a Duke Integrative Medicine and Department of Medicine , Duke University.
Health Commun. 2013;28(7):729-39. doi: 10.1080/10410236.2012.713777. Epub 2013 Jan 28.
Concurrent use of dietary supplements with over-the-counter and prescription pharmaceuticals has become increasingly common, and with this trend, so has the incidence of adverse drug-supplement interactions. In the current market, consumers have no way to distinguish between safe and potentially harmful supplements. Thus, the primary objective of this study was to test the hypothesis that messages designed to increase consumers' awareness of potential health risks of concurrent use of dietary supplements with over-the-counter and prescription pharmaceuticals would promote further consideration and action, as evidenced by (a) seeking additional information from an authoritative source or qualified health care professional and (b) changing dietary supplement usage patterns. To test this hypothesis, an innovative consumer information delivery system, referred to as the Buyer Information Network (BuyIN), was utilized. BuyIN uses currently available, Web-enabled point-of-sale (POS) technology to provide up-to-date, evidence-based, health- and safety-related messages to consumers at the retail checkout counter. Results showed that more than one-fourth (27.1%) of consumers (n = 199) who purchased targeted items reported they were aware of the messages. Of this subgroup of aware consumers, 11.2% reported that they sought additional information from a physician or pharmacist, 11.5% reported that they visited the website listed on the coupon, and 10.5% indicated that they changed their dietary supplement usage patterns as a result of the messages. Future research should include a large-scale study of a fully implemented and capable system at multiple test sites around the country, including investigating the utility of BuyIN in different retail settings.
同时使用膳食补充剂与非处方和处方药物已变得越来越普遍,随着这种趋势,药物-补充剂相互作用的不良事件发生率也在增加。在当前的市场中,消费者无法区分安全和潜在有害的补充剂。因此,本研究的主要目的是检验以下假设,即旨在提高消费者对同时使用膳食补充剂与非处方和处方药物潜在健康风险的认识的信息传递方法将促进进一步的考虑和行动,这体现在以下两个方面:(a)从权威来源或合格的医疗保健专业人员处寻求更多信息,以及(b)改变膳食补充剂的使用模式。为了检验这一假设,我们采用了一种创新的消费者信息传递系统,称为“买家信息网络”(BuyIN)。BuyIN 利用现有的、基于网络的销售点(POS)技术,在零售结账时向消费者提供最新的、基于证据的健康和安全相关信息。结果表明,超过四分之一(27.1%)购买目标商品的消费者(n=199)表示他们知道这些信息。在这个知晓信息的亚组中,11.2%的消费者表示他们向医生或药剂师寻求了更多信息,11.5%的消费者表示他们访问了优惠券上列出的网站,10.5%的消费者表示他们改变了膳食补充剂的使用模式。未来的研究应包括在全国多个测试点进行大规模的、全面实施和具有能力的系统研究,包括调查 BuyIN 在不同零售环境中的实用性。