Such strategies form the mainstay of current medication adherence interventions, and so our research suggests that CBCTs may be able to elicit adherence benefits beyond the techniques used in current practice.
We assessed whether nurse specialists' consultations changed postbriefing for each step (eliciting non-adherence using a 'no-blame' frame, eliciting beliefs, addressing beliefs using a commonsense rationale).
26 We tested the feasibility of briefing asthma nurse specialists to support adherence by eliciting and addressing adherence-related ICS necessity beliefs and concerns during hospital consultations; examined process variables to evaluate why the intervention did/did not work; indexed fidelity of delivery; and measured patient satisfaction.
CBCTs are effective interventions for improving medication adherence and capable of eliciting improvements in adherence beyond those achieved with educational and behavioural interventions which form the mainstay of current practice.
Cognitive-based behaviour change techniques are effective interventions eliciting improvements in medication adherence that are likely to be greater than the behavioural and educational interventions largely used in current practice.
Motivation may be enhanced by targeting negative or false beliefs about adherence, juxtaposing consequences of nonadherence with a patients' goals and interests, and teaching patients how to elicit support for adherence (e.g., asking for dose reminders when their routine changes).
High but not perfect adherence elicited a hybrid approach, where participants were congratulated and asked to discuss potential strategies to avoid missed doses in the future.
These results together with findings in the qualitative studies [ 7, 24] supported the tendencies described above by eliciting improved goal attainment, self-reported adherence, and improved health status and self-esteem.
The guidelines suggested three consultation components following National Institute for Health and Care Excellence NICEE) guidance: 22 (1) communicating a no-blame approach to non-adherence to facilitate openness; (2) eliciting ICS necessity beliefs and concerns and (3) addressing doubts about ICS necessity beliefs and concerns (table 1).
Advice on gradual resumption of activities previously avoided 1) Initial session focused on ensuring informed and appropriate implementation of the programme, eliciting and addressing concerns, agreeing goals, and encouraging adherence.
