{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:52:47Z","timestamp":1787014367051,"version":"build-2736575974"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T00:00:00Z","timestamp":1582675200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Endowed Research Chair in Patient Health Management at the Faculties of Medicine and Dentistry and Pharmacy and Pharmaceutical Sciences"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The primary objective was to determine medication-taking behaviours and factors influencing adherence in patients with mental illness and recent homelessness. Secondary objectives were to explore patients' perceptions on mobile technology use to support adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A constructivist approach and qualitative description method was used. The sample population consisted of patients with recent homelessness and mental illness affiliated with a community-based outreach programme in Canada. Participants were purposefully selected; semi-structured interviews were conducted to elicit information on medication-taking strategies and mobile technology to support adherence. A standardized questionnaire collected demographic and medical information; the Medication Adherence Rating Scale (MARS) was used to evaluate self-reported adherence. Questionnaire data were analysed using summary descriptive statistics. Interview data were subject to qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key findings<\/jats:title>\n                    <jats:p>Fifteen participants with a mean age of 44 years were included. The mean MARS score \u00b1 standard deviation was 7.3 \u00b1 1.5. Themes arising from the data included patient factors (i.e. insight, attitudes towards medications, coping strategies) and external factors (i.e. therapeutic alliance, family support that impacted adherence) and technology use and health. Eight participants (53%) had access to a mobile phone. There was a moderate interest in the use of mobile technology to support adherence, with cost and technology literacy identified as barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>External supports and individual medication management strategies were important in supporting medication adherence in this patient group. Perceived need for mobile technology, in addition to existing supports for adherence, was not high. Challenges accessing and maintaining consistent mobile technology and individual preferences should be considered when developing mobile technology-based interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpp.12608","type":"journal-article","created":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T05:01:12Z","timestamp":1582693272000},"page":"362-369","source":"Crossref","is-referenced-by-count":6,"title":["Medication adherence in patients with mental illness and recent homelessness: contributing factors and perceptions on mobile technology use"],"prefix":"10.1093","volume":"28","author":[{"given":"Tyler","family":"Watson","sequence":"first","affiliation":[{"name":"Alberta College of Pharmacy, Edmonton, AB, Canada"},{"name":"Faculty of Pharmacy & Pharmaceutical Sciences, 3-171 Edmonton Clinic Health Academy, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3221-4444","authenticated-orcid":false,"given":"Theresa J","family":"Schindel","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy & Pharmaceutical Sciences, 3-171 Edmonton Clinic Health Academy, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9880-2129","authenticated-orcid":false,"given":"Scot H","family":"Simpson","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy & Pharmaceutical Sciences, 3-171 Edmonton Clinic Health Academy, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2476-9802","authenticated-orcid":false,"given":"Christine A","family":"Hughes","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy & Pharmaceutical Sciences, 3-171 Edmonton Clinic Health Academy, Edmonton, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,2,26]]},"reference":[{"key":"2021012810150893400_ijpp12608-bib-0001","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1002\/wps.20060","article-title":"Non-adherence to medication in patients with psychotic disorders: epidemiology, contributing factors and management strategies","volume":"12","author":"Kane","year":"2013","journal-title":"World Psychiatry"},{"key":"2021012810150893400_ijpp12608-bib-0002","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1097\/YCO.0b013e3283642da4","article-title":"Medication nonadherence and psychiatry","volume":"26","author":"Chapman","year":"2013","journal-title":"Curr Opin Psychiatry"},{"key":"2021012810150893400_ijpp12608-bib-0003","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1177\/070674370805301206","article-title":"Prevalence of co-occurring substance use and other mental disorders in the Canadian population","volume":"53","author":"Rush","year":"2008","journal-title":"Can J Psychiatry"},{"key":"2021012810150893400_ijpp12608-bib-0004","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1007\/s00127-016-1259-7","article-title":"Adherence to antipsychotic medication among homeless adults in Vancouver, Canada: a 15-year retrospective cohort study","volume":"51","author":"Rezansoff","year":"2016","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"2021012810150893400_ijpp12608-bib-0005","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1177\/2150131914560610","article-title":"Barriers to prescription medication adherence among homeless and vulnerably housed adults in three Canadian cities","volume":"6","author":"Hunter","year":"2015","journal-title":"J Prim Care Community Health"},{"key":"2021012810150893400_ijpp12608-bib-0006","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.2105\/AJPH.2013.301623","article-title":"Opportunities for engaging low-income, vulnerable populations in health care: a systematic review of homeless persons' access to and use of information technologies","volume":"103","author":"McInnes","year":"2013","journal-title":"Am J Public Health"},{"key":"2021012810150893400_ijpp12608-bib-0007","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1080\/10530789.2017.1305140","article-title":"No digital divide? Technology use among homeless adults","volume":"26","author":"Rhoades","year":"2017","journal-title":"J Soc Distress Homeless"},{"key":"2021012810150893400_ijpp12608-bib-0008","doi-asserted-by":"crossref","first-page":"e135","DOI":"10.2196\/jmir.5066","article-title":"Fundamentals for future mobile-health (mHealth): a systematic review of mobile phone and web-based text messaging in mental health","volume":"18","author":"Berrouiguet","year":"2016","journal-title":"J Med Internet Res"},{"key":"2021012810150893400_ijpp12608-bib-0009","doi-asserted-by":"crossref","DOI":"10.2196\/12493","article-title":"Technological interventions for medication adherence in adult mental health and substance use disorders: a systematic review","volume":"6","author":"Steinkamp","year":"2019","journal-title":"JMIR Ment Health"},{"key":"2021012810150893400_ijpp12608-bib-0010","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.jad.2017.11.022","article-title":"Mobile technology for medication adherence in people with mood disorders: a systematic review","volume":"2","author":"Rootes-Murdy","year":"2018","journal-title":"J Affect Disord"},{"key":"2021012810150893400_ijpp12608-bib-0011","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.psychres.2016.06.050","article-title":"Text messaging interventions for individuals with mental health disorders including substance use: a systematic review","volume":"243","author":"Watson","year":"2016","journal-title":"Psychiatry Res"},{"key":"2021012810150893400_ijpp12608-bib-0012","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3233\/THC-120707","article-title":"Perception of patients with alcohol use disorder and comorbid depression about the usefulness of supportive text messages","volume":"21","author":"Agyapong","year":"2013","journal-title":"Technol Health Care"},{"key":"2021012810150893400_ijpp12608-bib-0013","author":"Pathways to Housing Edmonton"},{"key":"2021012810150893400_ijpp12608-bib-0014","volume-title":"Essentials of Qualitative Inquiry","author":"Mayan","year":"2009"},{"key":"2021012810150893400_ijpp12608-bib-0015","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1111\/bcp.12194","article-title":"What are validated self-report adherence scales really measuring?: a systematic review","volume":"77","author":"Nguyen","year":"2014","journal-title":"Br J Clin Pharmacol"},{"key":"2021012810150893400_ijpp12608-bib-0016","doi-asserted-by":"crossref","first-page":"31598","DOI":"10.1038\/srep31598","article-title":"Validation of the Medication Adherence Rating Scale in homeless patients with schizophrenia: results from the French Housing First experience","volume":"6","author":"Zemmour","year":"2016","journal-title":"Sci Rep"},{"key":"2021012810150893400_ijpp12608-bib-0017","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/S0920-9964(99)00130-9","article-title":"Reliability and validity of a new Medication Adherence Rating Scale (MARS) for the psychoses","volume":"42","author":"Thomson","year":"2000","journal-title":"Schizophr Res"},{"key":"2021012810150893400_ijpp12608-bib-0018","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1007\/s00779-014-0822-z","article-title":"Cell phone ownership and use among mental health outpatients in the USA","volume":"19","author":"Campbell","year":"2014","journal-title":"Pers Ubiquit Comput"},{"key":"2021012810150893400_ijpp12608-bib-0019","volume-title":"Qualitative Research","author":"Silverman","year":"2011","edition":"3rd"},{"key":"2021012810150893400_ijpp12608-bib-0020","doi-asserted-by":"crossref","DOI":"10.4135\/9781412963909","volume-title":"The SAGE Encyclopedia of Qualitative Research Methods","author":"Given","year":"2008"},{"key":"2021012810150893400_ijpp12608-bib-0021","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1176\/ps.62.8.pss6208_0888","article-title":"Becoming adherent to antipsychotics: a qualitative study of treatment-experienced schizophrenia patients","volume":"62","author":"Tranulis","year":"2011","journal-title":"Psychiatr Serv"},{"key":"2021012810150893400_ijpp12608-bib-0022","first-page":"786","article-title":"Medication adherence in schizophrenia: Exploring patients', carers' and professionals' views","volume":"2","author":"Kikkert","year":"2006","journal-title":"Schizophr Bull"},{"key":"2021012810150893400_ijpp12608-bib-0023","doi-asserted-by":"crossref","DOI":"10.7717\/peerj.1096","article-title":"Preliminary needs assessment of mobile technology use for healthcare among homeless veterans","volume":"3","author":"McInnes","year":"2015","journal-title":"PeerJ"},{"key":"2021012810150893400_ijpp12608-bib-0024","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1177\/1078390310395586","article-title":"Does assertive community treatment increase medication adherence for people with co-occurring psychotic and substance use disorders?","volume":"17","author":"Manuel","year":"2011","journal-title":"J Am Psychiatr Nurses Assoc"},{"key":"2021012810150893400_ijpp12608-bib-0025","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1176\/appi.ps.201100543","article-title":"Assertive community treatment in Veterans Affairs Settings: impact on adherence to antipsychotic medication","volume":"64","author":"Valenstein","year":"2013","journal-title":"Psychiatr Serv"},{"key":"2021012810150893400_ijpp12608-bib-0026","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1080\/10810730.2015.1033117","article-title":"Perceptions, attitudes, and experience regarding mHealth among homeless persons in New York City shelters","volume":"20","author":"Asgary","year":"2015","journal-title":"J Health Commun"},{"key":"2021012810150893400_ijpp12608-bib-0027","volume-title":"Price Comparisons of Wireline, Wireless and Internet Services in Canada and with Foreign Jurisdictions-2018 Edition"},{"key":"2021012810150893400_ijpp12608-bib-0028","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1177\/0898264310366161","article-title":"Utilization of internet technology by low-income adults: the role of health literacy, health numeracy, and computer assistance","volume":"22","author":"Jensen","year":"2010","journal-title":"J Aging Health"},{"issue":"Supplement","key":"2021012810150893400_ijpp12608-bib-0029","first-page":"1","article-title":"Short message service to improve treatment adherence and quality of life in patients with schizophrenia in Spain: the SMS study (P-1273)","volume":"27","author":"Montes","year":"2012","journal-title":"Eur Psychiatry"},{"key":"2021012810150893400_ijpp12608-bib-0030","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.jad.2012.02.040","article-title":"Supportive text messaging for depression and comorbid alcohol use disorder: single-blind randomised trial","volume":"141","author":"Agyapong","year":"2012","journal-title":"J Affective Disord"},{"key":"2021012810150893400_ijpp12608-bib-0031","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/ijpp.12321","article-title":"Homeless patients' perceptions about using cell phones to manage medications and attend appointments","volume":"25","author":"Moczygemba","year":"2017","journal-title":"Int J Pharm Pract"}],"container-title":["International Journal of Pharmacy Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijpp.12608","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijpp.12608","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ijpp.12608","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/academic.oup.com\/ijpp\/article-pdf\/28\/4\/362\/36130236\/ijpp12608.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ijpp\/article-pdf\/28\/4\/362\/36130236\/ijpp12608.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T13:02:18Z","timestamp":1611838938000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ijpp\/article\/28\/4\/362\/6100300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,26]]},"references-count":31,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,2,26]]},"published-print":{"date-parts":[[2020,7,9]]}},"URL":"https:\/\/doi.org\/10.1111\/ijpp.12608","relation":{},"ISSN":["0961-7671","2042-7174"],"issn-type":[{"value":"0961-7671","type":"print"},{"value":"2042-7174","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,8]]},"published":{"date-parts":[[2020,2,26]]}}}