Essay On Medication Nonadherence

Chapter 3
Research Methodology

The study is meant to explore the motivations behind medication nonadherence among people with mental illness in the community mental health setting, as it identifies the reasons for nonadherence from the patients and their caregivers. While some studies have been conducted in the Western countries in the particular community mental health settings, such a study that is related to the medication nonadherence is yet to be conducted in India.
3.1. Need & Scope of the study:
Mental Health Action Trust (MHAT) shaped a new trend of Community Mental Health in Kerala, in the year of 2008 at Calicut. The aim of the trust is to provide long term treatment for chronic mental disorders through a system of community owned

Community mental health treatment refers to the free mental health care to the economically backward population in order to rebuild their lives. It is a multi-disciplinary team consists of Psychiatrists, Social Workers, Psychologists, Community Volunteers, Family members, Friends, Neighbors and others who maintain good relationship with the Psychiatric Patient. It offers free and holistic psychiatric care including psychosocial intervention and rehabilitation to the poorest of the severely mentally ill patients in the community
Nonadherence is the extend to which the patient shows reluctance to take medication or improper intake of medication which can due to various factors of forgetting or fear of side effects.. Nonadherence is not only based on the medication but, also reflects on the failure of the patient to get along with the appointments with the physician and also self-care of the

Interview guide prepared by the researcher with 12 questions, which was translated to Malayalam. The researcher for conducting the individual interviews developed interview guide. The researcher had already set the objectives for collecting qualitative data and therefore followed the framework model in developing the interview guide, which was based on literature review, expert opinion and experience in the field. The interview guide broadly comprised of sections on the reasons for quitting the treatment from community mental health treatment and the problems with medications. While conducting the interview, each area was further probed and follow up questions were added based upon the results of the focus group interviews and depending on the response given to the main question. The interview guide was not utilized in the same way with all participants; instead, the structure and posing of questions differed according to the context and the uniqueness of the respondent and their family situations. All interviews conducted within the respondents’ home along with their