Notably, patient request was most frequently reported as the least common reason for initiation, highlighting a worrying trend in the literature that patient choice and informed consent are often not prioritised prior to starting an MCA. 2 , 23 Hereafter, it is imperative that research looks into patients' and carers' views on MCAs and the alternatives available to them, in order to bring patient autonomy back to the forefront of aiding medication compliance.
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