TY - JOUR
T1 - Physician-patient communication about dietary supplements
AU - Tarn, Derjung M.
AU - Paterniti, Debora A.
AU - Good, Jeffrey S.
AU - Coulter, Ian D.
AU - Galliher, James M.
AU - Kravitz, Richard L.
AU - Karlamangla, Arun S.
AU - Wenger, Neil S.
PY - 2013/6
Y1 - 2013/6
N2 - Objective: Describe the content and frequency of provider-patient dietary supplement discussions during primary care office visits. Methods: Inductive content analysis of 1477 transcribed audio-recorded office visits to 102 primary care providers was combined with patient and provider surveys. Encounters were collected in Los Angeles, CA (2009-2010), geographically diverse practice settings across the United States (2004-2005), and Sacramento, CA (1998-1999). Results: Providers discussed 738 dietary supplements during encounters with 357 patients (24.2% of all encounters in the data). They mentioned: (1) reason for taking the supplement for 46.5% of dietary supplements; (2) how to take the supplement for 28.2%; (3) potential risks for 17.3%; (4) supplement effectiveness for 16.7%; and (5) supplement cost or affordability for 4.2%. Of these five topics, a mean of 1.13 (SD. =. 1.2) topics were discussed for each supplement. More topics were reviewed for non-vitamin non-mineral supplements (mean 1.47 (SD. =. 1.2)) than for vitamin/mineral supplements (mean 0.99 (SD. =. 1.1); p<. 0.001). Conclusion: While discussions about supplements are occurring, it is clear that more discussion might be needed to inform patient decisions about supplement use. Practice implications: Physicians could more frequently address topics that may influence patient dietary supplement use, such as the risks, effectiveness, and costs of supplements.
AB - Objective: Describe the content and frequency of provider-patient dietary supplement discussions during primary care office visits. Methods: Inductive content analysis of 1477 transcribed audio-recorded office visits to 102 primary care providers was combined with patient and provider surveys. Encounters were collected in Los Angeles, CA (2009-2010), geographically diverse practice settings across the United States (2004-2005), and Sacramento, CA (1998-1999). Results: Providers discussed 738 dietary supplements during encounters with 357 patients (24.2% of all encounters in the data). They mentioned: (1) reason for taking the supplement for 46.5% of dietary supplements; (2) how to take the supplement for 28.2%; (3) potential risks for 17.3%; (4) supplement effectiveness for 16.7%; and (5) supplement cost or affordability for 4.2%. Of these five topics, a mean of 1.13 (SD. =. 1.2) topics were discussed for each supplement. More topics were reviewed for non-vitamin non-mineral supplements (mean 1.47 (SD. =. 1.2)) than for vitamin/mineral supplements (mean 0.99 (SD. =. 1.1); p<. 0.001). Conclusion: While discussions about supplements are occurring, it is clear that more discussion might be needed to inform patient decisions about supplement use. Practice implications: Physicians could more frequently address topics that may influence patient dietary supplement use, such as the risks, effectiveness, and costs of supplements.
KW - Complementary and alternative medicine
KW - Dietary supplement
KW - Physician-patient communication
KW - Physician-patient interaction
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U2 - 10.1016/j.pec.2013.01.021
DO - 10.1016/j.pec.2013.01.021
M3 - Article
C2 - 23466249
AN - SCOPUS:84877012533
VL - 91
SP - 287
EP - 294
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 3
ER -