Abstract
The aim of this chapter is to review the evidence for interventions that have been shown to support consumers to make decisions about medicine use and medical tests. It also examines the evidence relating to helping consumers to facilitate medicines adherence. Various Cochrane systematic reviews, as well as websites and applications, are appraised for their ability to facilitate decision making among consumers and carers. The key issues in the use of these systematic reviews, websites and applications are that they are current, reliable and independent sources based on evidence. The chapter also describes the complexities relating to how health professionals and the health system can support consumers and their carers in making informed decisions about medicines and tests. In view of the intricate nature of decision making in consumers and carers, it is important that health professionals act as advocates in ensuring consumers’ preferences are considered.
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References
Agency for Healthcare Research and Quality. (2019a). Agency for Healthcare Research and Quality: Advancing excellence in health care. Retrieved from https://www.ahrq.gov/.
Agency for Healthcare Research and Quality. (2019b). How to create a Pill Card. Retrieved from https://www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/pillcard/index.html.
Choosing Wisely. (2019). Patient resources. Retrieved from http://www.choosingwisely.org/patient-resources/.
Ciciriello, S., Johnston, R. V., Osborne, R. H., Wicks, I., deKroo, T., Clerehan, R., … Buchbinder, R. (2013). Multimedia educational interventions for consumers about prescribed and over-the-counter medications. Cochrane Database of Systematic Reviews (4), Cd008416. https://doi.org/10.1002/14651858.cd008416.pub2.
Cochrane United Kingdom. (2019a). Cochrane Library. Retrieved from https://www.cochranelibrary.com/cdsr/reviews.
Cochrane United Kingdom. (2019b). Evidently Cochrane. Retrieved from http://www.evidentlycochrane.net/.
Edwards, A. G. K., Naik, G., Ahmed, H., Elwyn, G. J., Pickles, T., Hood, K., & Playle, R. (2013). Personalised risk communication for informed decision making about taking screening tests. Cochrane Database of Systematic Reviews (2). https://doi.org/10.1002/14651858.cd001865.pub3.
Hoffmann, T. C., Legare, F., Simmons, M. B., McNamara, K., McCaffery, K., Trevena, L. J., … Del Mar, C. B. (2014). Shared decision making: What do clinicians need to know and why should they bother? Medical Journal of Australia, 201(1), 35–39.
Institute for Safe Medication Practices. (2019). ConsumerMedSafety. Retrieved from https://consumermedsafety.org/.
Joseph-Williams, N., Elwyn, G., & Edwards, A. (2014). Knowledge is not power for patients: A systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Education and Counseling, 94(3), 291–309. https://doi.org/10.1016/j.pec.2013.10.031.
Klingbeil, C., & Gibson, C. (2018). The teach back project: A system-wide evidence based practice implementation. Journal of Pediatric Nursing, 42, 81–85. https://doi.org/10.1016/j.pedn.2018.06.002.
Kripalani, S., Robertson, R., Love-Ghaffari, M. H., Henderson, L. E., Praska, J., Strawder, A., … Jacobson, T. A. (2007). Development of an illustrated medication schedule as a low-literacy patient education tool. Patient Education and Counseling, 66(3), 368–377. https://doi.org/10.1016/j.pec.2007.01.020.
Laval University. (2019). Decision Box. Retrieved from https://www.decisionbox.ulaval.ca/en/.
Mahtani, K. R., Heneghan, C. J., Glasziou, P. P., & Perera, R. (2011). Reminder packaging for improving adherence to self-administered long-term medications. Cochrane Database of Systematic Reviews (9), Cd005025. https://doi.org/10.1002/14651858.cd005025.pub3.
Manias, E., Bucknall, T., Hughes, C., Jorm, C., & Woodward-Kron, R. (2019). Family involvement in managing medications of older patients across transitions of care: A systematic review. BMC Geriatrics, 19(95). https://doi.org/10.1186/s12877-019-1102-6.
Manias, E., Geddes, F., Della, P., Jones, D., Watson, B., & Stewart-Wynne, E. (2016). Inter-hospital ‘patient expect’ calls of clinical handovers for expected patients transferred from rural to metropolitan hospitals: A retrospective clinical audit. Collegian, 23(4), 373–383. http://doi.org/10.1016/j.colegn.2016.02.002.
Mayo Clinic. (2019). Mayo Clinic shared decision making national resource center. Retrieved from https://shareddecisions.mayoclinic.org/.
Mullan, R. J., Montori, V. M., Shah, N. D., Christianson, T. J. H., Bryant, S. C., Guyatt, G. H., … Smith, S. A. (2009). The diabetes mellitus medication choice decision aid: A randomized trial - diabetes medication choice trial. Archives of Internal Medicine, 169(17), 1560–1568. https://doi.org/10.1001/archinternmed.2009.293.
National Health Service: United Kingdom. (2019). Shared Decision Making. Retrieved from https://www.england.nhs.uk/shared-decision-making/.
Nieuwlaat, R., Wilczynski, N., Navarro, T., Hobson, N., Jeffery, R., Keepanasseril, A., … Haynes, R. B. (2014). Interventions for enhancing medication adherence. Cochrane Database of Systematic Reviews (11), Cd000011. https://doi.org/10.1002/14651858.cd000011.pub4.
NPS MedicineWise. (2019). MedicineWise app: Manage medicines on your smartphone. Retrieved from https://www.nps.org.au/consumers/medicinewise-app.
Osterberg, L., & Blaschke, T. (2005). Adherence to medication. New England Journal of Medicine, 353(5), 487–497. https://doi.org/10.1056/NEJMra050100.
Patient Decision Aids Research Group: Ottawa Hospital Research Institute. (2019). Patient Decision Aids. Retrieved from https://decisionaid.ohri.ca/index.html.
Ryan, R., Santesso, N., Lowe, D., Hill, S., Grimshaw, J. M., Prictor, M., … Taylor, M. (2014). Interventions to improve safe and effective medicines use by consumers: An overview of systematic reviews. Cochrane Database of Systematic Reviews (4). https://doi.org/10.1002/14651858.cd007768.pub3.
Scholl, I., LaRussa, A., Hahlweg, P., Kobrin, S., & Elwyn, G. (2018). Organizational- and system-level characteristics that influence implementation of shared decision-making and strategies to address them—A scoping review. Implementation Science, 13(1), 40. https://doi.org/10.1186/s13012-018-0731-z.
Shah, N. D., Mullan, R. J., Breslin, M., Yawn, B. P., Ting, H. H., & Montori, V. M. (2010). Translating comparative effectiveness into practice: The case of diabetes medications. Medical Care, 48(6 Suppl), S153–S158. https://doi.org/10.1097/MLR.0b013e3181d5956c.
Shepherd, H. L., Barratt, A., Trevena, L. J., McGeechan, K., Carey, K., Epstein, R. M., … Tattersall, M. H. (2011). Three questions that patients can ask to improve the quality of information physicians give about treatment options: A cross-over trial. Patient Education and Counseling, 84(3), 379–385. https://doi.org/10.1016/j.pec.2011.07.022.
Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., … Trevena, L. (2017). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews (4), CD001431. https://doi.org/10.1002/14651858.cd001431.pub5.
Tiedje, K., Shippee, N. D., Johnson, A. M., Flynn, P. M., Finnie, D. M., Liesinger, J. T., … Montori, V. M. (2013). ‘They leave at least believing they had a part in the discussion’: Understanding decision aid use and patient-clinician decision-making through qualitative research. Patient Education and Counseling, 93(1), 86–94. https://doi.org/10.1016/j.pec.2013.03.013.
Vaillancourt, R., Pouliot, A., Streitenberger, K., Hyland, S., & Thabet, P. (2016). Pictograms for safer medication management by health care workers. The Canadian Journal of Hospital Pharmacy, 69(4), 286–293.
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Manias, E. (2020). Interventions Supporting Consumers to Achieve the Best from Medicines and Tests. In: Weekes, L. (eds) Improving Use of Medicines and Medical Tests in Primary Care. Springer, Singapore. https://doi.org/10.1007/978-981-15-2333-5_3
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DOI: https://doi.org/10.1007/978-981-15-2333-5_3
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