The attitude and acceptability towards medical promotional tools and their influence on physicians’ prescribing practices in Jordan and Iraq: a cross-sectional study

Ali, Karrar Ehsan; Naser, Abdallah Y; Al-Rousan, Rabaa M.; Alwafi, Hassan; AbuAlhommos, Amal Khaleel; Alsairafi, Zahra Khalil; Salawati, Emad; Samannodi, Mohammed; Dairi, Mohammad S

doi:10.1186/s12913-022-07525-1

Cited by 7 publications

(6 citation statements)

References 35 publications

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“…The relationship among health care providers, patients, and industrial device representatives is a conditio sine qua non in the field of neuromodulation. Despite the disputable role of industry-sponsored randomized controlled trials of drugs and medical devices toward more favorable results compared with non–industry-sponsored trials [ 46 ] and the influence of medical promotional tools provided by medical representatives on physicians’ prescribing practices [ 47 ], in total, 43.5% of the retrieved information referred to a specific industrial partner (directly or indirectly). Notwithstanding the considerable involvement of device manufacturers, web-based information is not limited to commercial information about the different types of materials and IPGs, as revealed by the heterogeneity of detected themes and subthemes in the content analysis.…”

Section: Discussionmentioning

confidence: 99%

Examining the Type, Quality, and Content of Web-Based Information for People With Chronic Pain Interested in Spinal Cord Stimulation: Social Listening Study

Moens,

Van Doorslaer,

Billot

et al. 2024

J Med Internet Res

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Background The increased availability of web-based medical information has encouraged patients with chronic pain to seek health care information from multiple sources, such as consultation with health care providers combined with web-based information. The type and quality of information that is available on the web is very heterogeneous, in terms of content, reliability, and trustworthiness. To date, no studies have evaluated what information is available about neuromodulation on the web for patients with chronic pain. Objective This study aims to explore the type, quality, and content of web-based information regarding spinal cord stimulation (SCS) for chronic pain that is freely available and targeted at health care consumers. Methods The social listening tool Awario was used to search Facebook (Meta Platforms, Inc), Twitter (Twitter, Inc), YouTube (Google LLC), Instagram (Meta Platforms, Inc), blogs, and the web for suitable hits with “pain” and “neuromodulation” as keywords. Quality appraisal of the extracted information was performed using the DISCERN instrument. A thematic analysis through inductive coding was conducted. Results The initial search identified 2174 entries, of which 630 (28.98%) entries were eventually withheld, which could be categorized as web pages, including news and blogs (114/630, 18.1%); Reddit (Reddit, Inc) posts (32/630, 5.1%); Vimeo (Vimeo, Inc) hits (38/630, 6%); or YouTube (Google LLC) hits (446/630, 70.8%). Most posts originated in the United States (519/630, 82.4%). Regarding the content of information, 66.2% (383/579) of the entries discussed (fully discussed or partially discussed) how SCS works. In total, 55.6% (322/579) of the entries did not elaborate on the fact that there may be >1 potential treatment choice and 47.7% (276/579) did not discuss the influence of SCS on the overall quality of life. The inductive coding revealed 4 main themes. The first theme of pain and the burden of pain (1274/8886, 14.34% coding references) explained about pain, pain management, individual impact of pain, and patient experiences. The second theme included neuromodulation as a treatment approach (3258/8886, 36.66% coding references), incorporating the background on neuromodulation, patient-centered care, SCS therapy, and risks. Third, several device-related aspects (1722/8886, 19.38% coding references) were presented. As a final theme, patient benefits and testimonials of treatment with SCS (2632/8886, 29.62% coding references) were revealed with subthemes regarding patient benefits, eligibility, and testimonials and expectations. Conclusions Health care consumers have access to web-based information about SCS, where details about the surgical procedures, the type of material, working mechanisms, risks, patient expectations, testimonials, and the potential benefits of this therapy are discussed. The reliability, trustworthiness, and correctness of web-based sources should be carefully considered before automatically relying on the content.

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Section: Discussionmentioning

confidence: 99%

Examining the Type, Quality, and Content of Web-Based Information for People With Chronic Pain Interested in Spinal Cord Stimulation: Social Listening Study

Moens,

Van Doorslaer,

Billot

et al. 2024

J Med Internet Res

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“…Data analysis was an ongoing process which started during data collection and proceeded iteratively. The interviews were transcribed by NHH or WNAWI, checked by HS and read repeatedly to gain an overall sponsor's medication which could lead to irrational prescribing [9][10][11][12][13]. A study reported that 75% of their studied population felt that information given by pharmaceutical representatives is 'not trustworthy' while 47.6% felt that the information provided to them helps them to learn about new drugs and to keep them updated [14].…”

Section: Discussionmentioning

confidence: 99%

Views and Factors Influencing Primary Care Practitioner (PCP) Interactions With the Pharmaceutical Industry’s Representatives in Malaysia: A Multi-sectors Qualitative Study

Salim,

Lee,

Ching

et al. 2023

MJMHS

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Introduction: Pharmaceutical companies invested billions in direct marketing to medical practitioners as it increased sales of prescription drugs. Medical professionals believed that their decision-makings was not influenced by such interactions, but studies have shown that engaging with the industry and accepting gifts might lead to impulses to reciprocate, such as prescribing marketed drugs. This study explored the views and experiences of PCP on interactions with the pharmaceutical industry’s representatives. Methods: We used qualitative methods using semi-structured interviews among primary care practitioners from three sectors; academic, public and private. Participants were purposively sampled from various sectors. Interviews were audio-recorded, transcribed verbatim, and analysed thematically. Results: A total of 32 participants were interviewed. The ages of the participants ranged from 33 to 53 years. Most of the participants were female, of Malay ethnicity and from the public sector. Four themes emerged from the analysis: (1) Perceived impact of interactions on prescribing habits, (2) Perceived benefit and harm of interactions, (3) Previous positive or negative encounters, (4) the role of geographical, organisational and policy. Conclusion: The study highlighted the views and factors influencing PCP interactions with the representatives of the pharmaceutical industry in Malaysia. Understanding PCPs’ viewpoints on such interactions could help PCP better navigate their future interactions without compromising their clinical decision-making through multi-agency collaborations and actions.

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“…from Iraq and Jordon has even reported that some MRs have a negative attitude toward their competitors’ products. [ 32 ]…”

Section: Discussionmentioning

confidence: 99%

Views and Perceptions of Medical Representatives and Physicians about the Role of Medical Representatives and Pharmaceutical Advertisement in Saudi Arabia – A Pilot Study

Faqeh,

Alansari,

Althagafi

et al. 2022

Journal of Research in Pharmacy Practice

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A BSTRACT Objective: Medical representatives (MRs) frequently interact with physicians who may have different perceptions about and expectations from product promotional activities by pharmaceutical companies, especially through MRs. This can affect their prescribing practice. We explored the views and perceptions of MRs and physicians about the role of MRs and pharmaceutical advertisements in Saudi Arabia. Methods: Semi-structured interviews were conducted virtually through the ZOOM application with five MRs and five physicians from July to October 2022. The participants were recruited from the Makkah region in Saudi Arabia on a convenience sampling basis and through the snowballing method. The interviews were recorded with the consent of the participants, transcribed verbatim, and thematically analyzed. Findings: Data saturation was found to be achieved with four interviews from each group of participants. Thematic analysis generated 338 codes which were categorized into 31 subthemes. These subthemes were further categorized into 11 overarching themes: “MR daily work,” “Role of MRs in healthcare and their future,” “Value of MRs in healthcare,” “Pros and cons of the MR career,” “MRs in the COVID-19 pandemic,” “Differences between the pharmaceutical companies,” “Goods and not-so-goods about the MRs,” “Suggestions provided by physicians for MRs and pharmaceutical companies,” “Marketing strategies of different pharmaceutical companies,” “Experience of MRs” and “Support provided by pharmaceutical companies.” Conclusion: Our pilot study sheds light on the role of MRs and pharmaceutical advertisement from MRs’ and physicians perspectives. Several recommendations can be drawn from our findings to make the interactions between MRs and physicians more effective and improve pharmaceutical advertisement, prescribing practices, and patient care.

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The attitude and acceptability towards medical promotional tools and their influence on physicians’ prescribing practices in Jordan and Iraq: a cross-sectional study

Cited by 7 publications

References 35 publications

Examining the Type, Quality, and Content of Web-Based Information for People With Chronic Pain Interested in Spinal Cord Stimulation: Social Listening Study

Examining the Type, Quality, and Content of Web-Based Information for People With Chronic Pain Interested in Spinal Cord Stimulation: Social Listening Study

Views and Factors Influencing Primary Care Practitioner (PCP) Interactions With the Pharmaceutical Industry’s Representatives in Malaysia: A Multi-sectors Qualitative Study

Views and Perceptions of Medical Representatives and Physicians about the Role of Medical Representatives and Pharmaceutical Advertisement in Saudi Arabia – A Pilot Study

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