Aspects influencing patients' preferences for the management of drug-drug interactions: A focus group study

Autor: Heringa, Mette, Floor-Schreudering, Annemieke, De Smet, Peter A G M, Bouvy, Marcel L, Afd Pharmacoepi & Clinical Pharmacology, Pharmacoepidemiology and Clinical Pharmacology
Přispěvatelé: Afd Pharmacoepi & Clinical Pharmacology, Pharmacoepidemiology and Clinical Pharmacology
Rok vydání: 2018
Předmět:
Adult
Male
Drug
Communitypharmacyservices
Drug-Related Side Effects and Adverse Reactions
media_common.quotation_subject
Applied psychology
Community Pharmacy Services
Pharmacists
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Patientpreferences
03 medical and health sciences
0302 clinical medicine
Drug–druginteractions
Taverne
Health care
Openness to experience
Humans
Drug Interactions
030212 general & internal medicine
Qualitative Research
media_common
Shareddecisionmaking
business.industry
030503 health policy & services
Cardiovascular Agents
Patient Preference
General Medicine
Focus Groups
Middle Aged
Focus group
Risk perception
Interdependence
Cardiovascular Diseases
Female
Patient Participation
Thematic analysis
0305 other medical science
Psychology
business
Choicebehavior
Qualitative research
Zdroj: Patient Education and Counseling, 101, 4, pp. 723-729
Patient Education and Counseling, 101(4), 723. Elsevier Ireland Ltd.
Patient Education and Counseling, 101, 723-729
ISSN: 0738-3991
Popis: Item does not contain fulltext OBJECTIVE: The management of drug-drug interactions (DDIs) involves a complex risk-benefit assessment, in which patients' preferences should be taken into account. The aim of this study was to examine the aspects influencing patients' preferences with regard to DDI management options. METHODS: A qualitative study consisting of five focus groups with patients chronically using cardiovascular drugs was conducted. Key questions concerned preferences regarding DDI management options for a provided fictitious DDI. Thematic analysis of the verbatim transcripts was performed. RESULTS: Despite their limited knowledge with respect to DDIs, patients easily chose a management option for the presented DDI. When additional information was provided, preferences showed to be fluid. Ten interdependent aspects influencing preferences were derived from patients' argumentations: risk perception, fear, acceptance of uncertainty, openness to change, willingness to take risk, trust in health care professional, financial & practical burdens, health condition, experience, and knowledge & assumptions. CONCLUSION: Patients' preferences regarding DDI management options were often determined by provided information. Preferences were dependent on an interplay of diverse aspects. PRACTICE IMPLICATIONS: Tailored provision of information and individualized counseling is needed for active patient involvement in DDI decision making.
Databáze: OpenAIRE
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