Table 9 User stories according to the BCT

1.1. Goal setting (behavior)

Goals will be set together with patient to take the medication correctly with a deviation < 2 h.

As a patient I want to be reminded of my set goals (which were set during visit) on a self-determined interval (e.g. daily / once a week) so that I am aware of my goal and know what to target at.

1.4. Actionplanning

Patients will be encouraged to prepare a plan how to deal with barriers (e.g. have a travel set of their medication prepared and to take it with them when leaving home).

As a patient I want to have reliable information how to plan my expected actions (e.g. leaving home, travelling, eating outside) so that I do not forget the necessary preparations.

2.3. Self-monitoring of behavior

Instructions on checking the medication plan daily and confirming medication intake daily.

Instructions on how to control this monitoring on their own.

As a patient I want to self-monitor whether I take my medication as prescribed so that I know whether I take the drugs correctly.

2.2. Feedback on behavior

Give patients feedback about on how many days they correctly managed their medication intake.

Give patients feedback about on how many days their time of medication intake was correct.

As a patient I want to get feedback whether I take my medication sufficiently as prescribed so that I can be sure that I take the medication correctly

4.1. Instruction on how to perform behavior

Training on how to read the medication plan and prepare their medication correctly accordingly.

As a patient I want to know how to prepare my medication so that I can do it on my own correctly

5.1. Information about health consequences

Oral and written information about effects, side-effects of medication.

Oral and written information about consequences of non−/adherence.

As a patient I want to find information on what my medication is for and will happen, if I do (not) take it as prescribed (incl. wrong time) so that I know the importance of doing it correctly.

6.1. Demonstration of behavior

Demonstrate how to read medication plan and prepare the medication.

As a patient I want to get explained how to use the electronic medication plan so I can check when I have forgotten.

7.1. Electronic prompts/cues

Storage of medication in clear visible places (e.g., next to the coffee machine, TV), to prompt medication intake.

Use of an electronic reminder (for medication intake, goal) on the App with a preferred signal (e.g., alarm tone, picture).

As a patient I want to get a reminder when I need to take my medication and don’t forget to take it.

As a patient I want to customize my app (e.g. different tones, signals, colours, pictures) so that I connect medication intake with a positive feeling.

1.2. Problem solving

Identify together with patient what could be barriers to take the medication correctly, and discuss ways in which they could help overcome them.

Learn about most common side-effects and fitting interventions to take.

As a patient I want to have the opportunity to call a qualified health care provider if there are unexpected barriers (which were not discussed face-to-face) so that I get support in challenging situations.

As a patient I want to be able to signal the CC that she/he should call back when she/he has time so that I get help without disturbing the CC in an unsuitable situation.

1.6. Discrepancy between behavior & goal

Point out if the recorded number / time of medication intake does not fit to the goal set.

As a patient I want to get a signal if the recorded number / time of medication intake does not fit to the goal set so that I realize that I have to change my behavior.

7.1. Electronic prompts/cues

Medication plan in app

As a patient I want to have my medication plan in the app so that I can look up my medication on my smartphone.

As a patient I want to be able to update the medication plan in the app when the prescription of physician changes so that I have a current medication plan on my smartphone.

9.1. Message given by followed person

Present a speech / statement / message given by followed patients or recognized transplant professional to emphasize the importance of taking the medication correctly at the correct time.

As a patient I want to learn from a qualified health care provider or a peer why the medication intake and timing is so important so that I am aware of its importance.

15.1. Written persuasion about capability

Motivation when confirming medication intake / closing the app / pop-up

As a patient I want to get a motivational feedback that I can successfully perform the behavior so that I feel capable to manage the correct medication intake.

15.3. Focus on past success

Explore with patients difficult circumstances in which patients nevertheless managed medication intake.

As a patient I want to be able to record occasions with correct medication intake in the App so that I feel confident to be successful again.