Table 1.
First step. Excluding 10 factors that had been described in three or fewer interventions: |
1. Acknowledging within the intervention that adherence is dynamic. |
2. Paying attention to possible negative social circumstances. | |
3. Discussing whether secrecy of disclosing condition is threatened by taking treatment. | |
4. Discussing the seriousness of the disease. | |
5. Feedback about positive reactions of the body to treatment should be provided. | |
6. In cases of depression, this should be treated before starting therapy; substance misuse should be managed as a first priority. | |
7. To develop a trusting relationship with the patient. | |
8. To facilitate to learn to trust in oneself. | |
9. To get patients to describe their own behaviour. | |
10. To offer good medical follow-up. | |
Second step. Combining factors that had some similarity in aim: |
11. Enquire into personal risks factors, and 12. Use insight on personal risk factors became ‘a focus on personal risk factors’; |
13. Discuss ambivalence to medicine, and 14. Discuss acceptance of disease became ‘an exploration of attitudes to drug and/or disease’; | |
15. Pointing out the value of treatment to a patient’s life enhances motivation, and 16. Explain the relationship between adherence and disease became ‘emphasis on the value of adherence’; | |
17. Clear instructions on how to take medication, and 18. Information appropriate to patient’s understanding became ‘clear or appropriate information’; | |
19. Acquire insight into a patient’s social support systems, 20. Counsel patient on how use social support, and 21. Social support has to be substantial and practical became ‘a focus on improving social support’. | |
Final list of factors used in QCA (this is the four remaining factors (22 to 25) and the five combined factors (a to e) | 22. Discuss circumstances that lead to forgetting to take treatment. |
23. Emphasise that experiencing no symptoms does not mean to stop taking the drug. | |
24. Enhance convenience of taking the drug. | |
25. Information on side effects. | |
a. A focus on personal risk factors. | |
b. An exploration of attitudes to drug and/or disease. | |
c. Emphasis on the value of adherence. | |
d. Clear or appropriate information. | |
e. A focus on improving social support. |