| Domains: Self-assessment (subjective by patients) | Application quality § Confidence in the beginninga/at DOT/at the endb? § Degree of effort required in the beginning/at the end? § Difficulties with removal of needle shield in the beginning/at the end? § Puncture painful in the beginning/at the end/throughout therapy? § Injection painful in the beginning/at the end/throughout therapy? § Self-injection or injections administered by another person in a future s.c. therapy? Assistance quality § Sufficiently informed about injection site? § Sufficiently informed about injection technique? Adherence § Difficulties with regular application of LMWH? § Degree of personal responsibility concerning adherence of LMWH? § Skipped injections (and how many)? § Degree of adherence concerning prescribed injection time? |
| Domains: Reality (objective by investigators) | Application quality (DOT) § Pre-filled syringe/alcohol swab/cotton swab/plaster/sharps collector within easy reach? § Washing or disinfection of hands right before injection? § Injection site? § Disinfection of the skin area (e.g. by a single wipe; rubbing; no disinfection)? § Waited for the alcohol to evaporate/let it dry? § No contact with disinfected skin area? § Difficulties to remove needle shield? § Horizontal removal of the needle shield by pulling it straight off the syringe using both hands? § Need of a new pre-filled syringe due to wrong removal of needle shield? § Reattachment of needle shield? § Removal of air bubble? § Drop on the needle (e.g. shaken off; wiped off; left; no drop)? § Pinched a skin fold (e.g. an inch; less than an inch; no skin fold)? § Puncture into cleansed skin area? § Full length of the needle inserted into the skin? § Waited a second before withdrawing the needle? § Thumb grip pressed when withdrawing the needle? § Needle withdrawn at the same angle that it was inserted? § Skin fold released after withdrawing the needle? § Skin area swabbed after injection (e.g. swabbing gently; rubbing; no swabbing)? § Investigator’s assessment of patient’s confidence § Syringe disposed immediately after withdrawing the needle? § Recapping? Assistance qualityc Adherenced Knowledge § Consistency with prescribed therapy duration? § Consistency with prescribed daily injections? § Consistency with prescribed injection time? § Injection site? § Recapping? § Reason for LMWH treatment? § Potential interactions with over-the-counter medication? § Potential adverse drug reactions? § Action taken if mild injection site irritation, burning or hematoma at injection site occurred? § Action taken if sudden malaise occurred? |