Koo Michelle M, Krass Ines, Aslani Parisa
Faculty of Pharmacy, University of Sydney, Sydney, NSW, Australia.
Ann Pharmacother. 2005 Sep;39(9):1434-40. doi: 10.1345/aph.1G118. Epub 2005 Jul 26.
Written medicine information (WMI) is considered an important component of patient education. Despite the wealth of information on many aspects of WMI, there is a paucity of studies examining how patient characteristics influence use and evaluation of WMI.
To investigate the influence of patient characteristics on the evaluation and intended future use of consumer medicine information (CMI), a form of WMI.
A questionnaire was administered to patients from 3 rheumatology/pain clinics in teaching hospitals and 40 community pharmacies. The questionnaire examined patients' perceptions of CMI (comprehension, perceived usefulness, design rating) and likelihood of using CMI in the future. Information on patient characteristics (demographic data, health literacy level) was also collected. Multiple regression analysis was used to examine associations between patient characteristics and their evaluation and intended future use of CMI.
A total of 479 patients participated. Comprehension of CMI was associated with speaking primarily English at home, having attained secondary education or higher, and having adequate health literacy levels. Perceived usefulness of CMI was influenced by age and number of medications. Design rating was influenced by type of CMI, patient age, gender, and highest level of education. Intended future use was affected by health literacy level. In addition to individual patient characteristics, overall comprehension and perceived usefulness of CMI also influenced its intended future use.
Patient characteristics were found to influence evaluation and intended future use of CMI. These findings should be taken into consideration in future research, development of WMI, and education of patients in everyday practice.
书面医学信息(WMI)被视为患者教育的重要组成部分。尽管有大量关于WMI诸多方面的信息,但研究患者特征如何影响WMI的使用和评估的却很少。
研究患者特征对消费者医学信息(CMI,一种WMI形式)的评估及未来使用意愿的影响。
对来自教学医院的3家风湿病/疼痛诊所及40家社区药房的患者进行问卷调查。问卷考察了患者对CMI的认知(理解程度、感知有用性、设计评分)以及未来使用CMI的可能性。同时收集了患者特征信息(人口统计学数据、健康素养水平)。采用多元回归分析来检验患者特征与其对CMI的评估及未来使用意愿之间的关联。
共有479名患者参与。对CMI的理解与在家主要说英语、接受过中等及以上教育以及具备足够的健康素养水平相关。CMI的感知有用性受年龄和用药数量影响。设计评分受CMI类型、患者年龄、性别及最高教育水平影响。未来使用意愿受健康素养水平影响。除患者个体特征外,CMI的总体理解和感知有用性也影响其未来使用意愿。
发现患者特征会影响CMI的评估及未来使用意愿。在未来研究、WMI的开发以及日常实践中的患者教育中应考虑这些发现。