Evidence map›Paper›PMID 21501943›Full record

ArticlePatient education and counseling2011

Factors associated with the accuracy of physicians' predictions of patient adherence.

L Alison Phillips, Elaine A Leventhal, Howard Leventhal

Abstract read
In one paragraph

Article in Patient education and counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Developing a patient-reported outcome measure for HIV care on perceived barriers to antiretroviral adherence: assessing the needs of HIV clinicians through qualitative analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
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  17. Physician recommendation and patient adherence for colorectal cancer screening.Journal of the American Board of Family Medicine : JABFM
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

L Alison PhillipsInstitute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ, USA. lphillips@ifh.rutgers.edu
Elaine A Leventhal
Howard Leventhal

Funding

Center for the Study of Health Beliefs and BehaviorR24AG023958 · NIA · RUTGERS THE ST UNIV OF NJ NEW BRUNSWICK · PI LEVENTHAL, HOWARD · 2004 to 2008
$4.3M
NIA NIH HHS R24 AG023958NIA NIH HHS R24AG023958
6 · The paper itself

Abstract

objectivePhysicians are inaccurate in predicting non-adherence in patients, a problem that interferes with physicians': (1) appropriate prescribing decisions and (2) effective prevention/intervention of non-adherence. The purpose of the current study is to investigate potential reasons for the poor accuracy of physicians' adherence-predictions and conditions under which their predictions may be more accurate.

methodsAfter the medical encounter, predictions of patient-adherence and other ratings from primary-care physicians (n=24) regarding patient-factors that may have influenced their predictions were collected. Patients (n=288) rated their agreement regarding the prescribed treatment after the encounter and reported adherence 1 month later.

resultsSeveral factors were related to physicians' adherence-predictions, including physicians' perceptions of patient-agreement regarding treatment. However, some factors were not related to adherence and agreement-perceptions were inaccurate overall, potentially contributing to the poor accuracy of adherence-predictions. The degree to which physicians discussed treatment-specifics with the patient moderated agreement-perception accuracy but not adherence-prediction accuracy.

conclusionsTraining providers to discuss certain treatment-specifics with patients may improve their ability to perceive patient-agreement regarding treatment and may directly improve patient-adherence. PRACTICE IMPLICATIONS: Discussing treatment-specifics with patients may directly improve adherence, but providers should not rely on these discussions to give them accurate estimates of the patients' likely adherence.

Indexed as

Attitude of Health PersonnelClinical CompetencePatient CompliancePhysician-Patient RelationsAdultAgedAged, 80 and overCross-Sectional StudiesFemaleForecastingHumansMaleMiddle AgedOutcome Assessment, Health CarePerceptionPhysicians

Identifiers

PMID21501943
PMCPMC3149713

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.