Informed consent and the prescription of nonsteroidal antiinflammatory drugs

Katz, Jeffrey N.; Daltroy, Lawren H.; Brennan, Troyen A.; Liang, Matthew H.

doi:10.1002/art.1780351103

Cited by 46 publications

(27 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies have shown that physicians disclose less information about possible AEs 2–4 than the full disclosure that patients say they prefer. 5 Pharmacists also do not provide counseling in the majority of cases.…”

Section: Introductionmentioning

confidence: 99%

Numbers Matter to Informed Patient Choices

et al. 2013

View full text Add to dashboard Cite

Background How drug adverse events (AEs) are communicated in the United States may mislead consumers and result in low adherence. Requiring written information to include numeric AE-likelihood information might lessen these effects, but providing numbers may disadvantage less skilled populations. Objective To determine risk comprehension and willingness to use a medication when presented with numeric or non-numeric AE-likelihood information across age, numeracy, and cholesterol-lowering-drug-usage groups. Design In a cross-sectional internet survey (N=905; American Life Panel, 5/15/08–6/18/08), respondents were presented with a hypothetical prescription medication for high cholesterol. AE likelihoods were described using one of six formats (non-numeric: Consumer-Medication-Information (CMI)-like list, risk labels; numeric: percentage, frequency, risk-labels-plus-percentage, risk-labels-plus-frequency). Main outcome measures were risk comprehension (recoded to indicate presence/absence of risk overestimation and underestimation), willingness to use the medication (7-point scale; not likely=0, very likely=6), and main reason for willingness (chosen from eight predefined reasons). Results Individuals given non-numeric information were more likely to overestimate risk, less willing to take the medication, and gave different reasons than those provided numeric information across numeracy and age groups (e.g., among less numerate: 69% and 18% overestimated risks in non-numeric and numeric formats, respectively; among more numerate: these same proportions were 66% and 6%). Less numerate middle-aged and older adults, however, showed less influence of numeric format on willingness to take the medication. Limitations It is unclear whether differences are clinically meaningful although some differences are large. Conclusions Providing numeric AE-likelihood information (compared to non-numeric) is likely to increase risk comprehension across numeracy and age levels. Its effects on uptake and adherence of prescribed drugs should be similar across the population, except perhaps in older, less numerate individuals.

show abstract

Section: Introductionmentioning

confidence: 99%

Numbers Matter to Informed Patient Choices

et al. 2013

View full text Add to dashboard Cite

show abstract

“…These studies suggest that the dialogue recommended by an ethical model of informed decision making is strikingly rare. [12][13][14][15] No studies to date have examined the practices of both primary care physicians and surgeons, studied large samples, evaluated community-based settings, or evaluated the completeness of informed decision making across the full spectrum of clinical decisions in office practice.…”

Section: H Ow Well Do Physicians Fos-mentioning

confidence: 99%

Informed Decision Making in Outpatient Practice

Braddock

Edwards²,

Hasenberg³

et al. 1999

JAMA

1,052

788

View full text Add to dashboard Cite

“…The transcripts came from audiotaped clinical encounters that were recorded for a study of doctor-patient communication in a rheumatology practice at a large teaching hospital (Katz, Daltroy, Brennan, & Liang, 1992). The doctors and patients were audiotaped during their first clinical encounter; patients also completed pre-encounter surveys.…”

Section: Methodsmentioning

confidence: 99%

Quantifying Word Use to Study Health Literacy in Doctor–Patient Communication

Koch‐Weser¹,

Rudd²,

DeJong³

2010

Journal of Health Communication

View full text Add to dashboard Cite

Most health literacy research to date has assessed health literacy using either general reading tests or text-based appraisals of reading and numeracy skills, yet the definition of health literacy includes domains beyond reading ability. Effective oral communication between doctor and patient is an important component of health literacy, but only recently have efforts been made to develop measures that tap into domains beyond those that can be assessed with text-based measures. Focusing on oral exchange, this paper describes computer-assisted approaches to quantifying word use and the development of three word-use measures that can be used to study health literacy in transcripts of clinical encounters. The measures can be used to assess either the expressed literacy level of patients or the aural literacy demands made by doctors. Importantly, the computer-assisted quantitative measures described here make it possible for word use to be analyzed at a level of detail that human raters would be hard pressed to attain.

show abstract

Informed consent and the prescription of nonsteroidal antiinflammatory drugs

Cited by 46 publications

References 23 publications

Numbers Matter to Informed Patient Choices

Numbers Matter to Informed Patient Choices

Informed Decision Making in Outpatient Practice

Quantifying Word Use to Study Health Literacy in Doctor–Patient Communication

Contact Info

Product

Resources

About