Patient and Physician Questionnaires
PATIENT QUESTIONNAIRE | |||||
# | Question | Response options | |||
1. | The number of tablets I must take has an influence on how sick I feel. | Strongly agree | Agree | Disagree | Strongly disagree |
2. | I need help at home in order to prepare the intake of tablets for the day/week. | Strongly agree | Agree | Disagree | Strongly disagree |
3. | How much time do you need per day on average to prepare your tablets? | (data captured in minutes) | |||
4. | The appearance of the tablets is important for me to correctly assign my drugs. | Strongly agree | Agree | Disagree | Strongly disagree |
5. | The correct use of drugs is harder for me when their appearance changes. | Strongly agree | Agree | Disagree | Strongly disagree |
6. | I am concerned about accidentally forgetting pills or taking the wrong tablets/dose. | Strongly agree | Agree | Disagree | Strongly disagree |
PHYSICIAN QUESTIONNAIRE | |||||
# | Question | Response options | |||
1. | The number of tablets which patients with type 2 diabetes mellitus must take is a challenge for me in the daily treatment routine. | Strongly agree | Agree | Disagree | Strongly disagree |
2. | In the daily treatment routine, patients with type 2 diabetes mellitus describe a high number of tablets as a burden. | Strongly agree | Agree | Disagree | Strongly disagree |
3. | I am informed about the importance of the subject “number of tablets and treatment adherence (compliance/persistence) and the associated impact.” | Strongly agree | Agree | Disagree | Strongly disagree |
4. | I would like more information about the subject “number of tablets and treatment adherence (compliance/persistence) and the related impact.” | Strongly agree | Agree | Disagree | Strongly disagree |
5. | If possible, I prefer combination products because they help me reduce the number of tablets which my patients must take every day. | Strongly agree | Agree | Disagree | Strongly disagree |
PATIENT QUESTIONNAIRE | |||||
# | Question | Response options | |||
1. | The number of tablets I must take has an influence on how sick I feel. | Strongly agree | Agree | Disagree | Strongly disagree |
2. | I need help at home in order to prepare the intake of tablets for the day/week. | Strongly agree | Agree | Disagree | Strongly disagree |
3. | How much time do you need per day on average to prepare your tablets? | (data captured in minutes) | |||
4. | The appearance of the tablets is important for me to correctly assign my drugs. | Strongly agree | Agree | Disagree | Strongly disagree |
5. | The correct use of drugs is harder for me when their appearance changes. | Strongly agree | Agree | Disagree | Strongly disagree |
6. | I am concerned about accidentally forgetting pills or taking the wrong tablets/dose. | Strongly agree | Agree | Disagree | Strongly disagree |
PHYSICIAN QUESTIONNAIRE | |||||
# | Question | Response options | |||
1. | The number of tablets which patients with type 2 diabetes mellitus must take is a challenge for me in the daily treatment routine. | Strongly agree | Agree | Disagree | Strongly disagree |
2. | In the daily treatment routine, patients with type 2 diabetes mellitus describe a high number of tablets as a burden. | Strongly agree | Agree | Disagree | Strongly disagree |
3. | I am informed about the importance of the subject “number of tablets and treatment adherence (compliance/persistence) and the associated impact.” | Strongly agree | Agree | Disagree | Strongly disagree |
4. | I would like more information about the subject “number of tablets and treatment adherence (compliance/persistence) and the related impact.” | Strongly agree | Agree | Disagree | Strongly disagree |
5. | If possible, I prefer combination products because they help me reduce the number of tablets which my patients must take every day. | Strongly agree | Agree | Disagree | Strongly disagree |
Note: These subjective questionnaires for patients and physicians were developed in German and translated to English for publication.