Evidence map›Paper›PMID 23466249›Full record

ArticlePatient education and counseling2013

Physician-patient communication about dietary supplements.

Derjung M Tarn, Debora A Paterniti, Jeffrey S Good, Ian D Coulter, James M Galliher, Richard L Kravitz, Arun S Karlamangla, Neil S Wenger

Abstract read
In one paragraph

Article in Patient education and counseling, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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

26 citing papers in PubMed.

  1. Article
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  6. The role and reach of alcohol reduction apps.Health affairs scholar · 2025
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  10. Natural product communications · 2021
    Article
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  13. Article
  14. Herbal supplements in the print media: communicating benefits and risks.BMC complementary and alternative medicine · 2019
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

8 authors.

Derjung M TarnDepartment of Family Medicine, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, CA 90024, USA. dtarn@mednet.ucla.edu
Debora A Paterniti
Jeffrey S Good
Ian D Coulter
James M Galliher
Richard L Kravitz
Arun S Karlamangla
Neil S Wenger

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KARLAMANGLA, ARUN S · 2006 to 2017
$9.8M
MENTORED CLINICAL SCIENTIST DEVELOPMENT PROGRAMK12AG001004 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REUBEN, DAVID B. · 2000 to 2009
$4.3M
Physician-Patient Communication ProjectR01AT005883 · NCCIH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TARN, DERJUNG M · 2010 to 2013
$2.0M
NCCIH NIH HHS R01 AT005883NCCIH NIH HHS R01AT005883NIA NIH HHS K12 AG001004NIA NIH HHS P30 AG028748NIA NIH HHS P30-AG028748
6 · The paper itself

Abstract

objectiveDescribe the content and frequency of provider-patient dietary supplement discussions during primary care office visits.

methodsInductive 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).

resultsProviders 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).

conclusionWhile 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.

Indexed as

Health Knowledge, Attitudes, PracticePatient Education as TopicPhysician-Patient RelationsAdultAgedCaliforniaClinical CompetenceDecision MakingDietary SupplementsFemaleHealth Care SurveysHumansMaleMiddle AgedQualitative ResearchRisk Factors

Identifiers

PMID23466249
PMCPMC3648214

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.