Richard W. Martin|Kelsey McCallops|Andrew Head|Aaron T Eggebeen|James Birmingham|Donald J. Tellinghuisen
Influence of patient characteristics on perceived risks and willingness to take a proposed anti-rheumatic drug
Grand Rapids Community College|Michigan State University|Calvin University|Grand Rapids Community College|Michigan State University|Grand Rapids Community College|Michigan State University|Grand Rapids Community College|Michigan State University|Calvin University
causes underutilization disease modifying antirheumatic drugs dmards rheumatoid arthritis ra fully known may part relate individual patient factors including risk perception objective identify determinants risk perception rp ra patients predictors willingness take proposed dmard dmard willingnessa crosssectional mail survey ra patients community rheumatology practice patients presented hypothetical decision scenario asked consider switching dmards evaluated risky proposed medication likely would take itthe completed sample included 1009 ra patients overall survey response rate 71age 616 years range 1893 75 female minority 65 low marginal health literacy 88 depression 150 duration ra 131 years range 05 68 regression models demonstrated health literacy independent low educational achievement demographic including race common predictor rp dmard willingness partial mediation effects hl dmard willingness rp depression happiness significant effect rp dmard willingness rp influenced negative ra disease treatment experience dmard willingness affected mainly perceived disease controlrisk aversion may result potentially recognizable correctable cognitive defect heightened clinician awareness formal screening low health literacy cognitive impairment highrisk populations may identify patients could benefit additional decision support