Knowledge |
|
|
|
|
|
Explain what cholesterol is and why raised cholesterol is undesirable
|
S
|
96
|
54
|
50
|
51
|
Discuss what a statin is and the mechanism of action
|
S
|
77
|
92
|
80
|
83
|
Hand out brochure or written information about statins
|
S
|
12
|
92
|
95
|
94
|
Discuss drug storage recommendations
|
S
|
3
|
35
|
41
|
39
|
Explain what to do if a dose is missed
|
S
|
22
|
34
|
44
|
42
|
Do you ask patients to repeat the received information in their own
words regularly, to check whether the information is understood
properly? (Refers to items:1;2;3;4;5;12;15;16;26;31;32;33)
|
S
|
18
|
19
|
21
|
21
|
Verbal explanation to the patient
|
S
|
94
|
99
|
98
|
98
|
Use of illustrative materials (pictures/charts/video)
|
S
|
14
|
4
|
3
|
3
|
Hand out written information
|
S
|
20
|
94
|
97
|
96
|
Refer patients to websites
|
S
|
38
|
8
|
7
|
7
|
Do you ask patients to repeat the received information in their own
words regularly, to check whether the information is understood
properly? (Refers to items:13;17;20;21;22;28;29;30)
|
S
|
19
|
17
|
19
|
18
|
Awareness |
|
|
|
|
|
Discuss the consequences of non-adherence
|
S
|
49
|
50
|
48
|
49
|
Encourage patients to use a 7-day pillbox
|
S
|
47
|
36
|
37
|
37
|
Giving feedback about the effect of the statin using laboratory
findings
|
F
|
95
|
18
|
10
|
12
|
Attitude |
|
|
|
|
|
Explain that the patient doesn’t notice the effect of the statin but
that the effect is evaluated by blood tests to check cholesterol
levels
|
S
|
87
|
82
|
79
|
80
|
Discuss the importance of adherence
|
S
|
77
|
84
|
80
|
81
|
Encourage patients to be adherent
|
S
|
81
|
77
|
78
|
78
|
Ask the patient about non-practical problems with taking the
medication as prescribed (unwilling to take medication, for example
because of misunderstandings about taking medication)
|
F
|
56
|
36
|
35
|
35
|
In case of non-practical problems, propose solutions to solve these
problems (for example discussing the necessity or concerns, referral
to nurse practitioner)
|
F
|
67
|
70
|
61
|
63
|
Social influence |
|
|
|
|
|
Involve partner and/or relatives in the treatment
|
S
|
30
|
21
|
15
|
16
|
Self efficacy |
|
|
|
|
|
Encourage patients to plan ahead (for example for holidays or social
activities)
|
S
|
19
|
16
|
26
|
23
|
Discuss potential barriers regarding adherence and possible ways to
overcome them
|
S
|
41
|
42
|
26
|
30
|
Ask the patient if he/she is taking the medication as prescribed
|
F
|
79
|
67
|
69
|
68
|
Ask about practical problems with taking medication as prescribed (for
example forgetting it or being unable to open the packaging)
|
F
|
29
|
41
|
34
|
36
|
In case of practical problems, discuss solutions with the patient to
reduce these practical problems
|
F
|
56
|
84
|
81
|
82
|
Intention formation |
|
|
|
|
|
Explain how often and how long the medication should be used
|
S
|
95
|
93
|
96
|
95
|
Develop and discuss a written individual dosing schedule
|
S
|
21
|
25
|
17
|
19
|
Write down patients’ dosing schedule (time, name of meds, number of
doses)
|
S
|
22
|
41
|
39
|
39
|
Action control |
|
|
|
|
|
Identify daily routines (like brushing teeth) and encourage patients
to align the taking of medicines with their routines
|
S
|
36
|
35
|
39
|
38
|
Encourage patients to use alarm devices as a reminder for taking the
medication
|
S
|
9
|
16
|
10
|
11
|
Facilitation |
|
|
|
|
|
Discuss the common side effects of the drug
|
S
|
86
|
97
|
99
|
98
|
Discuss with the patient how to deal with side-effects
|
S
|
75
|
84
|
93
|
90
|
Monitor and/or discuss possible interactions with other drugs
|
S
|
63
|
98
|
99
|
99
|
Discuss the experienced positive effects of the treatment
|
F
|
47
|
38
|
38
|
38
|
Asking about (perceived) side-effects of the treatment
|
F
|
91
|
82
|
88
|
87
|
If patients experience side-effects, there is an active contribution
to reduce these side-effects (sometimes by providing knowledge or
adjusting the treatment)
|
F
|
93
|
92
|
81
|
84
|
Suggesting a new medication regimen in case patients feel their
present regimen is too complex
|
F
|
72
|
84
|
59
|
65
|
Call the patient after the initiation of the drugs to ask about
experiences
|
G
|
9
|
10
|
14
|
13
|
Give the patient a telephone number and tell who to contact in case of
side-effects
|
G
|
23
|
25
|
25
|
25
|
Give the patient a telephone number and tell who to contact in case of
problems with intake/medication adherence
|
G
|
19
|
15
|
21
|
20
|
Explain patients who to contact in case they would run out of
medication
|
G
|
74
|
69
|
84
|
80
|
Metascore |
|
|
|
|
|
Intensify the number of follow-up visits in case of (possible)
treatment non-adherence
|
G
|
38
|
19
|
12
|
14
|
Refer patients to another health care provider for (co-)treatment
(e.g., in case of side-effects)
|
G
|
35
|
60
|
47
|
50
|