{
  "abstract": "Objectives To explore refill adherence to prescribed treatment for chronic heart failure (CHF) and/or chronic obstructive pulmonary disease (COPD), during and after a remote person-centred care (PCC) intervention.Design Post hoc analysis of a randomised controlled trial cohort.Setting We used data from the PROTECT (Person-Centred Care at Distance) randomised controlled trial in Swedish primary care, which were linked to data from the Swedish Prescribed Drug Register.Participants A total of 222 participants from nine primary care centres were enrolled in PROTECT. This study included participants with dispensed medications for CHF and/or COPD, excluding those with multidose dispensing (intervention n=50; control n=49, 42% women, mean age 69 years).Interventions PROTECT evaluated a PCC intervention using a digital platform and structured telephone support in addition to usual care versus usual care alone.Outcome measures Refill adherence was compared between groups, defining appropriate medication supply as ≥80% of days covered over 2 years. We also examined associations between refill adherence and number of long-term conditions and medications.Results Refill adherence did not differ significantly between groups. A higher number of long-term conditions was associated with lower odds of refill adherence (adjusted OR (aOR) per additional condition: 0.71; 95% CI 0.50 to 0.97; p=0.041), as were more long-term medications (aOR per additional medication class: 0.84; 95% CI 0.71 to 0.98; p=0.029).Conclusions The PROTECT intervention did not improve refill adherence, suggesting that future person-centred interventions may require more structured medication-management focus. Increasing numbers of long-term conditions and medications were both associated with lower refill adherence.Trial registration number NCT03183817.",
  "authors": [
    {
      "affiliations": [
        "Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden",
        "Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden"
      ],
      "name": "Stina Mannheimer"
    },
    {
      "affiliations": [
        "Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden",
        "Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden",
        "Region Västra Götaland, Research, Education, Development and Innovation, Primary Health Care, Gothenburg, Sweden"
      ],
      "name": "Andreas Fors"
    },
    {
      "affiliations": [
        "School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden"
      ],
      "name": "Anna Holst"
    },
    {
      "affiliations": [
        "Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden",
        "Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden"
      ],
      "name": "Hanna Gyllensten"
    }
  ],
  "title": "Remote person-centred care and long-term medication management in primary care: post hoc analysis of a randomised controlled trial",
  "uid": "a76b2ce0-ee1e-5fdc-81df-c04f978d848a"
}