Implementation of a patient-centred complex intervention to improve Initial Medication Adherence to cardiovascular disease and diabetes treatments in primary care (the IMA-cRCT study): a mixed-methods process evaluation.
Carmen Corral-Partearroyo, Alba Sánchez-Viñas, María Teresa Peñarrubia-María et al.
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In 30 seconds
The IMA-cRCT study evaluated a patient-centred intervention aimed at improving initial medication adherence for cardiovascular disease and diabetes in primary care across 24 Spanish centres. This mixed-methods process evaluation found adequate implementation fidelity (6.5/10) and normalisation into practice (7.6/10), highlighting the importance of shared decision-making among healthcare professionals and patients.
Key findings
- Implementation fidelity was rated at 6.5/10, indicating adequate adherence to the intervention.
- Normalisation of the intervention into clinical practice was rated at 7.6/10.
- Healthcare professionals' knowledge and attitudes towards shared decision-making improved significantly.
- Some patients preferred their GP to make decisions on their behalf, despite the intervention's aim for shared decision-making.
Why it matters
Improving medication adherence is crucial for managing chronic conditions like cardiovascular disease and diabetes. Understanding the implementation of shared decision-making can enhance patient engagement and treatment outcomes in primary care settings.