Wilson et al (2009) 612 patients with poorly controlled asthma randomly allocated to either normal care or shared decision making where treatment was negotiated to take account of patient goals/preferences. Shared decision making was associated with better adherence to medication and clinical outcomes (inc. asthma control and lung function) Understanding and recall of information: v poor!!! 7-53% of patients do not understand instructions (Ley 1980) But 50% of patients who would like more information do not ask for it (Klein 1979) Hospital outpatients recalled on average 63% of the information presented in a consultation. (Ley & Spelman 1967) Factors affecting recall Individual factors Anxiety Medical knowledge Memory impairment Type of information and recall Diagnostic statements – 87% Information re: illness – 56% Instructions – 44% Presentation factors Amount of information: Order Serial Position Effect: Stressing importance Specificity – relevance to the person Mode of presentation The use of written information Most patients would like to receive written information (97% in study by Gibbs et al 1990) The majority of patients report that they do read written information when it is given to them (88% Gibbs et al 1987) Written information leads to increased knowledge (in over 90% of studies) and adherence (in 60% of studies) (Ley and Morris 1984)
Wilson et al (2009) 612 patients with poorly controlled asthma randomly allocated to either normal care or shared decision making where treatment was negotiated to take account of patient goals/preferences. Shared decision making was associated with better adherence to medication and clinical outcomes (inc. asthma control and lung function) Understanding and recall of information: v poor!!! 7-53% of patients do not understand instructions (Ley 1980) But 50% of patients who would like more information do not ask for it (Klein 1979) Hospital outpatients recalled on average 63% of the information presented in a consultation. (Ley & Spelman 1967) Factors affecting recall Individual factors Anxiety Medical knowledge Memory impairment Type of information and recall Diagnostic statements – 87% Information re: illness – 56% Instructions – 44% Presentation factors Amount of information: Order Serial Position Effect: Stressing importance Specificity – relevance to the person Mode of presentation The use of written information Most patients would like to receive written information (97% in study by Gibbs et al 1990) The majority of patients report that they do read written information when it is given to them (88% Gibbs et al 1987) Written information leads to increased knowledge (in over 90% of studies) and adherence (in 60% of studies) (Ley and Morris 1984)
Psychology-notes-BETA.docx