Experiences of and attitudes towards receiving information about non-steroidal anti-inflammatory drugs: a cross-sectional survey of patients in Thailand

Jarernsiripornkul, Narumol; Phueanpinit, Pacharaporn; Pongwecharak, Juraporn; Krska, Janet

doi:10.1517/14740338.2016.1139571

Cited by 22 publications

(35 citation statements)

References 40 publications

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“…Information communicated to patients using NSAIDS varied between different health professionals, but also depended on type of NSAID and duration of use. Pharmacists in both hospital and community provided general information on administration and indication, which was consistent with our previous survey of NSAID users, a high proportion of whom reported receiving such information . However, the present study suggests physicians did not always offer this information, which may contribute to the apparent confusion, mentioned by some pharmacists.…”

Section: Discussionsupporting

confidence: 87%

“…Patients on the other hand have indicated that, while the majority receive information about how to use NSAIDs and their indication, fewer than half report receiving information about side effects and they perceive the risks of NSAIDs as generally low . The findings from this survey do, however, concur with those of health professionals, in that attitudes towards receiving written information in the form of PILs were positive . Such leaflets are not, however, widely available in Thailand, despite evidence that they can improve patient knowledge of medicines .…”

Section: Introductionmentioning

confidence: 47%

“…Although most interviewees claimed they informed patients of adverse effects, this was selective, as has been found elsewhere, emphasizing GI complications. This was also reflected in our survey of NSAID users, fewer than half of whom recalled receiving information about adverse effects . Reasons given for providing selected information varied, but included trading, time available, patients’ age and their perceived ability to understand.…”

Section: Discussionmentioning

confidence: 91%

“…A US study found that physicians and pharmacists are the information sources regarding NSAID risks that most NSAID users prefer to access, while almost all Thai patients considered both professional groups had a role to play in providing information about ADRs . Moreover, studies in the US and Canada show that both play major roles in communicating with patients to improve their awareness of these risks and their recommendations can affect patients’ choices in purchasing an NSAID over the counter .…”

Section: Introductionmentioning

confidence: 99%

“…[20] The findings from this survey do, however, concur with those of health professionals, in that attitudes towards receiving written information in the form of PILs were positive. [21] Such leaflets are not, however, widely available in Thailand, despite evidence that they can improve patient knowledge of medicines. [22] A small survey of PILs for NSAIDs in community pharmacies showed that these are not generally available for locally manufactured generic products.…”

Section: Introductionmentioning

confidence: 99%

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Practices of healthcare professionals in communicating with nonsteroidal anti-inflammatory drug users in Thailand: a qualitative study

Jarernsiripornkul

Phueanpinit

Pongwecharak

et al. 2019

International Journal of Pharmacy Practice

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Objective This study aimed to explore practices among healthcare professionals in nonsteroidal anti‐inflammatory drug (NSAID) information provision. Methods In‐depth interviews were conducted with orthopaedic physicians (OPs), hospital and community pharmacists (CPs) in northeastern Thailand. Ten hospitals and 20 pharmacies in five provinces were purposively selected. Interviews followed a topic guideline, were audio‐recorded, transcribed verbatim and analysed using a framework approach. Key findings Fifty‐one participants were involved: 13 OPs, 20 hospital pharmacists and 18 CPs. Four main themes emerged: general information, safety information, differences between new and regular NSAID users and non‐selective and selective NSAID users. Pharmacists mostly provided information on administration and indication. While all three groups informed of adverse effects, this was selective, related to factors including trading, time available, patients’ age and perceived ability to understand. Gastrointestinal adverse effect information was most commonly provided, with other side effects, drug interactions and need to monitor for adverse effects rarely mentioned. Variation was reported in provision of safety information depending on whether patients were using selective or non‐selective NSAIDs, and new or long‐term users. Conclusions The content and frequency of NSAID information provision varied between health professionals. Greater awareness of NSAID risks is essential; therefore, strategies to improve information provision to Thai patients are desirable.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Practices of healthcare professionals in communicating with nonsteroidal anti-inflammatory drug users in Thailand: a qualitative study

Jarernsiripornkul

Phueanpinit

Pongwecharak

et al. 2019

International Journal of Pharmacy Practice

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Knowledge and perceptions of the risks of non-steroidal anti-inflammatory drugs among orthopaedic patients in Thailand

et al. 2016

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Background There is a high incidence of adverse effects from non-steroidal antiinflammatory drugs (NSAIDs) in Thailand, but patients' perceptions and knowledge of NSAID risks is unknown. Objective This study aims to assess patients' perceptions and knowledge of NSAID risks and factors affecting them. Setting University hospital in North-East of Thailand. Method A Cross-sectional study conducted over 4 months, using a self-administered questionnaire. Patients prescribed NSAIDs for at least one month duration from orthopaedic clinic were recruited using systematic random sampling. Main outcome measure Patients' perceptions on NSAID risks, knowledge on risk factors, and their associated factors. Results A total of 474 questionnaires were assessed. Overall perceptions of risks was low (scoring below five on a 0-10 visual analogue scale), with risks associated with the renal system scoring highest. Perceived risk of gastrointestinal problems differed between patients using non-selective and selective NSAIDs (3.47 ± 2.75 vs 2.06 ± 2.98; P < 0.001). Receiving side effect information from a health professional was associated with higher risk perception. Most patients (80 %) identified high doses, renal disease and gastrointestinal ulcer increased risks of NSAIDs, but fewer than half recognized that use in the elderly, multiple NSAID use, drinking, hypertension and cardiovascular disease also increased risk of adverse events. Having underlying diseases and receiving side effect information were associated with 1.6-2.0 fold increased knowledge of NSAID risks. Conclusion Perceptions and knowledge concerning NSAID risks was generally low in Thai patients, but higher in those who had received side effect information. Risk-related information should be widely provided, especially in high-risk patients.

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Survey of outpatients’ use and needs of patient medicine information leaflets in Thailand

2018

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Experiences of and attitudes towards receiving information about non-steroidal anti-inflammatory drugs: a cross-sectional survey of patients in Thailand

Cited by 22 publications

References 40 publications

Practices of healthcare professionals in communicating with nonsteroidal anti-inflammatory drug users in Thailand: a qualitative study

Practices of healthcare professionals in communicating with nonsteroidal anti-inflammatory drug users in Thailand: a qualitative study

Knowledge and perceptions of the risks of non-steroidal anti-inflammatory drugs among orthopaedic patients in Thailand

Survey of outpatients’ use and needs of patient medicine information leaflets in Thailand

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