Gebreyohannes Eyob Alemayehu, Thornton Christopher, Thiessen Myra, de Vries Sieta T, Coombs Gretchen, Hwang Indae, Lim Renly
Quality Use of Medicines and Pharmacy Research Centre, UniSA Clinical and Health Sciences, University of South Australia, Adelaide, 5000, Australia.
School of Allied Health, The University of Western Australia, Perth, Australia.
Drug Saf. 2025 Feb;48(2):179-190. doi: 10.1007/s40264-024-01489-3. Epub 2024 Nov 2.
Reporting of adverse drug events (ADEs) to regulatory authorities remains low, particularly among consumers.
To explore stakeholders' views on the development and use of a digital platform to improve ADE reporting by consumers to the regulatory authority in Australia, i.e., the Therapeutic Goods Administration.
A qualitative study was conducted using semi-structured interviews, focus group discussions (FGDs), and co-design workshops with consumers, healthcare professionals (HCPs), and regulators. The interview recordings were transcribed verbatim, coded, and analysed thematically according to the Capability, Opportunity, Motivation, Behaviour model. Findings of the FGDs and co-design workshops were incorporated to enhance and complement the insights gathered from the interviews.
A total of 39 participants took part in the study (54 % consumers, 41 % HCPs, and 5 % regulators). Uncovered themes related to ADE reporting in general were: difficulty recognizing ADEs and health literacy, awareness about reporting ADEs (Capability); visibility of ADE reporting, professionals' views on consumer ADE reporting, consumer education (Opportunity); the common good, benefit to the reporter, identifying ADEs worth reporting, and concern about reporting (Motivation). Additional identified themes specific to a new digital platform were: physical abilities (Capability); features that facilitate intuitive use, convenience and accessibility, user experience, integration with existing systems, trust, sharing experiences with others (Opportunity); and concern about using a reporting platform, and feedback loop (Motivation).
A cross-section of attitudes and values were obtained regarding ADE reporting in general and a new ADE reporting digital platform for consumers in Australia, which will inform its development, implementation and evaluation.
向监管机构报告药品不良事件(ADEs)的比例仍然很低,尤其是在消费者中。
探讨利益相关者对于开发和使用数字平台以改善澳大利亚消费者向监管机构(即治疗用品管理局)报告ADEs的看法。
采用定性研究方法,对消费者、医疗保健专业人员(HCPs)和监管者进行半结构化访谈、焦点小组讨论(FGDs)和协同设计研讨会。访谈录音逐字转录、编码,并根据能力、机会、动机、行为模型进行主题分析。FGDs和协同设计研讨会的结果被纳入,以增强和补充从访谈中收集到的见解。
共有39名参与者参与了该研究(54%为消费者,41%为HCPs,5%为监管者)。与一般ADE报告相关的主题包括:识别ADEs的困难和健康素养、对报告ADEs的认识(能力);ADE报告的可见性、专业人员对消费者ADE报告的看法、消费者教育(机会);公共利益、对报告者的益处、识别值得报告的ADEs以及对报告的担忧(动机)。针对新数字平台的其他特定主题包括:身体能力(能力);便于直观使用、方便性和可及性、用户体验、与现有系统集成、信任、与他人分享经验的功能(机会);以及对使用报告平台的担忧和反馈循环(动机)。
获得了关于一般ADE报告以及澳大利亚面向消费者的新ADE报告数字平台的一系列态度和价值观,这将为其开发、实施和评估提供参考。