Patient Recall of Health Care Provider Counseling for Opioid‐Acetaminophen Prescriptions. Issue 10 (7th July 2014)

• Record Type: Journal Article
• Authors: McCarthy, Danielle M.; Cameron, Kenzie A.; King, Jennifer P.; Mullen, Rebecca J.; Bailey, Stacy Cooper; Jacobson, Kara L.; Di Francesco, Lorenzo; Davis, Terry C.; Parker, Ruth M.; Wolf, Mike S.
• Is Part Of: Pain medicine. Volume 15:Issue 10(2014)
• Page Start: 1750
• Page End: 1756
• Publication Date: 2014-07-07
• Subjects: Pain -- Periodicals; Pain -- Treatment -- Periodicals; Analgesics -- Periodicals; Pain -- Periodicals; Pain Management -- Periodicals; Douleur -- Périodiques; Douleur -- Traitement -- Périodiques; Analgésiques -- Périodiques; Analgésique; Soulagement de la douleur; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.047205
• DOI: 10.1111/pme.12499
• Languages: English
• ISSNs: 1526-2375

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="pme12499-sec-0001" sec-type="section"> <title>Objective</title> <p>The aim of this study was to determine the frequency and nature of physician, nurse, and pharmacist verbal counseling at the time of a new prescription for an opioid‐acetaminophen containing medication as recalled by patients.</p> </sec> <sec id="pme12499-sec-0002" sec-type="section"> <title>Design</title> <p>A mixed methods approach with data from cross sectional, structured interviews was used.</p> </sec> <sec id="pme12499-sec-0003" sec-type="section"> <title>Setting</title> <p>The settings were one academic emergency department in Chicago, IL and one outpatient pharmacy at a public hospital in Atlanta, GA.</p> </sec> <sec id="pme12499-sec-0004" sec-type="section"> <title>Patients</title> <p>One hundred forty‐nine patients receiving a new prescription for an opioid‐acetaminophen medication were enrolled.</p> </sec> <sec id="pme12499-sec-0005" sec-type="section"> <title>Methods</title> <p>Interviews assessed patient recall of counseling they received from their physician, nurse, and pharmacist upon receiving the new prescription. Their responses were unitized and assigned to categories.</p> </sec> <sec id="pme12499-sec-0006" sec-type="section"> <title>Results</title> <p>One hundred forty‐nine patients were enrolled; 61.1% African American and 58.4% female. Seven major categories of responses were noted; frequencies of patient recall for counseling in these categories were reported. Four categories related to the content of the counseling discussion were 1) details of administration (patient recall counseling from: physician/nurse only 44.3%, pharmacist only 5.4%, both providers 12.8%); 2) activities to avoid and side effects (36.2%, 4.7%, 8.7%); 3) medication indication (32.9%, 4%, 4%); and 4) addictive potential (9.3%, 1.3%, 0%). Three categories describe patients' recall of the interaction in broad terms: 5) being referred to print informational material accompanying the prescription (MD/RN only 7.4%, pharmacist only 20.1%, both providers 2.7%); 6) having questions solicited (0%, 11.4%, 0%); 7) having no interaction relating to medication counseling (3.4%, 32.2%, 1.3%).</p> </sec> <sec id="pme12499-sec-0007" sec-type="section"> <title>Conclusions</title> <p>Patients infrequently recall counseling from providers on topics that are important to prevent harm from opioid‐acetaminophen prescriptions. Future patient‐centered clinical research should target identifying optimal strategies to convey these critical messages.</p> </sec> </abstract>