{
  "abstract": "Background Heart failure (HF) is a chronic syndrome where poor adherence undermines the benefits of pharmacological therapy. This study evaluated the ‘Making Medicines Work for You’ screener, a brief Capability, Opportunity, Motivation–Behaviour (COM-B) based tool used to identify adherence barriers in HF patients.Method A retrospective cross-sectional single-site study was conducted in outpatient community and hospital pharmacist and nurse-led HF outpatient clinics between January–November 2024. Statistical analysis was undertaken to identify associations (Chi-squared, Analysis of Variance (ANOVA)) and differences (post-Hoc Tukey) between patient and clinical factors.Results Of 500 patients assessed (median age 69 years, range 17–98), 44.2% (n=221) had at least one adherence related barrier. The most common barrier identified was forgetfulness (21.2%, n=106). Older patients were more likely to experience adherence related barriers (p=0.006). More barriers were reported during pharmacist consultations compared with nurse-led consultations (p<0.001).Conclusion The screener tool effectively identified adherence related barriers in patients. Screener responses may inform targeted, clinician-led interventions.",
  "authors": [
    {
      "affiliations": [
        "Cardiology Department, Guy's and St Thomas’ Hospitals NHS Trust, London, England, UK"
      ],
      "name": "Jason Ling"
    },
    {
      "affiliations": [
        "Institute of Pharmaceutical Science, King’s College London, London, UK"
      ],
      "name": "Thanusa Vijayakumar"
    },
    {
      "affiliations": [
        "Cardiology Department, Guy's and St Thomas’ Hospitals NHS Trust, London, England, UK",
        "Institute of Pharmaceutical Science, King’s College London, London, UK"
      ],
      "name": "Gayle Campbell"
    },
    {
      "affiliations": [
        "Institute of Pharmaceutical Science, School of Cancer & Pharmaceutical Sciences, King’s College London, London, London, UK"
      ],
      "name": "John Weinman"
    }
  ],
  "title": "Use of the ‘Making Medicines Work for You’ screener to identify medication adherence barriers in heart failure patients",
  "uid": "cd4b9272-faf4-5ab1-9749-6cb5e5ee4aeb"
}