Understanding barriers to optimal medication management for those requiring long-term dialysis: rationale and design for an observational study, and a quantitative description of study variables and data

Table 4 Examples of possible reasons for medication non-adherence with potential risk factors and intervention strategies

Example reasons for medication non-adherence		Possible risk factors	Possible intervention strategy
Unintentional	Difficulty with access to medications	Financial restrictions	Social support
	Difficulty with access to medications	Socioeconomic	Government support
	Poor comprehension	Language barriers	Multi-lingual information availability
		Literacy	Translators
		Low education level	Family assistance
		Visual impairment	Evaluation of available materials and development of new resources
	Forgetting medications	Attention style	Family support
		Poor cognitive function	Physical or electronic reminders
			Blister packed medications
	Poor tolerability	Pill burden	Minimise dosing where possible
	Poor tolerability	Frequent dosing	Simplify drug regimen
Intentional or related to health beliefs	Low perception of medication importance	Low health literacy	Education
		Age	Health psychology/psychiatry input
		Depression	Culturally appropriate information
		Cultural beliefs	Establishing goals of treatment
	High perception of potential harm from medications	Low health literacy	Education
	High perception of potential harm from medications	Cultural beliefs	Culturally appropriate information

ISSN: 1471-2369