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Table 4 Adherence solutions delivered during sessions as part of the S-MAP intervention (as recorded by pharmacists on the app)

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

Adherence solutiona

Behaviour change techniques (BCT) [29]

Number of pharmacists who delivered the solutionb

Number of patients who received the solutionc

Self-monitoring solutions

 

 Medication diary accepted

Self-monitoring of behaviour

9

31

 Travel-size version of diary supplied

1

1

 Diary completed and reviewed at session 2

Self-monitoring of behaviour; feedback on behaviour

7

25

Knowledge solutions

 

 Education/knowledge issues addressed

Information about health consequencesd

7

23

Practical/social support solutions

 

 Store medicines in visually prominent place

Restructuring the physical environment

7

25

 Large print labels

1

1

 Link medications to common routine

Prompts/cues

8

25

 Reminder in own travel itinerary

2

3

 Mobile phone reminders

4

6

 Mark-reorder dates on diary

Prompts/cues; self-monitoring

1

4

 Synchronise medication supply with GP

Social support (practical)

4

7

 Practical support—family/friends

3

4

 Pharmacy help with prescription re-ordering

4

9

 Pharmacy to collect prescriptions

3

7

 Pharmacy delivery service

3

3

 Pharmacy supplied MDS

Adding objects to the environment

2

3

 Purchase pill reminder box

6

7

 Alternative packaging

4

4

 Physical aids

0

0

 Swallowing tips

Instruction on how to perform the behaviour

4

5

 Simple advice to improve administration

3

3

 Discuss options with prescriber

NA

5

13

Number of patients who received practical/social support solutions

  

46/55

Number of pharmacists who delivered practical/social support solutions

 

9/9

 

Belief/motivation/goal solutions

 

 Voicing concerns about medicines leaflet

Information about health consequencesd

5

11

 Generic medicines leaflet

0

0

 Two-way conversation about benefits of adherence/consequences of non-adherence

6

18

 Strategies to manage mild side effects

NA

4

8

 Set positive health goal

Goal setting (outcome)

1

2

 Set adherence goal

Goal setting (behaviour)

3

8

 Develop action plan

Action planning

3

8

 Review positive health goal

Review outcome goal

0

0

 Review adherence goal

Review behaviour goal

2

2

Number of patients who received belief/motivation/goal solutions

  

30/55

Number of pharmacists who delivered belief/motivation/goal solutions

 

8/9

 
  1. aSome solutions were repeated/delivered again at follow-up sessions but these have only been counted once
  2. bNine pharmacists delivered solutions to patients during sessions
  3. cFifty-five patients had barriers identified and solutions delivered
  4. dIncluded information on the importance of raising concerns, managing side effects, the importance of taking medicines as prescribed and only stopping medicines after consulting the prescriber