From: Improving medication adherence in stroke survivors: the intervention development process
TDF Domain | Intervention Function | Intervention Function Definitionsa | Included/excluded from next stage | Reasons for Inclusion/exclusion (against APEASE criteria) |
---|---|---|---|---|
Knowledge | Education | Increasing knowledge or understanding | Included | Considered affordable, practical, potentially effective, potentially acceptable, should have limited side effects and shouldn’t create significant issues of equity |
Training | Imparting skills | Included | Considered affordable, practical, potentially effective, potentially acceptable, should have limited side effects and shouldn’t create significant issues of equity | |
Enablement | Increasing means/reducing barriers to increase capability (beyond education/ training) or opportunity (beyond environmental restructuring) | Included | Considered affordable, practical, potentially effective, potentially acceptable, should have limited side effects and shouldn’t create significant issues of equity | |
Beliefs about consequences | Education | Increasing knowledge or understanding | Included | Considered affordable, practical, potentially effective, potentially acceptable, should have limited side effects and shouldn’t create significant issues of equity |
Persuasion | Using communication to induce positive or negative feelings or stimulate action | Included | Considered affordable, practical, potentially effective, potentially acceptable, should have limited side effects and shouldn’t create significant issues of equity | |
Incentivisation | Creating an expectation of reward | Excluded | Not considered affordable, unlikely to be acceptable to policy makers and would possibly be impractical to incentivise over a sustained period of time | |
Coercion | Creating an expectation of punishment or cost | Excluded | Not considered practical to deliver (as HCPs often want to maintain good and balanced relationships with patients), unlikely to be acceptable to HCPs or patients morally and ethically, enforcing punishment or cost onto patients will also likely have unwanted side effects, and could reduce equity for some sectors of the community | |
Emotions | Persuasion | Using communication to induce positive or negative feelings or stimulate action | Included | Considered affordable, practical, potentially effective, potentially acceptable, should have limited side effects and shouldn’t create significant issues of equity |
Incentivisation | Creating an expectation of reward | Excluded | Not considered affordable, unlikely to be acceptable to policy makers and would possible be impractical to incentivise over a sustained period of time | |
Coercion | Creating an expectation of punishment or cost | Excluded | Not considered practical to deliver (as HCPs often want to maintain good and balanced relationships with patients), unlikely to be acceptable to HCPs or patients morally and ethically, enforcing punishment or cost onto patients will also likely have unwanted side effects, and could reduce equity for some sectors of the community | |
Restriction | Using rules to reduce the opportunity to engage in the target behaviour (or to increase target behaviour by reducing the opportunity to engage in the competing behaviour) | Excluded | Not considered practical to deliver as medicine taking can be carried out alone and so there will be no one present to enforce rules, unlikely to be acceptable to patients, HCPs or policy makers as rules often require legislation changes to be enforceable and acted upon | |
Environmental Restructuring | Changing the physical or social context | Included | Considered affordable, practical, potentially effective, potentially acceptable, should have limited side effects and shouldn’t create significant issues of equity unless patients do not have access to similar healthcare services or possess similar abilities | |
Modelling | Providing an example for people to aspire to or imitate | Excluded | Not considered to be practical to deliver as patients do not always have contact with HCPs or other patients when collecting prescriptions for medications, could potentially create disparities in equity | |
Enablement | Increasing means/reducing barriers to increase capability (beyond education/ training) or opportunity (beyond environmental restructuring) | Included | Considered affordable, practical, potentially effective, potentially acceptable, should have limited side effects and shouldn’t create significant issues of equity |