Medication Understanding in MS

Home-based Assessment of Medication Understanding and Use in People With Multiple Sclerosis

The goal of this observational study is to learn how people with multiple sclerosis (MS) understand, organise, and use their medicines at home. The study aims to explore how people take their prescribed and non-prescribed medicines, what challenges they experience, and whether any safety issues arise in day-to-day medication use.

Participants will take part in one home visit with trained student researchers. During the visit, researchers will review all medicines and supplements the participant uses, ask about routines and any difficulties, check medication packaging with permission, and ask a brief question about memory. No treatment changes will be made. Information will be reviewed by a senior clinician, and any safety concerns will be shared with the participant's usual healthcare team.

Inclusion Criteria:

• Adults aged 18 years and over with a confirmed diagnosis of multiple sclerosis
• Living in the community (not in residential care)
• Taking at least one prescribed medication
• Able to provide informed consent or, for those without capacity to provide informed consent, with a consultee available to provide consultee declaration and provide information during home-based medication review
• Willing and able to participate in a home-based medication review

Exclusion Criteria:

• Severe cognitive or communication impairment without a consultee to provide consultee declaration and medication-related information
• Participants for whom a home visit is deemed unsafe
• Non-English speakers