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Patient Medication Instruction and Provider Interactions: Effects on Knowledge and Attitudes

Ann Arbor VA Medical Center and University of Michigan College of Pharmacy, Ann Arbor, Michigan

Stephen A. Eraker, MD

Salt Lake City VA Medical Center, Utah

Christopher Jepson, PhD

Vanderbilt University, Nashville, Tennessee

Marshall H. Becker, PhD, MPH

University of Michigan School of Public Health

Elaine Fujimoto, PharmD

Kaiser Hospital, Los Angeles, California

Cindy L. Diaz, PharmD

University of Michigan College of Pharmacy, Ann Arbor, Michigan

Robert B. Loveland, PharmD

Kaiser Hospital, Los Angeles, California

Victor J. Strecher, PhD, MPH

University of North Carolina School of Public Health, Chapel Hill, North Carolina

This prospective study examines whether a patient medication instruction sheet (PMI) given to clinic patients by their health care provider affects knowledge and/or attitudes with thiazide diuretic use as part of an antihypertensive regimen.

Adult male patients ( N = 285) in a general medicine clinic were assigned to groups receiving the American Medical Association PMI describing their diuretic. Patients getting the PMI obtained it either directly from their provider or at the pharmacy dispensing window. All patients were surveyed by phone 1 week following the clinic visit with regard to the PMI, knowledge of medication use, and attitudes toward drug use.

Results indicate that a provider-dispensed PMI results in higher levels of drug knowledge and greater patient satisfaction with their knowledge than a pharmacy-dispensed PMI. In addition, the PMIs educational value may be lessened by an incomplete verbal consult. This study demonstrates that the AMA PMI is an effective educational tool when distributed by a provider and can promote better understanding and use of prescribed medications.

Health Education & Behavior, Vol. 13, No. 1, 51-60 (1986)
DOI: 10.1177/109019818601300106


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