Adrenaline autoinjectors (AAIs) improve outcomes and reduce fatalities in patients with anaphylaxis, but many patients neither carry them nor know how to use them. Practitioner training in evidence-based strategies designed to increase patient adherence could improve the likelihood of AAI adherence and increase confidence among practitioners to initiate discussions about practical and perceptual barriers to AAI adherence. This article reports the development of a new practitioner training intervention, grounded in health psychology theory and evidence designed for practitioners in contact with patients with anaphylaxis to encourage adherence to AAIs. Potential implications for the design, implementation, and evaluation of future practitioner training in strategies they can use to encourage anaphylaxis patients' AAI adherence are discussed. Although designed for those working with anaphylaxis patients, this step-by-step process to encouraging adherence could be adapted for practitioners working with patients living with other long-term conditions.
Ms. Walklet: Senior Lecturer, School of Psychology, University of Worcester, Worcester, United Kingdom. Dr. Mahoney: Senior Lecturer, School of Psychology, University of Worcester, Worcester, United Kingdom. Dr. Bradley: Professor, University of Worcester, Worcester, United Kingdom. Mr. O'Hickey: Professor, University of Worcester, Worcester, United Kingdom and Professor, Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom.
Correspondence: Béré Mahoney, PhD, Senior Lecturer Psychology, Psychology Department, Institute of Health and Society, St John's Campus, University of Worcester, Worcester, United Kingdom WR2 6AJ; e-mail: b.mahoney@worc.ac.uk.
Disclosures: The authors declare no conflict of interest. ALK-Abelló Ltd provided sponsorship for delivery of the training program and has also sponsored SoH for unrelated projects.
Received December 01, 2018
Accepted April 02, 2019
