title: Evaluating the effectiveness of a patient storytelling DVD intervention to encourage physician-patient communication about nonsteroidal anti-inflammatory drug (NSAID) use.
abstract: To evaluate the effectiveness of a culturally-sensitive, patient storytelling intervention to enhance physician-patient communication about NSAID risk.
  
  
  
  A group randomized trial of 40 medical practices in Alabama was conducted. Patients within intervention practices received a 13-minute DVD that included patient stories related to their experiences with NSAIDs, adverse effects, and importance of communication with their physicians. The proportion of patients who: (1) spoke with their physician about NSAID risk; and (2) used both prescription and over-the-counter (OTC) NSAIDS were primary outcomes. Generalized estimating equations for panel data were used for analysis.
  
  
  
  Intention-to-treat analyses revealed no significant differences between intervention (n=102) and control (n=106) groups for patients speaking with their physician about NSAID risk or concomitant use of prescription/OTC NSAIDs (Odds Ratio [OR]=1.11, p=0.670; OR=0.87, p=0.632, respectively). For 54% of patients who watched the DVD, per-protocol (PP) analyses trended toward increased odds of patients speaking with their physician about prescription NSAID risk compared to the control group [OR=1.37, p=0.354] and lower odds of concomitant prescription/OTC NSAIDs use [OR=0.79, p=0.486].
  
  
  
  A patient storytelling intervention in DVD format alone may not increase patient-physician interaction.
  
  
  
  Strategies that facilitate use of patient educational materials delivered by DVD are needed.
authors.affiliation: University of Oklahoma, School of Community Medicine, Department of Medical Informatics, Tulsa, OK, United States. Electronic address: michael-miller@ouhsc.edu.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Miller
authors.affiliation: The University of Alabama at Birmingham, Department of Health Services Administration, Birmingham, AL, United States.
authors.forename: Robert
authors.initials: R
authors.lastname: Weech-Maldonado
authors.affiliation: The University of Alabama at Birmingham, School of Medicine, Division of Clinical Immunology and Rheumatology, Birmingham, AL, United States.
authors.forename: Ryan C
authors.initials: RC
authors.lastname: Outman
authors.affiliation: The University of Alabama at Birmingham, Department of Health Services Administration, Birmingham, AL, United States.
authors.forename: Midge N
authors.initials: MN
authors.lastname: Ray
authors.affiliation: KHA, Inc., Birmingham, AL, United States.
authors.forename: Lisa C
authors.initials: LC
authors.lastname: Gary
authors.affiliation: The University of Alabama at Birmingham, School of Medicine, Division of Clinical Immunology and Rheumatology, Birmingham, AL, United States.
authors.forename: Lang
authors.initials: L
authors.lastname: Chen
authors.affiliation: American Society of Health-System Pharmacists, Publications and Drug Information Systems Office, Bethesda, MD, United States.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Cobaugh
authors.affiliation: University of Massachusetts Medical School, Quantitative Health Sciences, Worcester, MA, United States.
authors.forename: Jeroan J
authors.initials: JJ
authors.lastname: Allison
authors.affiliation: The University of Alabama at Birmingham, School of Medicine, Division of Clinical Immunology and Rheumatology, Birmingham, AL, United States.
authors.forename: Kenneth G
authors.initials: KG
authors.lastname: Saag
mesh_terms: D000328:Adult; D000368:Aged; D000407:Alabama; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D003142:Communication; D054521:Cultural Competency; D064420:Drug-Related Side Effects and Adverse Reactions; D005006:Ethnicity; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000379:methods*; D010817:Physician-Patient Relations; D014741:Video Recording
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: NSAIDs; Nonsteroidal anti-inflammatory drugs; Risk communication; Storytelling