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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

Routine/organisation

(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