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. 2021 Jan 21;9(1):24. doi: 10.3390/pharmacy9010024
1  What is your name?
2  What age are you?
3  Who do you live with?
4  Where do you live?
5  Do you take tablets/capsules/medicines?
6  Do you know their names?
7  What are the tablets/capsules/medicines supposed to do for you?
8  Who told you that you had to take tablets/capsules/medicines?
9  How many tablets/capsules/medicines do you take very day?
10  What time of the day do you take them?
11  Are there any rules/advice for taking the tablets/medicines?
Time of day?
Food?
With water?
Other?
12  Do you know your doctor?
13  Do you visit him/her often?
14  Tell me what happens when you visit your doctor.
See Doctor
See receptionist
Blood pressure
Weight
Other
15  Do you get prescription/notes from the doctor?
16  Does someone go with you to visit your doctor?
17  Does the doctor give you information about your tablets/ capsules/medicines?
18  Do you know your chemist/pharmacist?
19  Do you go to the Chemist Shop/Pharmacy with the prescription?
20  Does someone go to the Chemist Shop/Pharmacy?
21  Tell me what happens when you go to the Chemist Shop/Pharmacy
22  Does your Chemist/Pharmacist give you information about your tablets/medicines?
Yes   No  Sometimes  Never
23  Can you open the tablet/medicine container?
24  Is the label easy to read?
25  Do you ever buy tablets/medicines in the Chemist Shop/Pharmacy without a prescription?
26  Tell me what happens when you wake up in the morning and have to take tablets/medicines
27  Do you like taking tablets/medicines?
28  Do you feel better after taking tablets/medicine?
Yes   No   No change
29  Do you ever feel worse after taking tablets/medicines?
30  Do people/staff/family/friends explain to you about the tablets?
31  If you do not want to take the tablets who do you tell?
32  If the tablets/medicines make you feel bad/worse what do you do?
33  Who have you told about this?
34  Do you know what side effects of medicines are?
35  Did you ever have any side effects when you take medicines?
36  Have you ever spit out/hidden tablets/medicines?
37  Did tablets/medicines ever make you feel sick?
38  What happens if you do not want to take medicines/tablets?
39  Are tablets/medicines easy to swallow?
40  Do you ever visit a psychiatrist?
41  What does a psychiatrist Do?
42  Do you know what problem behaviour is?
(Problem behaviour includes hitting other people, hurting yourself, being angry, screaming, breaking things)
43  Do you take tablets/medicines for problem behaviour?
Yes Know Don’t know
44  What does that feel like?
45  Was anything else tried to help you with problem behaviour?
46  Can you tell good/bad things about taking tablets/medicines?
47  Can you remember what happened if you ever did not want to take tablets/medicines?
48  Do you ever have blood tests?
49  Who do you think know most about your tablets/medicines?
Doctor    Pharmacist   Staff in organisation      Nurse   Friend
You do    Other
50  Who decides most about your tablets/medicines?