Changes in Clinical Management of Patients with Schizophrenia Treated with Long-Acting Injectable Antipsychotics (LAIs), Including Telepsychiatry Use, During the COVID-19 Pandemic
Batool Haider,1 Amy K O’Sullivan,1 Leona Bessonova,1 Elizabeth Keane,1 Eric Achtyes,2 Philip D Harvey,3 John M Kane,4 Stephen R Saklad,5 Jeffrey P Trotter,6 Amy Claxton,1 Tiffany Polak,1 James McGrory,1 Wahidullah Noori,1 Asia Sikora Kessler,7 Aaron Yarlas,7 Dawn Velligan8 1Alkermes, Inc, Waltham, M...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-03-01
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| Series: | Neuropsychiatric Disease and Treatment |
| Subjects: | |
| Online Access: | https://www.dovepress.com/changes-in-clinical-management-of-patients-with-schizophrenia-treated--peer-reviewed-fulltext-article-NDT |
| _version_ | 1797867325525852160 |
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| author | Haider B O'Sullivan AK Bessonova L Keane E Achtyes E Harvey PD Kane JM Saklad SR Trotter JP Claxton A Polak T McGrory J Noori W Sikora Kessler A Yarlas A Velligan D |
| author_facet | Haider B O'Sullivan AK Bessonova L Keane E Achtyes E Harvey PD Kane JM Saklad SR Trotter JP Claxton A Polak T McGrory J Noori W Sikora Kessler A Yarlas A Velligan D |
| author_sort | Haider B |
| collection | DOAJ |
| description | Batool Haider,1 Amy K O’Sullivan,1 Leona Bessonova,1 Elizabeth Keane,1 Eric Achtyes,2 Philip D Harvey,3 John M Kane,4 Stephen R Saklad,5 Jeffrey P Trotter,6 Amy Claxton,1 Tiffany Polak,1 James McGrory,1 Wahidullah Noori,1 Asia Sikora Kessler,7 Aaron Yarlas,7 Dawn Velligan8 1Alkermes, Inc, Waltham, MA, USA; 2Cherry Health and the Michigan State University College of Human Medicine, Grand Rapids, MI, USA; 3University of Miami Miller School of Medicine, Miami, FL, USA; 4The Zucker Hillside Hospital, Glen Oaks, NY, USA; 5College of Pharmacy, University of Texas at Austin, Pharmacotherapy Division, San Antonio, TX, USA; 6Worldwide Clinical Trials, Research Triangle, NC, USA; 7QualityMetric Incorporated, LLC, Johnston, RI, USA; 8University of Texas Health Science Center at San Antonio, San Antonio, TX, USACorrespondence: Batool Haider, Alkermes, Inc, 852 Winter Street, Waltham, MA, 02451-1420, USA, Tel +1 781 609 6035, Email Batool.Haider@alkermes.comPurpose: The COVID-19 pandemic substantially impacted care of patients with schizophrenia treated with long-acting injectable antipsychotics (LAIs). This study (OASIS-MAPS) examined how clinical sites adapted operations and used telepsychiatry to maintain standard of care for these patients during the pandemic.Methods: Two online surveys (initial: October–November 2020, N = 35; follow-up: July–September 2021, N = 21) were completed by a principal investigator (PI) or PI-appointed designee at sites participating in the OASIS study (NCT03919994). Survey responses were analyzed descriptively.Results: At the time of the initial survey, all 35 participating sites were using variants of telepsychiatry, with 20 sites adopting it after the pandemic started. Most sites reported no negative impacts of the pandemic on medication adherence, although approximately 20% of sites reported decreased adherence for LAIs. Twelve sites (34%) reported switching patients with schizophrenia from LAIs to oral antipsychotic medications, while 11 sites (31%) reported switching patients from shorter to longer injection interval LAIs during the pandemic. Most sites did not experience difficulties in implementing or expanding telepsychiatry services, although lower reimbursement rate for telepsychiatry and patients’ lack of access to and training on relevant technologies were the most frequently reported barriers.Conclusion: Changes made by sites after the pandemic onset were viewed by almost all participants as satisfactory for maintaining standard of care. Almost all participants thought that the use of telepsychiatry services would continue after the pandemic in a hybrid manner combining telepsychiatry and office visits. Ensuring that patients have equitable access to telepsychiatry will be important in the post-pandemic future.Keywords: telehealth, coronavirus, care management, medication adherence |
| first_indexed | 2024-04-09T23:38:32Z |
| format | Article |
| id | doaj.art-8bda07502b3d4c6aaf82fe23ed599c51 |
| institution | Directory Open Access Journal |
| issn | 1178-2021 |
| language | English |
| last_indexed | 2024-04-09T23:38:32Z |
| publishDate | 2023-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Neuropsychiatric Disease and Treatment |
| spelling | doaj.art-8bda07502b3d4c6aaf82fe23ed599c512023-03-19T18:35:52ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212023-03-01Volume 1962363482352Changes in Clinical Management of Patients with Schizophrenia Treated with Long-Acting Injectable Antipsychotics (LAIs), Including Telepsychiatry Use, During the COVID-19 PandemicHaider BO'Sullivan AKBessonova LKeane EAchtyes EHarvey PDKane JMSaklad SRTrotter JPClaxton APolak TMcGrory JNoori WSikora Kessler AYarlas AVelligan DBatool Haider,1 Amy K O’Sullivan,1 Leona Bessonova,1 Elizabeth Keane,1 Eric Achtyes,2 Philip D Harvey,3 John M Kane,4 Stephen R Saklad,5 Jeffrey P Trotter,6 Amy Claxton,1 Tiffany Polak,1 James McGrory,1 Wahidullah Noori,1 Asia Sikora Kessler,7 Aaron Yarlas,7 Dawn Velligan8 1Alkermes, Inc, Waltham, MA, USA; 2Cherry Health and the Michigan State University College of Human Medicine, Grand Rapids, MI, USA; 3University of Miami Miller School of Medicine, Miami, FL, USA; 4The Zucker Hillside Hospital, Glen Oaks, NY, USA; 5College of Pharmacy, University of Texas at Austin, Pharmacotherapy Division, San Antonio, TX, USA; 6Worldwide Clinical Trials, Research Triangle, NC, USA; 7QualityMetric Incorporated, LLC, Johnston, RI, USA; 8University of Texas Health Science Center at San Antonio, San Antonio, TX, USACorrespondence: Batool Haider, Alkermes, Inc, 852 Winter Street, Waltham, MA, 02451-1420, USA, Tel +1 781 609 6035, Email Batool.Haider@alkermes.comPurpose: The COVID-19 pandemic substantially impacted care of patients with schizophrenia treated with long-acting injectable antipsychotics (LAIs). This study (OASIS-MAPS) examined how clinical sites adapted operations and used telepsychiatry to maintain standard of care for these patients during the pandemic.Methods: Two online surveys (initial: October–November 2020, N = 35; follow-up: July–September 2021, N = 21) were completed by a principal investigator (PI) or PI-appointed designee at sites participating in the OASIS study (NCT03919994). Survey responses were analyzed descriptively.Results: At the time of the initial survey, all 35 participating sites were using variants of telepsychiatry, with 20 sites adopting it after the pandemic started. Most sites reported no negative impacts of the pandemic on medication adherence, although approximately 20% of sites reported decreased adherence for LAIs. Twelve sites (34%) reported switching patients with schizophrenia from LAIs to oral antipsychotic medications, while 11 sites (31%) reported switching patients from shorter to longer injection interval LAIs during the pandemic. Most sites did not experience difficulties in implementing or expanding telepsychiatry services, although lower reimbursement rate for telepsychiatry and patients’ lack of access to and training on relevant technologies were the most frequently reported barriers.Conclusion: Changes made by sites after the pandemic onset were viewed by almost all participants as satisfactory for maintaining standard of care. Almost all participants thought that the use of telepsychiatry services would continue after the pandemic in a hybrid manner combining telepsychiatry and office visits. Ensuring that patients have equitable access to telepsychiatry will be important in the post-pandemic future.Keywords: telehealth, coronavirus, care management, medication adherencehttps://www.dovepress.com/changes-in-clinical-management-of-patients-with-schizophrenia-treated--peer-reviewed-fulltext-article-NDTtelehealthcoronaviruscare managementmedication adherence |
| spellingShingle | Haider B O'Sullivan AK Bessonova L Keane E Achtyes E Harvey PD Kane JM Saklad SR Trotter JP Claxton A Polak T McGrory J Noori W Sikora Kessler A Yarlas A Velligan D Changes in Clinical Management of Patients with Schizophrenia Treated with Long-Acting Injectable Antipsychotics (LAIs), Including Telepsychiatry Use, During the COVID-19 Pandemic Neuropsychiatric Disease and Treatment telehealth coronavirus care management medication adherence |
| title | Changes in Clinical Management of Patients with Schizophrenia Treated with Long-Acting Injectable Antipsychotics (LAIs), Including Telepsychiatry Use, During the COVID-19 Pandemic |
| title_full | Changes in Clinical Management of Patients with Schizophrenia Treated with Long-Acting Injectable Antipsychotics (LAIs), Including Telepsychiatry Use, During the COVID-19 Pandemic |
| title_fullStr | Changes in Clinical Management of Patients with Schizophrenia Treated with Long-Acting Injectable Antipsychotics (LAIs), Including Telepsychiatry Use, During the COVID-19 Pandemic |
| title_full_unstemmed | Changes in Clinical Management of Patients with Schizophrenia Treated with Long-Acting Injectable Antipsychotics (LAIs), Including Telepsychiatry Use, During the COVID-19 Pandemic |
| title_short | Changes in Clinical Management of Patients with Schizophrenia Treated with Long-Acting Injectable Antipsychotics (LAIs), Including Telepsychiatry Use, During the COVID-19 Pandemic |
| title_sort | changes in clinical management of patients with schizophrenia treated with long acting injectable antipsychotics lais including telepsychiatry use during the covid 19 pandemic |
| topic | telehealth coronavirus care management medication adherence |
| url | https://www.dovepress.com/changes-in-clinical-management-of-patients-with-schizophrenia-treated--peer-reviewed-fulltext-article-NDT |
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