Rating of Medication Influences (ROMI) Scale for Compliance with Drug Therapy in Schizophrenia

Purpose: To evaluate a patient's compliance with a drug therapy using the Rating of Medication Influences (ROMI) scale of Weiden et al.

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Evaluation

Are you evaluating a patient's attitude towards taking a chronic drug therapy?

Yes

Select an appropriate answer for each statement related to willingness to take medications

Perceived daily benefit

Positive relationship with prescribing clinician

Positive relationship with therapist

Positive family belief

Relapse prevention

Pressure or force to take medications

Fear of rehospitalization

Select an appropriate answer for each statement related to unwillingness to take medications

No perceived daily benefit

Negative relationship with prescribing clinician

Negative relationship with therapist

Practitioner opposed to medications

Family or friend opposed to medications

Problems with access

Embarrassment of stigma over medications

Financial (unable to pay for therapy)

Substance abuse

Denial of illness

Medication thought to be unnecessary now

Distressed by side effects

Desire for rehospitalization

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score for willingness factors

Total score for unwillingness factors

Number of items in willingness rated moderate or strong

Number of items in unwillingness rated moderate or strong

Caution: A qualified health practitioner should verify all results.
Keep patient data confidential and comply with all legal requirements.

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Other Testing
- Pill Identification Test for Assessing Compliance with Therapy
Criteria For Diagnosis
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Therapy

Options
- Treatment Fatigue
Selection
Pharmacogenetics
- Risk of Noncompliance in Use of Medications
Failure Handling And Therapy Escalation

Monitoring

Response To Therapy
Adverse Effects
Compliance/adherence
Disease Progression
- Predictors for Tamoxifen Discontinuation with Estrogen-Receptor Positive Breast Cancer
Failure Handling (loss To Followup, Etc)
- Predictors for Tamoxifen Discontinuation with Estrogen-Receptor Positive Breast Cancer

Specialty

Toxicology
Emergency Medicine
Critical Care

Objective

risk factors
severity
prognosis
stage
compliance/adherence

ICD-10

F20.9 - Schizophrenia, unspecified

Info

Purpose: To evaluate a patient's compliance with a drug therapy using the Rating of Medication Influences (ROMI) scale of Weiden et al.

Specialty: Toxicology, Emergency Medicine, Critical Care

Objective: risk factors, severity, prognosis, stage, compliance/adherence

ICD-10: F20.9,

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