title: Conflicting medication information: prevalence, sources, and relationship to medication adherence.
abstract: Conflicting medication information has been defined as contradictory information about a medication topic from two or more sources. The objective of this study was to determine whether arthritis patients are exposed to conflicting medication information, to document sources of conflicting information, and to explore whether conflicting information is associated with sociodemographic factors, clinical characteristics, and medication adherence. Using an online survey, arthritis patients (N = 328) reported how often they received conflicting information about 12 medication topics as well as sources of conflicting information, demographic/clinical characteristics, and medication adherence. A linear regression model, which controlled for various demographic/clinical factors, determined whether conflicting information was associated with medication adherence. The majority of patients (80.1%) received conflicting information and were most likely to receive conflicting information about medication risks. Physicians, media sources, and the Internet were the most common sources of conflicting information. Less conflicting information (B =-0.13, p < .05), more information source use (B = 0.22, p < .01), and lower perceived regimen complexity (B =-0.17, p < .05) were associated with better medication adherence. In conclusion, conflicting medication information is pervasive, comes from a variety of sources, and may negatively affect patient health outcomes. To potentially decrease exposure to conflicting information, providers should direct patients to high-quality medication information sources.
authors.affiliation: a Division of Pharmaceutical Outcomes and Policy , University of North Carolina, Chapel Hill , Chapel Hill , North Carolina , United States.
authors.forename: Delesha M
authors.initials: DM
authors.lastname: Carpenter
authors.forename: Emily A
authors.initials: EA
authors.lastname: Elstad
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Blalock
authors.forename: Robert F
authors.initials: RF
authors.lastname: DeVellis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000188:drug therapy*; D003220:Conflict, Psychological; D054626:Consumer Health Information / Q000592:standards*; D005260:Female; D006801:Humans; D057226:Information Seeking Behavior; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D063046:Patient Medication Knowledge; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult; D016903:Drug Monitoring
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