identifying common barriers to adherence

when should you use action planning BCT?

• Patients forgetting to take their medication- promotes habit formation  

• 6 key steps: Invite patient to explain why they chose this, explain that making specific plan and association it something they regularly do is helpful, ask patient to plan how they might take their medication, summarise plan, invite patient to evaluate plan, record plan  

• Ask open questions, use empathy and reflective statements, no righting reflex 

when should you use the problem solving BCT?

Cant manage so many medicines, I cant afford the time or money to get meds, Ive found my own way to take medication that suits me- enables patient to generate and select options for themselves

what are the 5 steps for problem solving BCT?

1. Invite patient to explain why they chose thus  

2. Open ended questions to understand depth of factors affecting them  

3. Identify potential solutions that might help them take their medication regularly  

4. Summarise possible solutions  

5. Invite the patient to choose the solution they feel will work best for them  

when should you use the pros and cons BCT?

I’m not sure if medicines are really helping me, I have some worried about my medicines

what are the 7 steps of the pros and cons BCT?

1. Invite patient…  

2. Open ended questions to find out why patient thinks there are cons of taking meds

3. Downsides in the long term and short term  

4. Benefits of taking medication regularly  

5. Benefits in the long term and short term  

6. Summarising statement to bring it all together  

7. Ask patient to reflect on summary e.g. what are your thoughts on that?  

• Then ask patient if it’s ok to provide them with information about the medication

when should you use simplifying regimen behaviour BCT?

• I can’t manage so many medicines; my medicines are difficult to use/take- reduce number of medicines prescribed  

• Key steps: review patients’ prescriptions to see if they need all prescribed medicines, If dosing regime can be simplified

when should you use demonstration of behaviour BCT?

• My medicines are difficult to use or take- enables patient to see optimal technique  

• Key steps: chunking information, clearly visible to viewer, confident and competent, encourage patient to practice taking their medication 

what are the 6 steps for accessible information standards?

1. Identifying needs

2. Recording needs: e.g. Mr Banks uses hearing aids and lip reads instead of saying he’s deaf  

3. Flagging needs:  using electronic flags/alerts to indicate a person has a recorded need

4. Sharing needs: routinely include records of peoples information/communication needs as part of data sharing  

5. Meeting needs: take steps to ensure peoples information and communication needs are met  

6. Reviewing needs: consistently and regularly review peoples informations and communication needs in records and ensure its up to date 

how should you ask a patient if they have communication needs?

• Do you have any particular needs around how we communicate or share information today  

• Is there anything I should know about how you like to receive information or communicate, to make sure I support you properly  

•        Just so I can support you in the best way today, d you have any communications or information need?

how can I support someone with hearing impairment?

Sign language interpreter, expressive communication (non-verbal)

how can I support someone with vision impairment?

• PIL in accessible formats

• Medicine labels in accessible formats  

• Tactile cues e.g one elastic band or two elastic bands  

• Braille on medicine boxes  

• Larger fonts, high contrast, text to speech, magnifying software, read aloud, video calling with captioning, live transcribe