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Table 3 Barriers to adherence identified during the adherence assessment conducted during session 1

From: A non-randomised pilot study of the Solutions for Medication Adherence Problems (S-MAP) intervention in community pharmacies to support older adults adhere to multiple medications

Barriers identified Number of patients
Knowledge (TDF domain: Knowledge)
 Knowledge issues 23
(TDF domains: Nature of the behaviours; behavioural regulation; memory, attention and decision processes)
 Difficulties ordering supplies of medications 11
 No clear routine for taking medications 9
Total number of patients with routine/organisation barriersa 17
Forgetting (TDF domains: Memory, attention and decision-making processes; environmental context and resources; behavioural regulation)
 Occasional forgetfulness 30
 Frequent forgetfulness 6
 Forgets when away from home 6
Total number of patients with forgetting barriersa 39
Practical difficulties (TDF domain: Environmental context and resources)
 Dexterity/administration issue 3
 Packaging/formulation issue 6
 Unable to read/understand labels 2
 Difficulty swallowing 5
 Regimen too complex 1
Total number of patients with practical barriersa 12
Social support from others (TDF domain: Social influences)
 More support required 5
Beliefs/intentional non-adherence (TDF domains: Beliefs about consequences)
 Reasons for missed doses  
  General concerns about medications 10
  Concerns about generic medicines 1
  Experiencing side effects 11
  Lack of symptoms 5
  Unaware of health consequences 7
  Worried about side effects 9
  Uncertain of benefits 11
Total number of patients who reported missed dosesa 32
Motivation (TDF domain: Motivation and goals)
 Inappropriate prioritisation 4
 General lack of motivation for taking medicines 4
Total number of patients with motivation barriersa 8
  1. aPatients may have had multiple different types of barriers identified in this category