Let's talk - and act - about adherence in multimorbidity - a teaching and learning resource for general practice

More than half of those over the age of 65 live with more than one chronic condition. This is known as multimorbidity (MM). The prevalence of MM increases with age and is more common in less well off patients. Using muliple medications i.e. polypharmacy, is the norm in MM and many do not take their medications as prescribed i.e. non-adherence. As a result, patients often fail to benefit from treatment and are at higher risk of adverse events. Many doctors and nurses taking care of patients with MM do not offer clear help in how to take large numbers of tablets. There are a variety of reasons for this that are categorised as: 1. motivation, 2. capability and 3. opportunity.

In this project, using principles of knowlege translation, we will develop, deliver and evaluate a 10-minute e-learning resource for GP's and practice nurses. We will address these three areas by focusing on evidence-based approaches to support long term medication taking. This flexible e-learning package, informed by the principles of patient and public involvement, will be developed with the input of patients, a range of healthcare professionals (e.g. GPs, pharmacists, nurses and psychologists) and learning technologists. The main output will be the development, delivery and evaluation of a 10-minute e-learning package that can be integrated into clinical education programmes, including those that confer professional training credits. Particular focus will be on active dissemination with support of the Irish College of General Practitioners and Irish Practice Nurses Association.


Award Date
28 September 2017
Award Value
Principal Investigator
Professor Andrew Murphy
Host Institution
National University of Ireland, Galway
Knowledge Exchange and Dissemination Scheme