Recent trend of constitutional control for immigration law in Canada : Focusing on B010 v. Canada and R v. Appulonapp related to human smuggling

Objective Improving adherence is a challenge and multiple barriers are likely to explain non-adherence. These barriers differ per patient and over course of the regimen. Hence, personalized interventions tailored to the specific barriers are needed. In a theoretical and evidence-based Tailored Multimedia Intervention, technology (online preparatory assessment, text messaging) was used as an add-on to a tailored counseling session (learned during a communication skills training), with the expectation of synergistic effects. Methods A cluster randomized controlled trial was conducted in six hospitals, eight nurses and 160 chronic patients. Patient satisfaction with communication, beliefs about medication, self-efficacy and medication adherence were assessed at initiation of the treatment and after six months. Results Intervention effects were found for patient satisfaction with nurses’ affective communication and self-efficacy at the initiation of treatment. The effect on self-efficacy remained after six months. Conclusion By combining tailored counseling with technology, this intervention resulted in positive changes in important prerequisites of medication adherence. Practical implications Technology can contribute significantly to health care providers’ ability to tailor information to the patients’ needs