The Large Allen Cognitive Level Screen as an indicator for medication adherence among adults accessing community mental health services

Cairns, Alice, Hill, Cathy, Dark, Frances, McPhail, Steven, and Gray, Marion (2013) The Large Allen Cognitive Level Screen as an indicator for medication adherence among adults accessing community mental health services. British Journal of Occupational Therapy, 76 (3). pp. 137-143.

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Abstract

Background: Medication remains the cornerstone treatment for mental illness. Cognition is one of the strongest predictors of non-adherence. The aim of this preliminary investigation was to examine the association between the Large Allen Cognitive Level Screen (LACLS) and medication adherence among a small sample of mental health service users to determine whether the LACLS has potential as a screening tool for capacity to manage medication regimens.

Method: Demographic and clinical information was collected from a small sample of people who had recently accessed community mental health services. Participants then completed the LACLS and the Medication Adherence Rating Scale (MARS) at a single time point. The strength of association between the LACLS and MARS was examined using Spearman rank-order correlation.

Results: A strong positive correlation between the LACLS and medication adherence (r = 0.71, p = 0.01) was evident. No participants reported the use of medication aids despite evidence of impaired cognitive functioning.

Conclusion: This investigation has provided the first empirical evidence indicating that the LACLS may have utility as a screening instrument for capacity to manage medication adherence among this population. While promising, this finding should be interpreted with caveats given its preliminary nature.

Item ID: 56087
Item Type: Article (Refereed Research - C1)
ISSN: 1477-6006
Date Deposited: 12 Nov 2018 00:19
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110319 Psychiatry (incl Psychotherapy) @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920209 Mental Health Services @ 100%
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