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Implementation fidelity of an intervention programme to enhance adherence to antihypertensive medication in Dutch community pharmacies
- Source :
- International Journal of Clinical Pharmacy
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Background Insight into the delivery of interventions is necessary to gain a better understanding of what caused an intervention to succeed or fail. The Cardiovascular medication non-Adherence Tailored Intervention (CATI) study failed to show effectiveness of a patient-tailored, pharmacist-led intervention programme on self-reported adherence to antihypertensive medication. Objective To evaluate the implementation fidelity of the CATI intervention programme. Setting Twenty Dutch community pharmacies. Method The process of a randomised controlled trial was evaluated. Both quantitative and qualitative data were collected and analysed according to Carrolls’ Conceptual Framework for Implementation Fidelity. Implementation fidelity is defined as the degree to which the intervention was implemented as intended. Main outcome measure Four key intervention components of the intervention programme (i.e., first consultation: barrier identification, information and advice, written summary, and follow-up consultation). Results For most participants the key intervention components were implemented as intended. The training of pharmacists, intensive monitoring during the study and structured and easy-to-use intervention materials facilitated the implementation of the intervention. The method to select participants for the intervention programme was considered insufficient and pharmacists questioned the eligibility of some participants because of a low degree of intake non-adherence. Conclusion Implementation fidelity was moderate to high for all key intervention components. Therefore, the absence of effectiveness of the CATI intervention programme on self-reported medication adherence cannot be explained by poor implementation of the intervention. However, the limited genuine eligibility of some participants resulted in a limited potential for improvement in medication adherence.
- Subjects :
- Counseling
medicine.medical_specialty
Pharmacist
Psychological intervention
Pharmaceutical Science
Pharmacy
Qualitative property
Community Pharmacy Services
Toxicology
Process evaluation
030226 pharmacology & pharmacy
Medication Adherence
law.invention
03 medical and health sciences
Professional Role
0302 clinical medicine
Implementation fidelity
Randomized controlled trial
law
Intervention (counseling)
medicine
Humans
Pharmacology (medical)
Medication non-adherence
Patient-tailored intervention
030212 general & internal medicine
Antihypertensive Agents
Netherlands
Pharmacology
business.industry
Health Plan Implementation
The Netherlands
Tailored Intervention
Conceptual framework
Family medicine
Self Report
Community pharmacies
business
Research Article
Subjects
Details
- ISSN :
- 22107711 and 22107703
- Volume :
- 41
- Database :
- OpenAIRE
- Journal :
- International Journal of Clinical Pharmacy
- Accession number :
- edsair.doi.dedup.....adfe93ec33d589492b3cf8433e86da38