Patient health information materials in waiting rooms of family physicians: do patients care?

Moerenhout, Tania; Borgermans, Liesbeth; Schol, Sandrina; Vansintejan, Johan; Vijver, Erwin Van De; Devroey, Dirk

doi:10.2147/ppa.s45777

Cited by 29 publications

(15 citation statements)

References 25 publications

(20 reference statements)

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“…A study showed that patient information leaflets are appreciated by patients because these have the potential to enhance patient–physician interaction, health-related knowledge and self-management. 25 This makes patient information leaflets attractive in general. However, these might not be suitable for every indications, since there are also studies that show that leaflets, for example, about medication side effects, are not used by many patients and have a negative effect in the patients that do use them by increasing anxiety.…”

Section: Discussionmentioning

confidence: 99%

Patient information leaflets to reduce antibiotic use and reconsultation rates in general practice: a systematic review

et al. 2015

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ObjectivePatients’ knowledge and expectations may influence prescription of antibiotics. Therefore, providing evidence-based information on cause of symptoms, self-management and treatment is essential. However, providing information during consultations is challenging. Patient information leaflets could facilitate consultations by increasing patients’ knowledge, decrease unnecessary prescribing of antibiotics and decrease reconsultations for similar illnesses. Our objective was to systematically review effectiveness of information leaflets used for informing patients about common infections during consultations in general practice.Design, setting and participantsWe systematically searched PubMed/MEDLINE and EMBASE for studies evaluating information leaflets on common infections in general practice. Two reviewers extracted data and assessed article quality.Primary and secondary outcome measuresAntibiotic use and reconsultation rates.ResultsOf 2512 unique records, eight studies were eligible (7 randomised, controlled trials, 1 non-randomised study) accounting for 3407 patients. Study quality varied from reasonable to good. Five studies investigated effects of leaflets during consultations for respiratory tract infections; one concerned conjunctivitis, one urinary tract infections and one gastroenteritis and tonsillitis. Three of four studies presented data on antibiotic use and showed significant reductions of prescriptions in leaflet groups with a relative risk (RR) varying from 0.53 (0.40 to 0.69) to 0.96 (0.83 to 1.11). Effects on reconsultation varied widely. One large study showed lower reconsultation rates (RR 0.70 (0.53 to 0.91), two studies showed no effect, and one study showed increased reconsultation rates (RR 1.53 (1.03 to 2.27)). Studies were too heterogenic to perform a meta-analysis.ConclusionsPatient information leaflets during general practitioners consultations for common infections are promising tools to reduce antibiotic prescriptions. Results on reconsultation rates for similar symptoms vary, with a tendency toward fewer reconsultations when patients are provided with a leaflet. Use of information leaflets in cases of common infections should be encouraged. Their contributing role in multifaceted interventions targeting management of common infections in primary care needs to further exploration.

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Section: Discussionmentioning

confidence: 99%

Patient information leaflets to reduce antibiotic use and reconsultation rates in general practice: a systematic review

et al. 2015

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“…Printed educational materials are commonly offered in waiting rooms, but their efficacy has been shown in studies to be highly variable, and dependent upon the specific contexts, populations, and formats involved [10,13,21]. Beyond printed materials, there has been a lack of innovative approaches to education in the waiting room that both robustly utilize available technologies and also attempt to reach underserved groups [9].…”

Section: Introductionmentioning

confidence: 99%

Waiting Room Education in a Community Health System: Provider Perceptions and Suggestions

2016

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The increasing burden of chronic diseases in the United States presents a major challenge to the nation's primary care systems, so improving the efficacy and efficiency of patient education is an important goal. Understanding the current perspectives, practices, and needs of primary care providers should guide innovation towards this end. As a part of the authors' ongoing quality improvement work, a short internet survey was an effective method of enhancing this understanding in one health care system. With a response rate of 24.6 %, the survey revealed that primary care waiting rooms in the health system studied are not conceived of or used by providers as spaces to engage patients in health education. To change this, providers suggested using both printed and technological methods for delivering health information, primarily related to medications, diabetes, and healthy lifestyle practices. Common barriers to improvement cited by providers included diverse language and literacy backgrounds in the patient population, as well as difficulty sustaining change due to infrastructural and administrative barriers. These results suggest steps for development, implementation, and investigation of new educational interventions for patients in the local primary care context.

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“…Several studies from a variety of Western healthcare settings report that using audio-visual health promotion messages can better teach patients about their condition, increase confidence in self-management, and promote active communication and shared decision making with physicians [ 3 , 11 ]. Specifically to General Practice settings, studies from French [ 12 ] and Belgian [ 13 ] general practitioners have suggested that clinical waiting rooms are an acceptable and useful medium for health promotion; the former study placing particular importance on the effects of television health promotion [ 12 ]. Another Belgian study showed that broadcasting audio-visual health information about vaccinations was significantly associated with increased adult tetanus booster prescriptions [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Television-based health promotion in general practice waiting rooms in London: a cross-sectional study evaluating patients’ knowledge and intentions to access dental services

Jawad

Ingram

Choudhury³

et al. 2016

BMC Oral Health

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BackgroundThis study aimed to evaluate whether television-based dental health promotion initiatives in General Practice waiting rooms would increase patients’ knowledge of and intentions to seek dental services.MethodsThis cross-sectional survey of 2,345 patients attending 49 General Practices in Brent, northwest London, evaluated the ‘Life Channel’ – a series of six brief health promotion advertisements, including one dental health promotion advertisement, displayed over ten minutes on television in General Practice waiting rooms. Primary outcome measures were a self-reported gain in the knowledge to contact a National Health Service (NHS) and emergency dentist, and an intention to seek dental services, attributed to viewing the Life Channel.ResultsAmong the 1,088 patients who did not know how to contact an NHS dentist prior to the survey, and the 1,247 patients who did not know how to contact an emergency dentist prior to the survey, 48.0 % (95 % CI 45.0-51.0 %) and 35.1 % (95 % CI 32.4-37.8 %) attributed the Life Channel to educating them how to do so, respectively. Among the 1,605 patients who did not have any intention to contact a dentist prior to the survey, 15.2 % (95 % CI 13.4-17.0 %) attributed the Life Channel to creating such an intention. We report adjusted odds ratios on sociodemographic disparities in this evaluation.ConclusionsTelevision-based dental health promotion may significantly increase knowledge of and intention to seek dental services in this sample in London. Television-based dental health promotion may appeal more to certain population groups. More research is needed to identify longer term outcomes of television-based health promotion.

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Patient health information materials in waiting rooms of family physicians: do patients care?

Cited by 29 publications

References 25 publications

Patient information leaflets to reduce antibiotic use and reconsultation rates in general practice: a systematic review

Patient information leaflets to reduce antibiotic use and reconsultation rates in general practice: a systematic review

Waiting Room Education in a Community Health System: Provider Perceptions and Suggestions

Television-based health promotion in general practice waiting rooms in London: a cross-sectional study evaluating patients’ knowledge and intentions to access dental services

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