Assist Patients with Medication Decisions

协助患者做出药物决定

• 批准号: 9224000
• 负责人: QING ZENG
• 金额: $ 21.49万
• 依托单位: GEORGE WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-06-01 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9224000
• 关键词: Assist; Patients; Medication; Decisions

Project Summary Millions of patients take prescription drugs, over the counter (OTC) drugs, and dietary supplements. Driven by a variety of factors such as the desire to improve health, the convenience and relative low cost of self- medication, the assumption of natural products' safety, and the dissatisfaction with physician-prescribed treatments, many patients seek non-prescription drugs. When self-medicating, patients, like physicians, assess symptoms, evaluate options, and make decisions. Most patients would not willingly take medications that are known to be ineffective or harmful. Patients, however, do not always understand the indication, side effects, and contraindications of the products they take. Indeed, recent patient surveys found that the majority of potential drug-drug interactions involve non-prescription drugs. We argue that it is necessary to help patients make better-informed decisions regarding self-medication by proactively providing them with timely, relevant, comprehensible, and actionable information. The propose study will investigate what efficacy and safety information patients need and how to present that information to patients, develop a self-medication decision support tool to warn patients of potentially ineffective or harmful usage and suggest safer and more effective alternatives, and evaluate patient response to the decision support.

项目概要 数百万患者服用处方药、非处方药 (OTC) 和膳食补充剂。驱动 受到多种因素的影响，例如改善健康的愿望、自助的便利性和相对较低的成本 药物治疗、对天然产品安全性的假设以及对医生处方的不满 治疗时，许多患者寻求非处方药。当患者进行自我治疗时，就像医生一样， 评估症状、评估选项并做出决定。大多数患者不愿意接受 已知无效或有害的药物。然而，患者并不总是了解 他们所服用产品的适应症、副作用和禁忌症。事实上，最近的患者调查 发现大多数潜在的药物相互作用涉及非处方药。我们认为这是 有必要通过主动帮助患者就自我药疗做出更明智的决定 为他们提供及时、相关、可理解且可操作的信息。拟议的研究将 调查患者需要哪些疗效和安全性信息以及如何向患者提供这些信息 患者，开发一种自我药疗决策支持工具，以警告患者可能无效或 有害的使用并提出更安全、更有效的替代方案，并评估患者对药物的反应 决策支持。