Screening Questions for Nonsteroidal Anti-inflammatory Drug Risk Knowledge
Department of Quantitative Health Sciences
Chemicals and Drugs | Community Health and Preventive Medicine | Health Services Research | Public Health Education and Promotion
OBJECTIVE: The aim of this study was to evaluate screening questions for estimating nonsteroidal anti-inflammatory drug (NSAID) risk knowledge.
METHODS: Cross-sectional data from a telephone interview of NSAID users 50 years or older from 39 physician practices in Alabama were used. Patient-reported awareness of prescription NSAID risk and health literacy were the independent variables, and a cumulative index score of objectively tested knowledge of 4 prominent NSAID risks was the dependent variable. General linearized latent and mixed model ordered logistic regression was used to estimate associations among the independent variables, covariates, and objectively tested NSAID risk knowledge. Population-averaged probabilities for levels of objectively tested NSAID risk knowledge were subsequently estimated.
RESULTS: Subjective awareness of any prescription NSAID risk (adjusted odds ratio [AOR], 2.40; 95% confidence interval [CI], 1.55-3.74), adequate health literacy (AOR, 1.71; 95% CI, 1.04-2.83), and physician counseling about 1 or more NSAID risks (AOR, 1.69; 95% CI, 1.09-2.61) were significantly and positively associated with NSAID risk knowledge. The probability of correctly answering at least 1 of the 4 NSAID risk knowledge questions was 70% in the absence of any subjective risk awareness and in less than adequate health literacy. Whereas the probability of correctly answering at least 1 of the 4 NSAID risk knowledge questions increased to 86% in the presence of subjective awareness of any prescription NSAID risk and adequate health literacy.
CONCLUSIONS: Screening questions for subjective NSAID risk awareness and health literacy are predictive of objectively tested NSAID knowledge and can be used to triage patients as well as subsequently initiate and direct a conversation about NSAID risk.
nonsteroidal anti-inflammatory agents, risk assessment, health communication
DOI of Published Version
J Patient Saf. 2014 Oct 1. Link to article on publisher's site. [Epub ahead of print]
Journal of patient safety
van den Bogert, Cornelis A.; University of Oklahoma Health Sciences Center; Cobaugh, Daniel J.; Chen, Lang; Allison, Jeroan J.; and Saag, Kenneth G., "Screening Questions for Nonsteroidal Anti-inflammatory Drug Risk Knowledge" (2014). University of Massachusetts Medical School Faculty Publications. 652.