Universität zu Köln

Kirsch, Verena and Matthes, Jan ORCID: 0000-0003-2754-1555 (2021). Aspects of Medication and Patient participation-an Easy guideLine (AMPEL). A conversation guide increases patients' and physicians' satisfaction with prescription talks. Naunyn-Schmiedebergs Arch. Pharmacol., 394 (8). S. 1757 - 1768. NEW YORK: SPRINGER. ISSN 1432-1912

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Abstract

Patients want more information and active participation in medical decisions. Information and active participation correlate with increased adherence. A conversation guide, combining patient-relevant drug information with steps of shared decision-making, was developed to support physicians in effective and efficient prescription talks. Six GP trainees in community-based primary care practices participated in a controlled pilot study in sequential pre-post design. Initially, they conducted 41 prescription talks as usual, i.e., without knowing the guide. Then, they conducted 23 talks considering the guide (post-intervention phase). Immediately after the respective talk, patients filled in a questionnaire on satisfaction with the information on medication and physician-patient interaction, and physicians about their satisfaction with the talk and the application of the guide. Patients felt better informed after guide-based prescription talks (e.g., SIMS-D in median 10 vs. 17, p < 0.05), more actively involved (KPF-A for patient activation 2.9 +/- 0.8 vs. 3.6 +/- 0.8, p < 0.05), and more satisfied with the physician-patient interaction. Physicians rated the guide helpful and feasible. Their satisfaction with the conversation was significantly enhanced during the post-intervention phase. The evaluation of the duration of the talk was not influenced. Enhanced patients' and physicians' satisfaction with prescription talks encourages further examinations of the conversation guide. We invite physicians to try our guide in everyday medical practice.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kirsch, Verena UNSPECIFIED UNSPECIFIED UNSPECIFIED Matthes, Jan UNSPECIFIED orcid.org/0000-0003-2754-1555 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-564412
DOI:	10.1007/s00210-021-02107-0
Journal or Publication Title:	Naunyn-Schmiedebergs Arch. Pharmacol.
Volume:	394
Number:	8
Page Range:	S. 1757 - 1768
Date:	2021
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-1912
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SHARED DECISION-MAKING; MEDICINES SCALE SIMS; PRIMARY-CARE; PATIENTS WANT; COMMUNICATION; INFORMATION; ADHERENCE; RECALL; IMPACT; DRUGS Multiple languages Pharmacology & Pharmacy Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56441