title: Medication Lists and Brown Bag Reviews: Potential Positive and Negative Impacts on Patients Beliefs about Their Medicine.
abstract: BACKGROUND
  Medication lists and structured medication counselling (SMC) including "brown bag reviews" (BBR) are important instruments for medication safety. The aim of this study was to explore whether patients' use of a medication list is associated with their beliefs about their medicine and their memory of SMC.
  
  
  METHODS
  Baseline data of 344 patients enrolled into the "Polypharmacy in Multimorbid Patients study" were analysed. Linear regression models were calculated for the "specific necessity subscale" (SNS) and the "specific concerns subscale" (SCS) of the German "Beliefs About Medicine Questionnaire," including self-developed variables assessing patients' use of a medication list, their memory of SMC, and sociodemographic data.
  
  
  RESULTS
  62.8% (n = 216) remembered an appointment for SMC and 32.0% (n = 110) BBR. The SNS correlated positively with regular receipt of a medication list (β = 0.286, p < 0.01) and negatively with memory of a BBR (β = -0.268; p < 0.01). The SCS correlated positively with memory of a BBR (β = 0.160, p = 0.02) and negatively with the comprehensiveness of the mediation list (β = -0.224; p < 0.01).
  
  
  CONCLUSIONS
  A comprehensive medication list may reduce patients' concerns and increase the perceived necessity of their medication. A potential negative impact of BBR on patients' beliefs about their medicine should be considered and quality standards for SMC developed.
authors.affiliation: Department of General Practice and Health Services Research, University Hospital Heidelberg, Voßstraße 2, Geb. 37, 69115 Heidelberg, Germany.
authors.forename: Cornelia
authors.initials: C
authors.lastname: Jäger
authors.affiliation: Institute of Family Medicine, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, Haus 50, 23538 Lübeck, Germany.
authors.forename: Jost
authors.initials: J
authors.lastname: Steinhaeuser
authors.affiliation: Department of General Practice and Health Services Research, University Hospital Heidelberg, Voßstraße 2, Geb. 37, 69115 Heidelberg, Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Freund
authors.affiliation: Department of General Practice and Health Services Research, University Hospital Heidelberg, Voßstraße 2, Geb. 37, 69115 Heidelberg, Germany.
authors.forename: Joachim
authors.initials: J
authors.lastname: Szecsenyi
authors.affiliation: Department of General Practice and Health Services Research, University Hospital Heidelberg, Voßstraße 2, Geb. 37, 69115 Heidelberg, Germany.
authors.forename: Katja
authors.initials: K
authors.lastname: Goetz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D060432:Anthropology, Medical; D011307:Drug Prescriptions; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D061214:Patient Safety; D019338:Polypharmacy; D011795:Surveys and Questionnaires