We work with organisations of all sizes to improve health by changing behaviour. We optimise strategy, content and evaluation to ensure our partners implement effective, scalable adherence and support solutions for people with long term conditions and healthcare professionals.

Why partner with us

Are healthcare professionals failing to use your product in line with the licence or guidelines? Do you have an adherence issue with your product? Is your solution or communication strategy not as effective in changing health behaviour as you intended?

Clients come to us because they don’t have the expertise or capacity in-house to create effective strategies to improve adherence and change health behaviour.

What makes us different?

We’re a streamlined organisation where you’ll work directly with senior experts who combine the freshest thinking from the academic research world with a solid understanding of the regulatory, financial and timeline pressures of industry. We don’t have a platform to sell so you can be assured that the strategies and solutions we propose are independent. Our approach is instead to foster a network of specialist collaborators and we can help you identify implementation partners that are the best fit for your strategic needs.

Who we are

Who we are

Christina and Lina have over 20 years combined experience in developing adherence support for people with long term conditions and healthcare professionals. We’ve hand-picked a team of experienced external consultants who bring their expertise to projects as required.

Our commercially experienced behavioural psychologists and academic experts provide fresh thinking and cutting-edge strategy for adherence and health behaviour-change solutions and measurement.

Meet our team

PhD, CPsychol.
Partner, Sprout UK

My expertise
I’m a behavioural psychologist specialising in improving adherence to medication for long term conditions and changing healthcare professional behaviour to improve services.

My experience
I’ve been working in the adherence field for a decade, first as an academic then commercially for Atlantis Healthcare, before setting up Sprout Behaviour Change with Lina. I’ve worked on global and local initiatives to support people with various long-term conditions for 9 of the top 15 pharmaceutical companies. The work has been varied in terms of patient population, channels, level of investment, and brand life-cycle. I’ve also worked on projects focused on changing healthcare professional behaviour to improve services, including work as a speaker around adherence. I continue to be interested in research, and I retain academic links with King’s College London.

My guiding principles
I am passionate about translating the latest findings from academic research into workable, real-world solutions that can help both people with long term conditions and their healthcare team.

See my Linkedin profile for a full CV.

PhD, CPsychol
Partner, Sprout UK

My expertise
I specialise in understanding, measuring and improving treatment adherence / compliance, in clinical trials and in the real world.

My experience
My experience spans the worlds of academic research, and the commercial sector. I worked as a post-doc researcher at Imperial College London following the completion of my PhD on adherence to oral tyrosine-kinase inhibitors in chronic myeloid leukaemia. I then joined a boutique adherence consultancy where I oversaw the development, implementation and evaluation of patient and caregiver support programmes delivered by multi-disciplinary teams. I also provided training and on-going monitoring of the health professionals who delivered those interventions. Most recently I led a European Clinical Outcomes Assessment team at one of the World’s largest clinical research organisations. Over my career, I have collaborated with numerous world-leading pharmaceutical and biotech companies in the UK, European and U.S. markets across a wide range of disease categories, including oncology, haematology, gastroenterology, neurology, OBGYN and paediatric neurodegenerative disorders.

My guiding principles
I value transparency in processes and communication, and having the freedom to recommend the best possible strategies for my clients.

For more details about my career, please view my LinkedIn profile.

PhD, MSc
Partner, Sprout US

 My expertise
I am a health psychologist with research and consulting expertise in patient-centered outcomes and treatment adherence/compliance.

My experience
I have over 20 years’ experience in health research; including over 10 years’ experience consulting with the life sciences industry.  For my PhD, I designed and conducted treatment adherence-related studies at the London/UCL School of Pharmacy, and my research helped inform the foundation of the New Medicines Service, a community pharmacy-delivered service in England to support patients with their prescribed medication. 

For the last ten years I have worked in clinical research organisations (CROs) within the US, providing research, consulting and strategy to a wide range of US and international pharmaceutical and medical device companies. Most recently I was the US west coast Divisional Principal for a large CRO, leading a multi-disciplinary patient-centered outcomes team.  I have experience across a broad range of therapeutic areas, including gastroenterology, respiratory, rheumatology, and immunology.

My guiding principles
I am driven by a desire to have a meaningful impact on the lives of patients with chronic diseases. I enjoy supporting clients in designing patient-centered approaches to assessing outcomes from clinical trials or real world studies, and creating patient support program solutions to tackle the issues associated with chronic disease management.

Senior Project Manager

My expertise
I am a Senior Project Manager specialising in setting up and delivering pharma-led projects, behaviour change initiatives and patient support programmes.

My experience
My experience includes account management, project management and resource management. With over five years’ experience in the pharma industry, I’ve worked with many of the top pharmaceutical companies on a variety of projects. These range from multi-channel international patient support programmes to discrete local projects to disease awareness initiatives.

My guiding principles
As a project manager, my guiding principle is to always be prepared – as well as on time and to budget!

For more details about my career, please follow this link to my LinkedIn profile.

Senior Project Manager, External Consultant

My expertise
I’m a Senior Project Manager specialising in pharma, wellness, patient support and behaviour change projects.

My experience
My background over the last 8 years has been client service, account management and project management in medical communications, healthcare advertising and most recently in patient behaviour change and adherence support programmes. I’ve worked on large and small, global and local projects for many of the top pharmaceutical companies in a number of areas including cardiovascular, gastroenterology, dermatology, oncology and rare disease. I enjoy planning, organising and bringing together a wide range of stakeholders to deliver evidence-based programmes that provide valued support to patients. 

My guiding principles
I am passionate about supporting patient populations whilst providing exceptional client service, delivering projects on time and budget.

For more details about my career, please follow this link to my LinkedIn profile.

PhD, Certified Health and Wellness Coach
External Consultant Clinical Lead

My expertise
I have a PhD in Health Psychology with a focus in public health. I specialize in improving patient adherence to treatment recommendations, specifically exercise.

My experience
I have experience working with and for patients in a variety of contexts from community health initiatives to primary care, working in academic, clinical and commercial settings.  I have developed community initiatives to enhance understanding of how emotions impact health behaviour and the personal, social and environmental impacts on patient adherence. Using psychological theory and techniques I have developed and delivered interventions for patients with chronic conditions, with a focus on enhancing exercise adherence in patients with chronic pain. I have also worked on projects to improve healthcare services and impact. I am a certified Health and Wellness Coach and work one on one with patients to implement long lasting behaviour change to support adherence to healthcare provider recommendations.  I enjoy working with both patients and healthcare providers to explore ways in which to best support patients adhere to treatment recommendations.

My guiding principles
I am passionate in translating research into practice. I enjoy working with multi-disciplinary teams to explore and understand behaviour in order to identify and develop scalable programmes.

For more details about my career, please follow this link to my LinkedIn profile.

BPharm PhD FRPharmS
External Consultant
Emeritus Professor of Pharmacy, UCL School of Pharmacy, London UK
Mentor in Chief, Improvement Research Institute (holding title) University of Cambridge UK

My expertise
I am a pharmacist whose research has found ways to understand how to remove unnecessary harm and distress caused by the (mis)use of medicines. I focus on multidisciplinary work to improve prescribing and adherence, and to reduce errors. I have published over 200 papers in this field (see my profile in Google Scholar)

My experience
I ran hospital pharmacies before becoming an academic; more recently I have been research director at The Health Foundation, researching ways to improve health systems. I have worked with a range of disciplinary experts, from philosophers to mathematical modellers, and have spent many years working with LSE on health technology evaluations. The New Medicines Service in England is based on my research and I helped form the service. It has recently been shown to save the NHS £0.5bn and add 180,000 quality adjusted life years. More recently my interest has extended improving health services; particularly the use of systems theory to develop and evaluate complex adaptive systems.  I am a former Vice-President of the Royal Pharmaceutical Society of GB and hold their Lifetime Achievement Award and the Gold Medal of the Guild of Healthcare Pharmacists. I presented the BBC series The Victorian Pharmacy.

My guiding principles
The guiding principle to all my work has been to find out the right things to do and then do them right.

What we do

Service areas

We use the same methodologies to understand and change behaviours of people with long term conditions and healthcare professionals.

Strategic Recommendations

We ground our strategies in robust evidence relating to behavioural drivers and solutions to change behaviour.

  • Systematic and narrative literature reviews
  • Review and reanalysis of your existing market research
  • Qualitative and quantitative primary research, or liaison with your research partners
  • Identification and evaluation of behaviour-change techniques in existing programmes and materials

Behaviour-Change Tactics

We use a transparent, theory-driven approach to maximise impact on behaviour.

  • Selection and mapping of behaviour-change techniques to underlying behavioural drivers and barriers
  • Development of effective content and training materials for all solution stakeholders (patients, healthcare professionals and internal stakeholders)
  • Data-driven or theory driven algorithms to drive individualised solutions
  • Identification of appropriate providers for implementation

Measurement and Evaluation

We help you to assess and demonstrate value from your behaviour-change initiatives. We help you control for adherence confounding results in clinical trials and observational studies.

  • Evaluate success of solutions and deliver continuous improvement plans
  • Dissemination and publication strategy
  • Identification, development and validation of adherence measurements
  • Strategic advice on adherence endpoints and analysis


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