OBJECTIVE: Poor medication adherence contributes to uncontrolled @entity565 in primary care. Good doctor- @entity1 communication around adherence increases @entity1 ' medication taking but general practitioners (GPs) often feel poorly equipped to provide effective adherence counseling. This study aimed to assess the feasibility and usefulness of adherence counseling training, skills and support tools for GPs. METHODS: Twenty-five GPs enrolled in a 6-month cluster randomized-controlled trial of adherence interventions for @entity565 were randomized to an intervention delivering personalized adherence discussions. They received 2 hours training in delivering brief, motivational-interviewing-based adherence counseling and were provided with @entity565 -specific counseling support tools. At baseline, post-training and study end, GPs rated the training, reported confidence/frequency of using counseling skills and satisfaction with their consultations, and commented on support tools. @entity1 reported their barriers to adherence and rated their GPs empathy at baseline and at 6-months. RESULTS: 96% of GPs rated adherence counseling training as very/extremely useful. At the end of the study (17        4 months) GPs' confidence in using counseling skills increased, as did the frequency they applied the skills and their satisfaction with consultations. GPs were positive about counseling support tools, stating that they were easy to use and facilitated covering more ground within single consultations. Half the GPs expressed some difficulty implementing counseling due to time constraints. @entity1 reported @entity4431 and no significant change in adherence barriers. CONCLUSIONS: GPs valued counseling training and support tools. Although implementation was sometimes challenging, GPs reported increased frequency of use and confidence in applying adherence counseling skills, which persisted for 17 months.

General practitioner-delivered adherence counseling in XXXX : feasibility and usefulness of skills, training and support tools.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity565 :: ('MESH:D001249', 'Disease') :: ['asthma'] @entity4431 :: ('MESH:C566000', 'Disease') :: ['good GP empathy']
@entity565 :: (MESH:D001249,Disease) :: ['asthma']
