, there were nevertheless some occasions (n = 5) on which service users chose

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Thirty-four % (n = 12) of service customers reported that they would like to transform the way they followed their therapy recommendations, with 20 (n = 7) wanting to comply with them a lot more closely and 14 (n = five) much less closely. Sixty-six % (n = 23) did not desire to transform the way they followed suggestions. Of those who did not need to transform the way they followed their recommendations, only 57 (n = 13) reported that they followed recommendations exactly. This means that practically a third of service customers (29 , n = 10) did not take medication as suggested and have been content with their level of adherence (Table 3). Service customers were asked to rate their satisfaction with their present medication on a scale of 1 (not at all satisfied) to five (very satisfied) (Figure 1). They were also asked to rate their satisfaction with their existing supportGibson et al. BMC Psychiatry 2013, 13153 httpwww.biomedcentral.com1471-244X13Page four ofTable 1 What service customers do self-reported service user behavioursSelf-reported service user behaviour Service customers who reported following suggestions specifically Service users who Asparagusic acid COA described Barasertib Technical Information intentionally andor unintentionally doing something different to suggestions Service customers who described intentionally carrying out some thing different to recommendations Of these two or more occasions a month Intentionally taking less medication Intentionally taking extra medication Service users who described unintentionally carrying out anything contrary to recommendations Of these two or much more occasions a month Forgot to take medication Symptoms prevented taking medication Unable to motivate self to take medication Practical causes Unsure about suggestions Lost prescription 1225 (48) 1725 (68) 1225 (48) 1225 (48) 925 (36) 525 (20) 125 (4) 919 (47) 1219 (63) 1219 (63) 2535 (71) Service customers (no.total ) 1635 (46) 2735 (77)Table 2 Service user expectations and outcomes selfreported service user behavioursSelf-reported service user behaviour Occasions on which service users' expectation of a positive outcome was followed by an outcome in the same valence Occasions on which service users' expectation of a damaging outcome was followed by an outcome from the identical valence Occasions on which service users' expectation of a optimistic outcome was followed by an outcome of unfavorable valence Occasions on which service customers correctly predicted good or unfavorable valence in the outcome of carrying out something contrary to recommendations. Occasions of intentional non-adherence (no. total ) 1833 (55)55 (one hundred)1935 (54)1533 (45)2338 (61)very good a life as possible or insofar because it was essential to stay clear of damaging consequences "To stay in one piece, stay balanced" (P13) "In order to get the extremely most effective out of life and remain safe" (P1) "Meds maintain my head just above water, failing taking them...I and men and women around me pay the price" (P41) "Scared of becoming sectioned and I dislike some of the Schizophrenia symptoms" (P35) This subtheme was further supported by service users' reasons for satisfaction with their present medication "As long as I am on medication I have not been ill" (P11) "I started to get my life back and have some degree of normality" (P39) Conversely, dissatisfaction with present medication appeared to reflect the methods in which medication failed to support `living well', as an example troubles with sideeffects, lac., there have been nevertheless some occasions (n = five) on which service customers chose not to stick to recommendations despite expecting adverse consequences (Table two).