Evaluating the effectiveness of a patient storytelling DVD intervention to encourage physician-patient communication about nonsteroidal anti-inflammatory drug (NSAID) use.

Academic Article

Abstract

  • 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.
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    Keywords

  • NSAIDs, Nonsteroidal anti-inflammatory drugs, Risk communication, Storytelling, Adult, Aged, Alabama, Anti-Inflammatory Agents, Non-Steroidal, Communication, Cultural Competency, Drug-Related Side Effects and Adverse Reactions, Ethnic Groups, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Patient Participation, Physician-Patient Relations, Video Recording
  • Digital Object Identifier (doi)

    Author List

  • Miller MJ; Weech-Maldonado R; Outman RC; Ray MN; Gary LC; Chen L; Cobaugh DJ; Allison JJ; Saag KG
  • Start Page

  • 1837
  • End Page

  • 1844
  • Volume

  • 99
  • Issue

  • 11