Evaluating the effectiveness of a patient storytelling DVD intervention to encourage physician-patient communication about nonsteroidal anti-inflammatory drug (NSAID) use. Issue 11 (November 2016)

• Record Type: Journal Article
• Authors: Miller, Michael J.; Weech-Maldonado, Robert; Outman, Ryan C.; Ray, Midge N.; Gary, Lisa C.; Chen, Lang; Cobaugh, Daniel J.; Allison, Jeroan J.; Saag, Kenneth G.
• Is Part Of: Patient education and counseling. Volume 99:Issue 11(2016)
• Page Start: 1837
• Page End: 1844
• Publication Date: 2016-11
• Subjects: Risk communication -- Storytelling -- Nonsteroidal anti-inflammatory drugs -- NSAIDs; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2016.06.013
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Storytelling DVDs alone do not increase patient-physician communication. Storytelling DVDs may improve patient-physician communication, if watched. Storytelling DVD use may be enhanced by targeting based on background needs. 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.