Impact of Nurse-Led Psychoeducation Using Gamification Tools on Medication Adherence in Patients with Bipolar Disorder

Authors

  • Muhammad Zahid BSN, Nursing officer, Saidu Teaching Hospital, Saidu Sharif, Swat. (Corresponding Author) Email: zahidsahilzahid56@gmail.com
  • Inayat Ullah BSN, Nursing officer, Saidu Teaching Hospital, Saidu Sharif, Swat
  • Dr. Shah Hussain PhD, MSN, Principal/ Assistant Professor, Zalan College of Nursing, Swat
  • Dr. Nahid Akhtar PhD, MSN, Principal/ Assistant Professor, Sina Institute of Nursing & Allied Health Science
  • Mohammad Younas BSN, Nursing officer, Saidu Teaching Hospital, Saidu Sharif, Swat
  • Shahid Imran BSN, Nursing officer, Saidu Teaching Hospital, Saidu Sharif, Swat
  • Aisha Bibi BSN, Nursing Intern, Saidu Teaching Hospital, Saidu Sharif, Swat

Keywords:

Bipolar Disorder, Medication Adherence, Gamification, Psychoeducation, Psychiatric Nursing, Nurse-Led Intervention

Abstract

Medication non-adherence remains a critical challenge in the management of bipolar disorder, often resulting in symptom relapse, hospital readmissions, and poor quality of life. Traditional psychoeducation, while effective, may lack engagement and retention, particularly in psychiatric populations. Integrating gamification using game-like elements to enhance motivation into nurse-led psychoeducation offers a promising, underexplored approach. This study aimed to evaluate the effectiveness of a nurse-led psychoeducational program incorporating gamification tools on improving medication adherence among patients with bipolar disorder at Saidu Group of Teaching Hospitals (SGTH). A quasi-experimental design with a non-equivalent control group was employed. Sixty patients with bipolar disorder were purposively assigned to intervention (n=30) and control (n=30) groups. The intervention group received four weekly gamified psychoeducation sessions delivered by psychiatric nurses, while the control group received standard psychoeducation. Medication adherence was measured pre- and post-intervention using the Medication Adherence Rating Scale (MARS). Data were analyzed using SPSS v27 with paired and independent t-tests. The intervention group showed a significant increase in adherence scores post-intervention (mean difference = +2.93, p < 0.001), while the control group showed no significant change (p = 0.081). Between-group comparison also showed a statistically significant difference (p < 0.001). Participant feedback indicated high satisfaction and engagement with the gamified content. Gamification-enhanced, nurse-led psychoeducation significantly improves medication adherence in bipolar disorder patients. This innovative, low-cost approach should be considered in psychiatric nursing practice to enhance patient outcomes.

Downloads

Published

2025-07-07

How to Cite

Muhammad Zahid, Inayat Ullah, Dr. Shah Hussain, Dr. Nahid Akhtar, Mohammad Younas, Shahid Imran, & Aisha Bibi. (2025). Impact of Nurse-Led Psychoeducation Using Gamification Tools on Medication Adherence in Patients with Bipolar Disorder. Review Journal of Social Psychology & Social Works, 3(3), 117–124. Retrieved from https://socialworksreview.com/index.php/Journal/article/view/301