[Information and active patient participation using an interactive booklet in the prescription of antihypertensive drugs in primary care].

Titre[Information and active patient participation using an interactive booklet in the prescription of antihypertensive drugs in primary care].
Publication TypeJournal Article
Year of Publication2013
AuthorsKeriel-Gascou, M, Badet-Phan, A, Le Pogam, M-A, Figon, S, Letrilliart, L, Gueyffier, F, Chaneliére, M, Buchet-Poyau, K, Duclos, A, Colin, C
JournalSante Publique
Volume25
Issue2
Pagination193-201
Date Published2013 Mar-Apr
ISSN0995-3914
Mots-clésAdult, Aged, Aged, 80 and over, Antihypertensive Agents, Delphi Technique, Drug Information Services, Female, France, Humans, Male, Middle Aged, Pamphlets, Patient Education as Topic, Patient Participation, Primary Health Care
Abstract

AIM: Antihypertensive drugs are thought to be responsible for adverse drug events in 25% of patients, with severe consequences in 13% of cases. The purpose of this study was to develop an interactive booklet designed to inform and involve patients with a view to preventing adverse drug events.

METHODS: The development of the booklet involved several stages, including a literature review, a Delphi survey, a readability assessment, a qualitative study in primary care, a revision process, and graphic design work. 27 experts (patients, general practitioners, public health practitioners, cardiologists, geriatricians, psychologists, economists, pharmacists, nurses and ethicists) participated in the Delphi survey, while the qualitative study was based on a sample that included 7 doctors, 13 patients and 2 healthcare assistants.

RESULTS: We developed an interactive booklet containing information items on the benefits and risks of antihypertensive drugs, a care plan to be completed by the patient, and a form for reporting adverse drug events. Ambiguous sentences and incomprehensible medical terms were rephrased. The time required to present the booklet and ease of use were key acceptability criteria for caregivers. Among the patients, the study found that interest in the booklet required clear evidence of an expected benefit.

CONCLUSION: An understandable and acceptable interactive booklet was developed using a systematic process to prevent severe adverse drug events in primary care.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/23964544?dopt=Abstract

Alternate JournalSante Publique
Citation Key / SERVAL ID6177
PubMed ID23964544

                         

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