SFEBES2022 Meet the Expert Sessions Nurse (2 abstracts)
1University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom; 2University of Birmingham, Birmingham, United Kingdom; 3University of Warwick, Warwick, United Kingdom; 4Addisons Disease Self Help Group, Bristol, United Kingdom
Adrenal crisis and death still occur frequently in people with adrenal insufficiency, despite interventions being developed to prevent this. Interventions focus on increasing patients’ knowledge of their medication, their condition, and the action to take during acute stress. It is not known why the application of this knowledge does not happen during times of need. Behaviour change models/frameworks can aid the understanding of this knowledge gap. We performed a systematic review that aimed to identify and evaluate interventions developed to prevent adrenal crisis in people with primary adrenal insufficiency. Interventions were described using the TiDIER checklist, along with the identification of behaviour change techniques applied. Then, techniques were mapped onto the Behaviour Change Wheel components to identify barriers and facilitators targeted by the interventions and gaps which could be filled by future interventions.