Journal article
Association of patient preferences on medication discussion in hypertension: Results from a randomized clinical trial
Social science & medicine (1982), Vol.262, pp.113244-113244
10/2020
DOI: 10.1016/j.socscimed.2020.113244
PMID: 32750626
Abstract
Patient-centered care has received significant attention and is an integral component of high-quality healthcare. While it is often assumed that most prefer a patient-centered role orientation, such preferences exist along a continuum with some patients preferring a more provider-centered role. The present study examines patient preference data from a randomized clinical trial designed to test the efficacy of a patient activation intervention to promote thiazide prescribing for veteran patients with uncontrolled hypertension. Patient preferences for involvement in healthcare were assessed using the 9-item Sharing subscale of the Patient-Practitioner Orientation Scale (PPOS). The primary aim was to examine differences in discussion of thiazide use in the clinical encounter by those scoring high versus low on the PPOS. Five hundred ninety-five veteran patients were randomized to either one of three intervention groups or a usual care control group. The adjusted odds ratios (OR) for the three intervention groups relative to the control group indicated that thiazide discussion increased as a function of intervention intensity across both high and low PPOS groups. ORs for the most intensive intervention group were 3.72 (95% CI = 1.61–8.65, p < .01) for high PPOS patients and 6.71 (95% CI = 2.59–10.67, p < .001) for low PPOS patients. Results suggest that this patient activation intervention is effective for veteran patients representing a range of preferred involvement. Consideration of such preferences may be useful in tailoring future interventions in the healthcare context.
•Preferences for patient-centered care exist along a continuum.•Many veterans prefer patient-centered care.•Others prefer a more traditional, provider-centered role.•Patient activation intervention succeeded even when had different preferences.•Preferences may be useful to tailor future healthcare interventions.
Details
- Title: Subtitle
- Association of patient preferences on medication discussion in hypertension: Results from a randomized clinical trial
- Creators
- M. Bryant Howren - Center for Access Delivery Research & Evaluation (CADRE), VA Iowa City Healthcare System, Iowa City, IA, USAMark W Vander Weg - Center for Access Delivery Research & Evaluation (CADRE), VA Iowa City Healthcare System, Iowa City, IA, USAAlan J Christensen - Department of Psychology, East Carolina University, Greenville, NC, USAPeter J Kaboli - Center for Access Delivery Research & Evaluation (CADRE), VA Iowa City Healthcare System, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Social science & medicine (1982), Vol.262, pp.113244-113244
- DOI
- 10.1016/j.socscimed.2020.113244
- PMID
- 32750626
- NLM abbreviation
- Soc Sci Med
- ISSN
- 0277-9536
- eISSN
- 1873-5347
- Publisher
- Elsevier Ltd
- Grant note
- DOI: 10.13039/100000738, name: Department of Veterans Affairs; DOI: 10.13039/100006379, name: Veterans Health Administration, Health Services Research and Development, award: IMV 04-066-1
- Language
- English
- Date published
- 10/2020
- Academic Unit
- Epidemiology; Psychological and Brain Sciences; Injury Prevention Research Center; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984214673002771
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