The Effect of a Self-Regulation Program on Medication Adherence in Patients with Major Depressive Disorders
Keywords:
self-regulation program, medication adherence, patients with major depressive disordersAbstract
A self-regulation program is designed to direct a person’s behavior towards a targeted action. A selfregulation consists of the process of self-observation, self-judgment, and self-reaction. This quasi-experimental research aimed to determine the effects of a self-regulation program on medication adherence in patients with depressive disorder. The sample consisted of 60 patients with depressive disorder aged 18-60, for outpatients receiving services at Nakhon Ratchasima Rajanagarindra Psychiatric Hospital. The study was randomly assigned into the experimental and the control group, with 30 people in each group. The experimental group participated in the self-regulation program. This program consisted of 6 activities for 6 consecutive weeks. Data was analyzed using descriptive statistics including percentage, mean, standard deviation, and t-test; a dependent t-test was used to compare the mean of the medication adherence scores before and after the intervention in each group; and an independent t-test was used to examine the mean differences in the medication adherence scores between the experimental and control groups.The study found that there was a statistically significant increase in the mean of medication adherence scores (M = 7.90, SD = .40) after participating in the self-regulation program (t = 13.22, p < .05) and there was a statistically significant difference in the mean differences in the medication adherence scores. (D̅1 = 4.03, D̅2 = -0.03) between the pre and post-interventions for both groups (t = 10.14, p < .05).
The findings suggest that such a self-regulation program was able to increase medication adherence in patients with depressive disorders effectively.
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