20. Rus-Makovec M, Furlan M, Smolej T. Experts on
comparative literature and addiction specialists in
cooperation: A bibliotherapy session in aftercare
group therapy for alcohol dependence. Arts
Psychother 2015; 44: 25-34.
21. Rafiee Vardanjani L, Shafiei Z. Status of adherence
to treatment and dialysis adequacy in hemodialysis
patients referred to dialysis centers Hajar
Shahrekord. Journal of Geriatric Nursing 2017; 3(3).
[In Persian].
22. Borji M, Otaghi M, Miri M, Azami M, Tavan H.
Adherence to treatment in older adults on
hemodialysis in Ilam in 2014-15. Nursing Journal of
the Vulnerable 2016; 3(6): 15-26. [In Persian].
23. Gholamaliei B, Karimi-Shahanjarini A, Roshanaei
G, Rezapour-Shahkolaei F. Medication adherence
and its related factors in patients with type II
diabetes. J Educ Community Health 2016; 2(4):
3-12. [In Persian].
Effect of Information Therapy on Treatment Adherence Azami et al.
Addict Health, Winter 2020; Vol 12, No 1 289
http://ahj.kmu.ac.ir, 05 January
24. Abbasinazari M, Zareh-Toranposhti S, Hassani A,
Sistanizad M, Azizian H, Panahi Y. The effect of
information provision on reduction of errors in
intravenous drug preparation and administration by
nurses in ICU and surgical wards. Acta Med Iran
2012; 50(11): 771-7.
25. Vanhaecke CC, Michaut L, Caillierez F, Parra D,
Bonnefoy M. Impact of therapeutic education with a
written document on treatments knowledge and
adherence among elderly patients. Results of a pilot
study. Geriatr Psychol Neuropsychiatr Vieil 2017;
15(4): 394-400.
26. Crilly M, Esmail A. Randomised controlled trial of a
hypothyroid educational booklet to improve thyroxine
adherence. Br J Gen Pract 2005; 55(514): 362-8.
27. Kripalani S, Schmotzer B, Jacobson TA. Improving
Medication Adherence through Graphically
Enhanced Interventions in Coronary Heart Disease
(IMAGE-CHD): A randomized controlled trial. J
Gen Intern Med 2012; 27(12): 1609-17.
28. Browne T, Merighi JR. Barriers to adult
hemodialysis patients' self-management of oral
medications. Am J Kidney Dis 2010; 56(3): 547-57.
29. Zolfaghari M, Sookhak F, Asadi Noughabi A,
Haghani H. Effect of cognitive-behavioral
intervention on adherence to dietary and fluid-intake
restrictions in hemodialysis patients. Journal of
Nursing Education 2013; 2(3): 9-17. [In Persian].
30. Zare S, Shams M, Fararouei M, Shariatinia S.
Antihypertensive drugs adherence in heart disease
patients referring to the Imam Reza Clinic in
Shiraz. Sadra Med Sci J 2018; 6(2): 151 -60.
[In Persian].
31. Vervloet M, Linn AJ, van Weert JC, de Bakker DH,
Bouvy ML, van Dijk L. The effectiveness of
interventions using electronic reminders to improve
adherence to chronic medication: A systematic
review of the literature. J Am Med Inform Assoc
2012; 19(5): 696-704.
32. Gould E, Mitty E. Medication adherence is a
partnership, medication compliance is not. Geriatr
Nurs 2010; 31(4): 290-8.
33. Delamater AM. Improving patient adherence.
Clinical Diabetes 2006; 24(2): 71.
34. Doosti Irani M, Abazari P, Babaei S, Shahgholian N.
Facilitators of adherence to self-management in type
2 diabetic patients: A phenomenological study. Iran J
Endocrinol Metab 2009; 11(3): 257-64. [In Persian].