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. 2020 Aug 20;10(8):e039543. doi: 10.1136/bmjopen-2020-039543

Table 4.

Descriptions and examples of medication reconciliation, multidisciplinary team, comprehensive geriatric assessment, case conference and peer support

Intervention element Definition Code Example BCW intervention function(s)
Medication reconciliation ‘The process of creating the most accurate list possible of all medications a patient is taking, including drug name, dosage, frequency, and route’.63 MRC1 HCA reconciled all medications, which the patient was instructed to bring in their original packaging.64
  • Enablement

Multidisciplinary team Involvement of healthcare professionals from more than two disciplines to address PIP in a patient. MT1 Patient attended a shared medical appointment co-facilitated by a pharmacist, health psychologist, nurse practitioner, and physician, which consisted of interactive discussions about polypharmacy, adherence, and patients’ beliefs about medications.65
  • Environmental restructuring

  • Enablement

Comprehensive geriatric assessment ‘A multidimensional, multidisciplinary process, which identifies medical, social and functional needs’.66 CGA1 Complete geriatric assessment was carried out by geriatrician at geriatric day clinic.67
  • Enablement

Case conference Meeting of a multidisciplinary team of healthcare professionals to discuss an individual patient’s case or multiple patients’ cases.68 CC1 Two physicians, a pharmacist and a nurse reviewed the list of drugs and the diagnoses of a subgroup of the experimental group in a case conference.68
  • Environmental restructuring

  • Enablement

Peer support Discussions between physicians for decision-making.69 PS1 GPs engaged in a group discussion about their prescribing behaviours facilitated by a peer academic detailer.70
  • Environmental restructuring

  • Enablement

BCW, behaviour change wheel; GP, general practitioner; HCA, health care assistant.