Abstract Title
Educating physicians in informing and empowering patients: factors involved in tailoring information to patients needs and enhancing patient empowerment

Authors

E. Klarenbeek
F. van Stiphout
S. Vervoort
E. ter Braak

Theme

8AA Communication skills

INSTITUTION

Educational Center - University Medical Center Utrecht - Utrecht - The Netherlands

Background
  • We think that empowering patients regarding medication may reduce adverse drug events.
  • Aim of this study was to identify factors involved in patient empowerment regarding medication.
Summary of Work

Participants:
19 participants with polypharmacy and multimorbidity: 10F:9M, median age 55 (28-88), median no. of medications 8 (5-27)

Setting:
Patients from outpatient clinics of Internal Medicine and related specialties, academic hospital in the Netherlands

Data collection:
In-depth semi-structured interviews at home.

Analysis:
Grounded Theory1-3

References

1. Strauss A, Corbin J,. Grounded theory methodology: An overview. In: Denzin NK, Lincoln YS eds.,. Strategies of qualitative inquiry. Thousand Oaks, CA: Sage, 1998;158-83.
2. Charmaz K,. Constructing grounded theory. a practical guide through qualitative analysis. London: Sage, 2006.
3. Cutcliffe JR. Methodological issues in grounded theory. J.Adv.Nurs. 2000;31:1476-1484.

Acknowledgement

Co-authors: thank you for all your work and for mentoring me.

Scholars whom I consulted to learn more about empowerment and related topics: thank you for taking time to enthousiastically share your expertise.

Participants of this study: thanks for welcoming me into your homes, sharing your views and stories (along with tea and cookies).

Summary of Results

  • Autonomy plays a key role
    • patients want their autonomy acknowledged
    • patients want to be involved in shared decision making to some extent

 

  • Tension between providing too much and too little information

 

 

Conclusion

Conceptual model on factors involved in patient empowerment regarding medication.

Take-home Messages

To enhance patient empowerment regarding medication, teach physicians to:

  • acknowledge patients' autonomy
  • invest in a trustful relationship with the patient
  • tailor provision of information to patients’ needs
  • help patients cope with their negative attitude towards medication
Background

Empowerment animation

 

Summary of Work
References
Acknowledgement
Summary of Results
Conclusion

Tailoring provision of information to patients’ needs appears to enhance empowerment regarding medication management. Insights in factors involved as described here, are crucial to educate physicians in informing their patients in effective ways aiming to foster drug adherence and reducing ADE’s.

Take-home Messages

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