Table 5 Summary of modified community pharmacy-based intervention selected for further feasibility testing
Description | Embedded BCT(s) | Mechanisms of action |
|---|---|---|
A short online video demonstrating how a community pharmacist would conduct a medication review (incorporating adherence checking) with a PwD and their carer. The video would feature an authentic clinical case, incorporating relevant epidemiological data [7] and drawing upon clinical experience of research team. The positive outcomes of the consultation would be emphasised by including feedback from the pharmacist, PwD and their carer. | Modelling or demonstration of behaviour Health consequences Salience of consequences Social and environmental consequences | Skills, social influences, knowledge, beliefs about consequences |
A complementary ‘quick reference guide’ (also made available online) to which pharmacists could refer during the medication review and adherence check. This guide would provide information on, e.g. common instances of potentially inappropriate prescribing, common drug interactions with drugs prescribed for dementia, guidance regarding antipsychotic drug use, tips on communicating with PwD, practice points on monitoring adherence in PwD, and useful sources of further information. | Modelling or demonstration of behaviour | Skills, social influences |
After the pharmacist had watched the video and read the ‘quick reference guide’, they would identify suitable dementia patients from the pharmacy computer system and schedule an appointment for a PwD and their carer to attend the pharmacy for a face-to-face medication review and adherence check. | Action planning | Memory, attention and decision processes, behavioural regulation, goals |
Following the review, the pharmacist would complete a clinical record form outlining any changes to the patient’s medication that they recommended. These would be shared with the patient’s GP and recorded on the pharmacy PMR so that the pharmacist could clearly see if their recommendations had been implemented by the GP. | Self-monitoring of behaviour | Memory, attention and decision processes, behavioural regulation, beliefs about capabilities, beliefs about consequences |
Pharmacists would also be encouraged to liaise with the practice-based pharmacist for support and guidance during the process (e.g. to help resolve any issues arising from the medication review/adherence check). | Social processes of encouragement, pressure, support | Social/professional role and identity, beliefs about capabilities, goals, social influences |