Table 2 Content of the Multicomponent Adherence Protocol
MAP components | Source | Definition | Frequency of use |
|---|---|---|---|
1. Written Treatment plan | IMPACT Protocol [15] | A personalised written treatment plan that includes the patient’s treatment regimen, exacerbation plan. | Annually |
2. Knowledge Assessment | IMPACT Protocol [15] | A multichoice questionnaire (Knowledge of Disease Management – CF) that assesses CF specific knowledge and understanding of treatments. | Annually |
3. Emotional Wellbeing Screening | International Committee on Mental Health in Cystic Fibrosis [26] | A digital screening of anxiety and depression symptoms in all young people > 12 and parents. Utilising CF Mental Health Guidelines [26]. Screening assessments were administered via iPad using the Research Electronic Capture (REDCap) online surveys and database system | Annually |
4. Clinic Communication Tool | New component | A document created for this trial. The one-page door sign was used by the clinic nurse/s in partnership with consumers as they accessed the clinic. Using this tool, families were informed of which clinicians were planning to review them and were able to request reviews as required. | Every visit |
5. Problem Solving Intervention Included but not evaluated in this study | IMPACT Protocol [15] | Intervention program where clinicians collaboratively identify key barriers to adherence, and jointly problem-solve ideas with the young person. | Not included in this study due to availability of training materials and phased implementation design. |
Additional Components from IMPACT study that were considered in protocol design but excluded following local needs assessment. | |||
Treatment Skills Assessment | Not included | Checklist based assessment. Outlines a list of treatment skills that can be observed to evaluate the young person/ parent’s ability in carrying out the plan. | Not included as this was already included as standard care at study site. |
Adherence Assessment | Not Included | Treatment Adherence Questionnaire (TAQ-CF). A self-report adherence assessment tool, reviewing frequency and duration of treatment completion in the last 7 days. | Not included due to needs assessment results. |