1+1=3? The systematic development of a theoretical and evidence-based tailored multimedia intervention to improve medication adherence

PATIENT EDUCATION AND COUNSELING

卷:93

Article

Linn, Annemiek J.¹  van Weert, Julia C. M.¹  Smit, Edith G.¹  Perry, Kate³  van Dijk, Liset² 

[1] Univ Amsterdam, Amsterdam Sch Commun Res ASCoR, NL-1012 CX Amsterdam, Netherlands

[2] Netherlands Inst Hlth Serv Res, Dept Pharmaceut Care, Utrecht, Netherlands

[3] Atlantis HealthCare, Dept Hlth Psychol, Auckland, New Zealand

关键词: Adherence;    Self-efficacy;    Patient empowerment;    eHealth;    Technology-mediated;    Interpersonal communication;    Development;    Intervention;    Medical Research Council's framework;    Beliefs about medication;   

DOI  :  10.1016/j.pec.2013.03.009

来源: Elsevier

【 摘 要 】

Objective: To describe the development of a theoretical and evidence-based tailored multimedia intervention to improve medication intake behavior in patients with inflammatory bowel disease (IBD). The intervention integrates interpersonal and technology-mediated strategies with the expectation that this will work synergistically. Methods: The development followed the Medical Research Council's framework. Three literature reviews and three pre-tests among 84 IBD patients and eight nurses were conducted to guide the development of the intervention. A feasibility study was carried out among four nurses and 29 patients. Results: The components include: (1) an online preparatory assessment (OPA); (2) tailored interpersonal communication; and (3) tailored text messaging. To support the development, the feasibility was tested. Results indicated that the OPA was comprehensive and could be a helpful tool for both patients and nurses to prepare for the consultation. The training was evaluated as being instructive and applicable with a mean mark of 8.5. Of the developed messages, 65.6% received positive evaluations and were used in the intervention. Conclusion: By applying the framework, we were able to describe the logic behind the development of a tailored multimedia intervention to improve medication intake behavior. Practice implications: This study could serve as a guide for the development of other health interventions. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free