title: [Information and active patient participation using an interactive booklet in the prescription of antihypertensive drugs in primary care].
abstract: OBJECTIVE
  Antihypertensive drugs are thought to be responsible for adverse drug events in 25% of patients, with severe consequences in 13% of cases. The purpose of this study was to develop an interactive booklet designed to inform and involve patients with a view to preventing adverse drug events.
  
  
  METHODS
  The development of the booklet involved several stages, including a literature review, a Delphi survey, a readability assessment, a qualitative study in primary care, a revision process, and graphic design work. 27 experts (patients, general practitioners, public health practitioners, cardiologists, geriatricians, psychologists, economists, pharmacists, nurses and ethicists) participated in the Delphi survey, while the qualitative study was based on a sample that included 7 doctors, 13 patients and 2 healthcare assistants.
  
  
  RESULTS
  We developed an interactive booklet containing information items on the benefits and risks of antihypertensive drugs, a care plan to be completed by the patient, and a form for reporting adverse drug events. Ambiguous sentences and incomprehensible medical terms were rephrased. The time required to present the booklet and ease of use were key acceptability criteria for caregivers. Among the patients, the study found that interest in the booklet required clear evidence of an expected benefit.
  
  
  CONCLUSIONS
  An understandable and acceptable interactive booklet was developed using a systematic process to prevent severe adverse drug events in primary care.
authors: Université Lyon 1 - Département de medecine générale, Lyon, France. maud.kerielg@free.fr
authors: Maud
authors: M
authors: Keriel-Gascou
authors: Aurélie
authors: A
authors: Badet-Phan
authors: Marie-Annick
authors: MA
authors: Le Pogam
authors: Sophie
authors: S
authors: Figon
authors: Laurent
authors: L
authors: Letrilliart
authors: François
authors: F
authors: Gueyffier
authors: Marc
authors: M
authors: Chaneliére
authors: Karine
authors: K
authors: Buchet-Poyau
authors: Antoine
authors: A
authors: Duclos
authors: Cyrille
authors: C
authors: Colin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D003697:Delphi Technique; D004346:Drug Information Services; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D010174:Pamphlets; D010353:Patient Education as Topic; D010358:Patient Participation; D011320:Primary Health Care
chemical_list: D000959:Antihypertensive Agents