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1+1=3? The systematic development of a theoretical and evidence-based tailored multimedia intervention to improve medication adherence

机译：1 + 1 = 3？理论和基于证据的量身定制的多媒体干预措施的系统开发，旨在提高药物依从性

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Objective: To describe the development of a theoretical and evidence-based tailored multimedia intervention to improve medication intake behavior in patients with inflammatory bowel disease (IBD). The intervention integrates interpersonal and technology-mediated strategies with the expectation that this will work synergistically. Methods: The development followed the Medical Research Council's framework. Three literature reviews and three pre-tests among 84 IBD patients and eight nurses were conducted to guide the development of the intervention. A feasibility study was carried out among four nurses and 29 patients. Results: The components include: (1) an online preparatory assessment (OPA); (2) tailored interpersonal communication; and (3) tailored text messaging. To support the development, the feasibility was tested. Results indicated that the OPA was comprehensive and could be a helpful tool for both patients and nurses to prepare for the consultation. The training was evaluated as being instructive and applicable with a mean mark of 8.5. Of the developed messages, 65.6% received positive evaluations and were used in the intervention. Conclusion: By applying the framework, we were able to describe the logic behind the development of a tailored multimedia intervention to improve medication intake behavior. Practice implications: This study could serve as a guide for the development of other health interventions.
机译：目的：描述基于理论和循证的量身定制的多媒体干预措施的发展，以改善炎症性肠病（IBD）患者的药物摄入行为。干预措施整合了人际和技术为中介的策略，并期望这种策略可以协同工作。方法：开发遵循医学研究委员会的框架。在84名IBD患者和8名护士中进行了3篇文献综述和3项预测试，以指导干预措施的发展。在四名护士和29名患者中进行了可行性研究。结果：组成部分包括：（1）在线准备评估（OPA）; （2）量身定制的人际交流; （3）量身定制的短信。为了支持开发，测试了可行性。结果表明，OPA是全面的，可以为患者和护士准备咨询提供有用的工具。培训被评估为具有指导意义且适用，平均分8.5。在已开发的信息中，有65.6％得到了积极的评价，并被用于干预。结论：通过应用该框架，我们能够描述开发定制的多媒体干预以改善药物摄入行为背后的逻辑。实践意义：该研究可以作为其他健康干预措施发展的指南。

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