Evidence map›Paper›PMID 27713621›Full record

ArticlePatient preference and adherence2016

"My patients are better than yours": optimistic bias about patients' medication adherence by European health care professionals.

Wendy Clyne, Sarah McLachlan, Comfort Mshelia, Peter Jones, Sabina De Geest, Todd Ruppar, Kaat Siebens, Fabienne Dobbels, Przemyslaw Kardas

Abstract read
In one paragraph

Article in Patient preference and adherence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
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  13. Understanding Medication Nonadherence after Kidney Transplant.Journal of the American Society of Nephrology : JASN · 2017
    Review
  14. 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

9 authors.

Wendy ClyneFaculty of Health and Life Sciences, Coventry University, Coventry.
Sarah McLachlanDepartment of Physiotherapy, King's College London, London.
Comfort MsheliaLeeds Institute of Health Sciences, University of Leeds, Leeds.
Peter JonesInstitute of Science and Technology in Medicines, Keele University, Keele, UK.
Sabina De GeestInstitute of Nursing Science, University of Basel, Basel, Switzerland; Academic Center for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
Todd RupparSinclair School of Nursing, University of Missouri, Columbia, MO, USA.
Kaat SiebensAcademic Center for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
Fabienne DobbelsAcademic Center for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
Przemyslaw KardasDepartment of Family Medicine, Medical University of Lodz, Lodz, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objectives of this study were to determine the perceptions of European physicians, nurses, and pharmacists about the extent of nonadherence by patients in their country relative to their perception of nonadherence by their own patients, and to investigate the occurrence of optimistic bias about medication adherence. The study explored a key cognitive bias for prevalence and likelihood estimates in the context of health care professionals' beliefs about patients' use of medicines.

methodsA cross-sectional online survey of 3,196 physicians (855), nurses (1,294), and pharmacists (1,047) in ten European countries (Austria, Belgium, England, France, Germany, Hungary, the Netherlands, Poland, Portugal, and Switzerland) was used.

resultsParticipants differed in their perceptions of the prevalence of medication adherence initiation, implementation, and persistence present in their own patients with a chronic illness in comparison to patients with a chronic illness in general. Health care professionals demonstrated optimistic bias for initiation and persistence with medicine taking, perceiving their own patients to be more likely to initiate and persist with treatment than other patients, but reported significantly lower prevalence of medication adherence levels for their own patients than for patients in general. This finding is discussed in terms of motivational and cognitive factors that may foster optimistic bias by health care professionals about their patients, including heightened knowledge of, and positive beliefs about, their own professional competence and service delivery relative to care and treatment provided elsewhere.

conclusionHealth care professionals in Europe demonstrated significant differences in their perceptions of medication adherence prevalence by their own patients in comparison to patients in general. Some evidence of optimistic bias by health care professionals about their patients' behavior is observed. Further social cognitive theory-based research of health care professional beliefs about medication adherence is warranted to enable theory-based practitioner-focused interventions to be tested and implemented.

Indexed as

health care professional beliefsmedication adherenceoptimistic biasunrealistic optimism

Identifiers

PMID27713621
PMCPMC5045226

What OpenQuestion holds

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LicenceCC BY-NC
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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.