Comparison of the Effects of a Pharmaceutical Industry Decision Guide and Decision Aids on Patient Choice to Intensify Therapy in Rheumatoid Arthritis

Richard W. Martin, Ryan D. Enck, Donald J. Tellinghuisen, Aaron T. Eggebeen, James D. Birmingham and Andrew J. Head

Medical Decision Making, 2017, vol. 37, issue 5, 577-588

Abstract: Objective. To compare the effects a pharmaceutical industry decision guide and International Patient Decision Aids Standard (IPDAS) compliant patient decision aids (PtDA) on patient medication beliefs and choice to intensify therapy. Methods. Rheumatoid arthritis (RA) patients, who had never taken etanercept (Enbrel), took part in a mail survey. They were presented with a hypothetical decision scenario where they were asked to consider adding etanercept to their current regimen. Each patient was randomized to review 1 of 3 forms of an etanercept-specific decision support: a long PtDA (LONG DA), a short PtDA (SHORT DA), or the manufacturer’s Enbrel decision guide (Pharm Booklet). Results. We had 402 RA patients participate in the study (response rate, 52%). Of the patients randomized to the Pharm Booklet, 30.6% elected to initiate etanercept. Only 14.6% and 14.0% of patients who reviewed the LONG DA or SHORT DA choose to take etanercept (χ2 = 15.7; P

Keywords: decision making; patient decision aid; evaluative conditioning; beliefs about medications; etanercept; disease-modifying anti-rheumatic drugs; rheumatoid arthritis; causal mediation (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:37:y:2017:i:5:p:577-588

DOI: 10.1177/0272989X17696995

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