Patient decision making in the face of conflicting medication information

When patients consult more than one source of information about their medications, they may encounter conflicting information. Although conflicting information has been associated with negative outcomes, including worse medication adherence, little is known about how patients make health decisions w...

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Main Authors:	Elstad, Emily, Carpenter, Delesha M., Devellis, Robert F., Blalock, Susan J.
Format:	Online
Language:	English
Published:	Co-Action Publishing 2012
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3430944/

id	pubmed-3430944
recordtype	oai_dc
spelling	pubmed-34309442012-08-30 Patient decision making in the face of conflicting medication information Elstad, Emily Carpenter, Delesha M. Devellis, Robert F. Blalock, Susan J. Empirical Studies When patients consult more than one source of information about their medications, they may encounter conflicting information. Although conflicting information has been associated with negative outcomes, including worse medication adherence, little is known about how patients make health decisions when they receive conflicting information. The objective of this study was to explore the decision making strategies that individuals with arthritis use when they receive conflicting medication information. Qualitative telephone interviews were conducted with 20 men and women with arthritis. Interview vignettes posed scenarios involving conflicting information from different sources (e.g., doctor, pharmacist, and relative), and respondents were asked how they would respond to the situation. Data analysis involved inductive coding to identify emergent themes and deductive contextualization to make meaning from the emergent themes. In response to conflicting medication information, patients used rules of thumb, trial and error, weighed benefits and risks, and sought more information, especially from a doctor. Patients relied heavily on trial and error when there was no conflicting information involved in the vignette. In contrast, patients used rules of thumb as a unique response to conflicting information. These findings increase our understanding of what patients do when they receive conflicting medication information. Given that patient exposure to conflicting information is likely to increase alongside the proliferation of medication information on the Internet, patients may benefit from assistance in identifying the most appropriate decision strategies for dealing with conflicting information, including information about best information sources. Co-Action Publishing 2012-08-28 /pmc/articles/PMC3430944/ /pubmed/22943889 http://dx.doi.org/10.3402/qhw.v7i0.18523 Text en © 2012 E. Elstad et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Elstad, Emily Carpenter, Delesha M. Devellis, Robert F. Blalock, Susan J.
spellingShingle	Elstad, Emily Carpenter, Delesha M. Devellis, Robert F. Blalock, Susan J. Patient decision making in the face of conflicting medication information
author_facet	Elstad, Emily Carpenter, Delesha M. Devellis, Robert F. Blalock, Susan J.
author_sort	Elstad, Emily
title	Patient decision making in the face of conflicting medication information
title_short	Patient decision making in the face of conflicting medication information
title_full	Patient decision making in the face of conflicting medication information
title_fullStr	Patient decision making in the face of conflicting medication information
title_full_unstemmed	Patient decision making in the face of conflicting medication information
title_sort	patient decision making in the face of conflicting medication information
description	When patients consult more than one source of information about their medications, they may encounter conflicting information. Although conflicting information has been associated with negative outcomes, including worse medication adherence, little is known about how patients make health decisions when they receive conflicting information. The objective of this study was to explore the decision making strategies that individuals with arthritis use when they receive conflicting medication information. Qualitative telephone interviews were conducted with 20 men and women with arthritis. Interview vignettes posed scenarios involving conflicting information from different sources (e.g., doctor, pharmacist, and relative), and respondents were asked how they would respond to the situation. Data analysis involved inductive coding to identify emergent themes and deductive contextualization to make meaning from the emergent themes. In response to conflicting medication information, patients used rules of thumb, trial and error, weighed benefits and risks, and sought more information, especially from a doctor. Patients relied heavily on trial and error when there was no conflicting information involved in the vignette. In contrast, patients used rules of thumb as a unique response to conflicting information. These findings increase our understanding of what patients do when they receive conflicting medication information. Given that patient exposure to conflicting information is likely to increase alongside the proliferation of medication information on the Internet, patients may benefit from assistance in identifying the most appropriate decision strategies for dealing with conflicting information, including information about best information sources.
publisher	Co-Action Publishing
publishDate	2012
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3430944/
_version_	1611553272210915328

Patient decision making in the face of conflicting medication information

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