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Date of Award


Document Type


Degree Name

Master of Science (M.S.)



First Advisor

Patrick N. Catania

First Committee Member

Marvin H. Malone

Second Committee Member

Martin T. Gipson

Third Committee Member

Warren J. Schneider


Drug default is the failure of a patient to comply fully with medication regimens and is major unsolved problem confronting health care providers oday. Drug default is also known as medication noncompliance.

Very few studies have been reported comparing the effects of counseling and the unit dose packaging upon compliance. Further, no studies have been reported on the effects of counseling and unit dose packaging upon compliance in ambulatory psychiatric patients. The present investigation was undertaken to (i) evaluate the effectiveness of the Medication Reminder Record, a type of patient calender sheet, with counseling as a means of improving compliance with medication regimens in an ambulatory psychiatric patient population; and (ii) contrast the effects of the Daily Medication Package with counseling and Medication Reminder Records for ambulatory psychiatric patients.