Table 7 Tailoring of the intervention components to meet specific participant needs

Contents of ‘My treatment’ and ‘Problem-solving’ focus on information relevant to current prescription drugs.

All generic information in available to all participants to browse. Information on treatments not currently prescribed are available but minimised.

Prescription is entered into CFHealthHub at consent and altered whenever there is a prescription change. CFHealthhub automatically tailors content based on this information.

Modules of ‘My treatment’ are selected and placed into ‘My Toolkit’ based on the scores on the BMQ-Specific [38] questionnaire with one additional item^a.

Participants can browse all modules of ‘My treatment’.

Participants’ responses to the BMQ questionnaire [38] are entered into CFHealthHub at consent. CFHealthHub recommends the most relevant modules based on a scoring algorithm. If CFHealthHub recommends more than three modules then interventionists select three based on the scores and their judgement based on conversations with the participant. Modules can be changed throughout the intervention and these are recorded via CFHealthHub.

Modules of ‘Problem-solving’ are selected and placed into ‘My Toolkit’ based on the barriers identified in consultations with the interventionist.

Participants can browse all modules of ‘Problem-solving’.

Interventionists can select modules of problem-solving content based on the barriers identified in consultations. Modules can be changed throughout the intervention and these are recorded via CFHealthHub.

‘Talking heads’ videos are selected to match key participant characteristics and placed into ‘My Toolkit’. This is optional.

Participants can browse the entire ‘talking heads’ video library.

Interventionists can select relevant videos that match key characteristics of the participant (e.g. age, gender, occupation, life role, problems experienced). Videos can be changed throughout the intervention and these are recorded via CFHealthHub.

Goal setting and review and treatment planning are only utilised for participants who are motivated (want to) take more treatment. Participants with very low motivation do not receive these parts of the intervention. Instead they spend more time focusing on the content of ‘My treatment’ and relationship building with the interventionist.

Participants can choose to set goals and make plans at any point in a consultation or by contacting the interventionist.

Very low motivation is determined by a combination of a low motivation score on a questionnaire item and discussion with the participant in a consultation. The identification of very low motivation is recorded where this applies.