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Table 2 Intervention and adherence elements reported in reviewed studies

From: Measurement of adherence in a randomised controlled trial of a complex intervention: supported self-management for adults with learning disability and type 2 diabetes

Intervention elements described

Details reported in papers reviewed (N = number of studies where details provided, total N = 30)

Content

Choosing the right foods (N = 21)

Preparing food (N = 9)

Eating behaviours (N = 12)

Physical activity – formal (N = 7) and informal (N = 19)

Behaviour modification (N = 7)

Health awareness/health assessment/self-care (N = 8)

 

Delivery technique

Formal education (N = 24)

Goal setting (N = 9)

Action plans (N = 7)

Skills training (N = 8)

   

Method of delivery

Group sessions (N = 26)

Individual sessions (N = 4)

Provision of educational materials (N = 12)

Participants trained in use of self-monitoring resources (N = 4)

   

Formal Measurement described:

- Steps to ensure quality of provider

Selection of providers based on experience (N = 7)

Training in the intervention (N = 10)

Supervision/feedback (N = 2)

Standard script to guide intervention sessions (N = 1)

Intervention guidance (N = 1)

  

- Delivery by provider (content and quality)

Scoring system to assess content delivered (N = 2)

Observation or recording of session content (N = 3)

Materials provided (N = 2)

Interviews regarding delivery (N = 1)

Provider attrition (N = 1)

Provider meetings (N = 1)

Recommendations after intervention delivery (N = 1)

- Participant adherence

Attendance at/duration of sessions reported (N = 9)

‘Completers’ reported (N = 12)

Homework completion reported (N = 3)

    

Adherence included in analysis & reporting

Described completers vs. non-completers (N = 6)

Outcomes split by attendance rates (N = 4)

Reported adherence score (N = 1)

Reported outcomes in relation to adherence (N = 1)

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