Clinical Problem and a PICO Question – Disorder Example

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"Clinical Problem and a PICO Question" is a perfect example of a paper on the disorder. Patients with mental challenges often face a significant challenge adhering to medication and ensuring that they strictly follow up on the recommendations and prescriptions made by the care providers (Frost et al. , 2018). Specifically, reports have indicated that schizophrenic patients are the most challenged by the issue following that they have reported the worst medication adherence tendency, thereby raising public health concern (Miller & Moyers, 2017). Professionals have outlined that the medications used in the treatment for mental issues can only be effective when used as prescribed by the care provider.

However, several interventions have been made, including text messages, and calls for reminders by nurses in an attempt to change the behavior for the better (Frost et al. , 2018). Researchers have evaluated the efficacy of motivational interviewing as an intervention in the improvement of medication adherence among schizophrenic patients. Therefore the PICO question will be: for schizophrenic patients, is motivational interviewing more effective than text messages and telephone calls in the improvement of medication adherence. IntroductionNon-adherence to medication among mentally ill patients is a prevalent behavior that needs to be adequately addressed, following that it can significantly be problematic if not controlled (Miller & Moyers, 2017).

The failure to follow the scheduled time for medication strictly is not only a waste of the resources spent purchasing the medication, but also a low to the patient following that recovery is delayed, and the habit can lead to the development of several other related challenges (Frost et al. , 2018). Therefore, this issue is problematic, following that it negatively impacts the patients, their families, the community, and the healthcare providers.

Therefore, it is essential to evaluate the various approaches that can be used to improve medication adherence behavior. Patient/ Population of InterestSchizophrenia is a specific word for several mental illnesses with distinct characteristics to differentiate (Frost et al. , 2018). Therefore, schizophrenic patients are individuals suffering from various mental illnesses, especially those with psychosis. This group of people is relatively essential to the community and their families as well. Therefore it is essential to protect the available resources by ensuring that they are not wasted (Miller & Moyers, 2017).

On that note, caregivers to patients with schizophrenia need to be cautious and ensure that the victims adhere to the medication. Intervention of InterestScholars and other experts have tested the effectiveness of text messages and telephone calls to improve medication-adherence behavior among schizophrenic patients (Miller & Moyers, 2017). Some approaches have not produced the desired outcomes, and therefore there is a need for a change of design. Henceforth, motivational interviewing can be more effective following that it is patient-centered, unlike all other methods based on the practitioners’ convenience. Comparison of InterestThe text message and telephone call approach were right during initiation, thereby not delivering as anticipated (Frost et al. , 2018).

The motivational interviewing approach is thereby the approach that can instill change and enforce the essence of engaging in healthy behavior. Finally, the strategy is robust since it enables the patients, caregivers, and physicians to take part in the treatment model used. Outcome of InterestUpon successful implementation of the proposed intervention, the rate at which schizophrenic patients adhere to medication will improve.

Furthermore, this population's health status will improve following that the treatment therapy will be better (Miller & Moyers, 2017). Finally, the health care center and nurses will have the opportunity to focus on other issues other than the recurrent ones due to the current issues. In conclusion, the context illustrates the PICO (T) question. For schizophrenic patients, motivational interviewing can be more effective than the text messages and telephone calls approach in the improvement of the non-adherence to medication behavior. The PICO question is prominent since it encompasses all available evidence, including current-based evidence, to help contribute to the general field.


Frost, H., Campbell, P., Maxwell, M., O'Carroll, R. E., Dombrowski, S. U., Williams, B., ... & Pollock, A. (2018). Effectiveness of motivational interviewing on adult behavior change in health and social care settings: a systematic review of reviews. PloS one, 13(10), e0204890.

Miller, W. R., & Moyers, T. B. (2017). Motivational interviewing and the clinical science of Carl Rogers. Journal of Consulting and Clinical Psychology, 85(8), 757.

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