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medRxiv PreprintsInternational30 October 2026

Process evaluation of the INTENSE study aimed at improving adherence to oral diabetes and/or hypertension medication in people with type 2 diabetes

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Introduction: The aim of this study was to evaluate the implementation and the potential of a pharmacist-led personalised intervention program, aimed at improving medication adherence to oral diabetes and/or hypertension medication in people with type 2 diabetes (T2D), to be normalized in daily clinical practice. Material and methods: A parallel-group randomized controlled trial (RCT) was conducted in 68 participants in 26 community pharmacies from the Netherlands (NL) and the UK. This manuscript reports on a multi-method process analysis that was performed parallel to the six-month follow-up
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