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Table 4 Multivariable multilevel linear regression models testing the influence of the vignette factors (level 1) and respondent factors (level 2) on likelihood to perform three adherence monitoring behaviours in response to the factorial vignettes

From: Determinants of intentions to monitor antihypertensive medication adherence in Irish community pharmacy: a factorial survey

 

Model 1 (n1 = 1005, n2 = 203)

Examine dispensing records

Model 2 (n1 = 1006, n2 = 203)

Question patient adherence

Model 3 (n1 = 986, n2 = 199)

Discuss medication beliefs

 

StdX

Coef

95% CI

p

StdX

Coef

95% CI

p

StdX

Coef

95% CI

p

Vignette Factors - Level 1

            

 Female Patient

0.07

0.13

−0.10 − 0.37

0.275

0.04

0.08

− 0.18 − 0.35

0.538

0.07

0.13

−0.12 − 0.39

0.303

 No. of prescription items

0.03

0.01

−0.04 − 0.07

0.607

0.04

0.02

−0.04 − 0.08

0.560

0.07

0.03

− 0.03 − 0.09

0.324

 No of Days Early/Late

0.46

0.12

0.091–0.15

< 0.001

0.69

0.18

0.15–0.22

< 0.001

0.59

0.16

0.12–0.19

< 0.001

 Time on treatment (yrs)

0.00

0.00

−0.07 − 0.07

0.998

−0.22

−0.12

− 0.20 – −0.05

0.002

− 0.14

−0.08

− 0.15 – −0.003

0.040

 Waiting/Phone

            

  Phone to collect later

−0.09

− 0.18

− 0.47 − 0.11

0.226

0.13

0.28

−0.05 − 0.61

0.096

0.04

0.08

−0.23 − 0.39

0.614

  Phone for daughter to collect

−0.02

− 0.04

− 0.34 − 0.26

0.797

− 0.05

−0.10

− 0.44 − 0.24

0.556

− 0.18

− 0.39

− 0.71 – −0.07

0.017

  No of Patients Waiting

− 0.22

− 0.13

− 0.20 – −0.06

< 0.001

− 0.29

− 0.17

− 0.25 – −0.09

< 0.001

−0.37

− 0.22

−0.30 – −0.14

< 0.001

  Fully-staffed

0.17

0.35

0.11–0.59

0.004

0.22

0.44

0.17–0.71

0.001

0.26

0.52

0.26–0.78

< 0.001

 Medication Beliefs

            

  Medication Concerns

0.12

0.26

−0.04 − 0.55

0.093

0.15

0.33

−0.007 − 0.67

0.055

0.36

0.78

0.46–1.10

< 0.001

  Necessity Doubts

0.13

0.28

−0.01 − 0.56

0.058

0.31

0.64

0.32–0.97

< 0.001

0.40

0.83

0.53–1.14

< 0.001

 Patient Relationship

            

  Regular Patient

−0.01

− 0.03

− 0.37 − 0.31

0.876

0.10

0.23

−0.15 − 0.61

0.239

0.08

0.19

−0.17 − 0.56

0.299

  Regular and Well-Known

0.08

0.18

−0.17 − 0.52

0.318

0.11

0.26

−0.13 − 0.65

0.193

0.10

0.24

−0.13 − 0.61

0.211

  Regular and Challenging

−0.02

− 0.04

− 0.38 − 0.30

0.809

0.03

0.08

−0.30 − 0.46

0.683

0.05

0.12

−0.24 − 0.48

0.516

  Month-end Claim

0.06

−0.11

−0.35 − 0.13

0.365

−0.04

0.08

−0.19 − 0.35

0.570

0.04

−0.09

−0.34 − 0.17

0.514

  Patient Query

0.09

−0.18

−0.42 − 0.06

0.151

0.05

−0.10

−0.37 − 0.17

0.481

0.12

−0.23

−0.49 − 0.03

0.077

Respondent Factors

- Level 2

  Female Pharmacists

0.31

0.66

0.07–1.25

0.028

0.16

0.34

−0.24 − 0.92

0.254

0.10

0.22

−0.33 − 0.78

0.434

  Years since qualified

0.10

0.01

−0.02 − 0.03

0.486

0.03

0.00

−0.02 − 0.02

0.848

−0.13

−0.01

− 0.03 − 0.01

0.311

  Chain Pharmacy

−0.19

−0.42

− 0.99 − 0.15

0.147

0.16

0.36

−0.21 − 0.93

0.216

0.16

0.35

−0.18 − 0.89

0.195

  Support Pharmacist

−0.08

−0.16

− 0.71 − 0.39

0.563

− 0.01

−0.02

− 0.56 − 0.52

0.935

− 0.13

−0.26

− 0.77 − 0.25

0.324

  No. of items dispensed

−0.14

−0.13

− 0.38 − 0.12

0.314

− 0.03

−0.03

− 0.28 − 0.22

0.808

− 0.14

−0.12

− 0.35 − 0.11

0.295

  No of other pharmacists

0.32

0.35

0.05–0.64

0.021

0.25

0.27

−0.02 − 0.56

0.068

0.19

0.21

−0.07 − 0.48

0.142

  No of technicians

0.18

0.19

−0.10 − 0.48

0.199

−0.11

−0.12

− 0.40 − 0.17

0.420

− 0.12

−0.13

− 0.39 − 0.14

0.348

  Hours worked per week

0.35

0.03

0.01–0.05

0.008

0.23

0.02

−0.002 − 0.04

0.086

0.14

0.01

−0.01 − 0.031

0.258

  Ambulatory BP services

−0.30

−0.76

−1.39 – −0.12

0.019

−0.25

− 0.63

−1.25 – −0.001

0.050

− 0.12

−0.29

− 0.89 − 0.30

0.329

  MMAM-internal

0.28

0.38

−0.03 − 0.79

0.067

0.37

0.51

0.10–0.92

0.015

0.42

0.59

0.20–0.97

0.003

  MMAM-external

0.10

0.12

−0.26 − 0.49

0.542

0.26

0.32

−0.06 − 0.70

0.101

0.25

0.30

−0.05 − 0.66

0.092

  IN1 - GPs

−0.29

−0.19

− 0.37 – −0.001

0.049

− 0.10

−0.06

− 0.25 − 0.12

0.507

0.15

0.09

−0.08 − 0.27

0.298

  N2 - Pharmacists

0.26

0.17

−0.05 − 0.39

0.122

−0.07

−0.04

− 0.26 − 0.17

0.692

0.09

0.06

−0.15 − 0.26

0.587

  IN3 - Patients

0.23

0.16

−0.05 − 0.36

0.145

0.25

0.17

−0.04 − 0.38

0.120

0.07

0.04

−0.15 − 0.24

0.665

  Descriptive Norms

0.77

0.52

0.31–0.73

< 0.001

0.52

0.38

0.16–0.60

0.001

0.40

0.27

0.07–0.47

0.010

  Self-Efficacy

0.26

0.17

−0.03 − 0.38

0.094

0.12

0.08

−0.12 − 0.28

0.436

0.27

0.17

−0.01 − 0.37

0.107

  1. n1 = number of vignettes, n2 = number of respondents. StdX = Standardised coefficients. IN=Injunctive norms. To aid interpretation of regression output, estimates of variables with corresponding p-values of less than 5% have been highlighted in bold. n is smaller due to missing data across study measures. Missing data (n2): MMAM-internal (16), MMAM-external (12), gender (7), years since qualified (6), chain (2), no. of items dispensed (10), no. of other pharmacists (9), no. of technicians (7), hours worked per week (10), descriptive norms-model 3 only (4)