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Table 1 Steps in the follow-up of the intervention group based on the Dader method

From: Effectiveness of pharmaceutical care for drug treatment adherence in patients with systemic lupus erythematosus in Rio de Janeiro, Brazil: study protocol for a randomized controlled trial

Intervention group

 

Baseline data collection

Identification of critical points

Health education

Evaluation of prescription

Intervention

Final considerations

Baseline appointment

1. Socio-demographic data

1. Patients’ knowledge on SLEa and drug treatment

1. Clarify queries on SLE, treatment, and medication

1. Identification of problems with medication

1. Counseling on the prescribed treatment regimen

1. Information on tests for next appointment

2. Disease activity and clinical manifestations

2. Treatment adherence

2. Education on use and proper storage of drugs

 

2. Adjustment of drug dosing schedule to fit patient’s routine

2. Annotations on the patient’s medication chart

3. Current medication

 

3. Counseling on possible adverse events from drugs

 

3. Counseling on the indication and use of each prescribed drug

3. Scheduling next appointment

4. Quality of life

 

4. Distribution of information leaflets on SLE and drugs

 

4. Discussion with the medical team, if necessary, to adjust the prescribed medication

4. Setting treatment adherence targets

5. Drug treatment adherence

 

5. Counseling on lifestyle changes, use of sunscreen, and healthy eating

 

5. Counseling on how to acquire the prescribed drugs

 

Subsequent appointments

 

1. Analysis of laboratory tests

1. Clarify any remaining queries on SLE, treatment, and medication

1. Identification of problems with medication

1. Review of drug treatment

1. Information on tests for next appointment

 

2. Medical team’s report on the consultation, impressions concerning the patient and disease course

2. Counseling on continuity of treatment, correct use of medication, and healthy habits

 

2. Solving of current or potential problems with drug treatment

2. Annotations on the patient’s medication chart

 

3. Patients’ perceptions of their clinical status

  

3. Discussion with medical team on critical points observed in prescription, if any

3. Scheduling next appointment

 

4. Treatment adherence

  

4. Discussion with the medical team, if necessary, to adjust the prescribed medication

4. Setting treatment adherence targets

    

5. Adjustment of drug dosing schedule to fit patient’s routine

 
    

6. Counseling on how to acquire the prescribed drugs

 
  1. aSLE: systemic lupus erythematosus