Document Detail

Patients' reaction to the disclosure of rare dreaded adverse events.
MedLine Citation:
PMID:  20692118     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Physicians must frequently inform their patients of the risks of rare, but serious, adverse events (AEs).
OBJECTIVE: To examine how patients react to the disclosure of rare AEs.
METHODS: Outpatients viewed a video of a physician describing a medication associated with a rare AE. Subjects then rated their worry, perceived chance of developing the AE, and willingness to take the medication.
RESULTS: Non-White men were more likely to perceive a greater chance of developing the AE compared to White men [Adjusted odds ratio (95% CI) = 3.37 (1.09-10.45)]; White women were more likely to be worried [2.00 (0.95-4.24)] and to perceive a greater chance of developing the [6.22 (2.50-15.50)], perceive a greater chance of developing the AE [6.27 (2.43-16.15)], and be less willing to take the medication [0.23 (0.09-0.59)], compared to White men.
CONCLUSIONS: Gender and ethnicity influence how patients react to disclosure of rare, but serious, AEs.
PRACTICE IMPLICATIONS: An improved understanding of patients' risk perceptions is required to inform the development of best practices to improve risk communication.
Liana Fraenkel; Ellen Peters
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2010-08-09
Journal Detail:
Title:  Patient education and counseling     Volume:  84     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-08     Completed Date:  2011-12-13     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  e1-4     Citation Subset:  N    
Copyright Information:
Published by Elsevier Ireland Ltd.
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MeSH Terms
Drug-Related Side Effects and Adverse Reactions*
Ethnic Groups / psychology
Gender Identity
Medical Errors*
Middle Aged
Patient Education as Topic / methods*
Patients / psychology*
Video Recording
Grant Support
K23 AR048826/AR/NIAMS NIH HHS; K23 AR048826-05/AR/NIAMS NIH HHS; K23 AR048826-05/AR/NIAMS NIH HHS

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