title: Cue-Responding Behaviors During Pharmacy Counseling Sessions With Patients With Asthma About Inhaled Corticosteroids: Potential Relations With Medication Beliefs and Self-Reported Adherence.
abstract: The aim of this study was to examine cue-responding behavior at the pharmacy while counseling about inhaled corticosteroids (ICS) in relation to medication adherence and medication beliefs. Patients with asthma aged ≥18 years using ICS were recruited from 12 pharmacies. Counseling sessions were video-recorded. Patients' emotional and informational cues and pharmacists' and pharmacy technicians' cue-responding behaviors were coded using an expanded version of the Medical Interview Aural Rating Scale. The Beliefs about Medicines Questionnaire assessed patients' ICS concern and necessity beliefs. Self-reported ICS adherence was measured by four questions. During the 86 sessions, patients expressed on average 2.3, mostly informational, cues (70.8%). In 26.7% of the sessions, no cues were expressed. Pharmacists' and technicians' responses to emotional cues (59.3%) were mostly inadequate, and to informational cues mostly appropriate (63.6%). Providing inappropriate information (20.3%) was related to higher concerns post session (p < .05), and cue exploration to higher self-reported adherence at 3 months (p < .05). Apparently, providers' responses to patients' cues might have therapeutic value. In addition, patients might need to be encouraged to ask questions and express their concerns.
authors.affiliation: a NIVEL , Netherlands institute for health services research.
authors.forename: Jeanine A
authors.initials: JA
authors.lastname: Driesenaar
authors.affiliation: b Department of Clinical Pharmacy , Radboud University Medical Center.|c IQ Healthcare , Radboud University Medical Center.
authors.forename: Peter A G M
authors.initials: PA
authors.lastname: De Smet
authors.affiliation: d Division of Pharmacoepidemiology and Clinical Pharmacology , Utrecht University.|e Department of Pharmacotherapy and Pharmaceutical Care , University of Groningen.
authors.forename: Rolf
authors.initials: R
authors.lastname: van Hulten
authors.affiliation: a NIVEL , Netherlands institute for health services research.
authors.forename: Janneke
authors.initials: J
authors.lastname: Noordman
authors.affiliation: a NIVEL , Netherlands institute for health services research.|f Department of Primary and Community Care , Radboud University Medical Center.|g Faculty of Health Sciences , Buskerud and Vestfold University College.
authors.forename: Sandra
authors.initials: S
authors.lastname: van Dulmen
mesh_terms: D000280:Administration, Inhalation; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001249:Asthma / Q000188:drug therapy* / Q000523:psychology; D003376:Counseling / Q000379:methods; D003463:Cues; D004644:Emotions; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D011369:Professional-Patient Relations; D057566:Self Report
chemical_list: D000305:Adrenal Cortex Hormones; D018927:Anti-Asthmatic Agents