Evaluating the effectiveness of a patient storytelling DVD intervention to encourage physician-patient communication about nonsteroidal anti-inflammatory drug (NSAID) use
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Authors
Miller, Michael J.Weech-Maldonado, Robert
Outman, Ryan C.
Ray, Midge N.
Gary, Lisa C.
Chen, Lang
Cobaugh, Daniel J.
Allison, Jeroan J.
Saag, Kenneth G.
UMass Chan Affiliations
Department of Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
2016-11-01Keywords
NSAIDsNonsteroidal anti-inflammatory drugs
Risk communication
Storytelling
Health Communication
Health Psychology
Health Services Administration
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OBJECTIVE: To evaluate the effectiveness of a culturally-sensitive, patient storytelling intervention to enhance physician-patient communication about NSAID risk. METHODS: A group randomized trial of 40 medical practices in Alabama was conducted. Patients within intervention practices received a 13-minute DVD that included patient stories related to their experiences with NSAIDs, adverse effects, and importance of communication with their physicians. The proportion of patients who: (1) spoke with their physician about NSAID risk; and (2) used both prescription and over-the-counter (OTC) NSAIDS were primary outcomes. Generalized estimating equations for panel data were used for analysis. RESULTS: Intention-to-treat analyses revealed no significant differences between intervention (n=102) and control (n=106) groups for patients speaking with their physician about NSAID risk or concomitant use of prescription/OTC NSAIDs (Odds Ratio [OR]=1.11, p=0.670; OR=0.87, p=0.632, respectively). For 54% of patients who watched the DVD, per-protocol (PP) analyses trended toward increased odds of patients speaking with their physician about prescription NSAID risk compared to the control group [OR=1.37, p=0.354] and lower odds of concomitant prescription/OTC NSAIDs use [OR=0.79, p=0.486]. CONCLUSIONS: A patient storytelling intervention in DVD format alone may not increase patient-physician interaction. PRACTICE IMPLICATIONS: Strategies that facilitate use of patient educational materials delivered by DVD are needed.Source
Patient Educ Couns. 2016 Nov;99(11):1837-1844. doi: 10.1016/j.pec.2016.06.013. Epub 2016 Jun 18. Link to article on publisher's siteDOI
10.1016/j.pec.2016.06.013Permanent Link to this Item
http://hdl.handle.net/20.500.14038/28846PubMed ID
27380647Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1016/j.pec.2016.06.013