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- Title
Understanding Physicians' Perceptions of Patient-Identified Barriers to Osteoporosis Medication Initiation: A Cognitive Mapping Approach.
- Authors
Qu, Haiyan; Silverman, Stuart L; Shewchuk, Richard M; Curtis, Jeffrey R; Austin, Shamly; Greenspan, Susan L; Nieves, Jeri W; Outman, Ryan C; Warriner, Amy H; Watts, Nelson B; Saag, Kenneth G
- Abstract
purpose of this study was to derive an empirical framework for patient-identified barriers to osteoporosis medication initiation and adherence from physician experts. Methods: A cognitive mapping approach involving nominal group technique (NGT) meetings and a card sorting and rating task were used to obtain formative data. We first conducted four NGT meetings with 18 women patients who were not on osteoporosis treatment to identify barriers to osteoporosis medication, then invited 27 osteoporosis physicians to sort and rate 25 patients identified barriers. Descriptive analysis, multidimensional scaling analysis, and hierarchical cluster analysis were applied for data analysis. Results: A two-dimensional five-cluster cognitive map was derived to provide an organizational framework for understanding patients perceived barriers to medication initiation and adherence. The five clusters were concerns about side effects, experience of side effects, lifestyle changes, medication access and complexity, and patient uncertainty about treatment and trust in the provider. The two dimensions were interpreted as internal to patients (X-axis) and external to patients (Y-axis). Conclusions/Implications: Views of patients solicited in a structured format provided directions to help in designing interventions to improve osteoporosis medication initiation and adherence.
- Subjects
PHYSICIANS' attitudes; WOMEN physicians; HIERARCHICAL clustering (Cluster analysis); COGNITIVE maps (Psychology); PATIENT compliance; OSTEOPOROSIS; DISEASE mapping; WISCONSIN Card Sorting Test; PHYSICIAN adherence
- Publication
Risk Management & Healthcare Policy, 2022, Vol 15, p1293
- ISSN
1179-1594
- Publication type
Article
- DOI
10.2147/RMHP.S361559