Evidence map›Paper›PMID 28853340›Full record

Trial reportMedical decision making : an international journal of the Society for Medical Decision Making2018

Variability in Affect and Willingness to Take Medication.

Liana Fraenkel, Marilyn Stolar, Jonathan R Bates, Richard L Street, Harjinder Chowdhary, Sarah Swift, Ellen Peters

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medical decision making : an international journal of the Society for Medical Decision Making, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Effects of Emotion on Medical Decisions Involving Tradeoffs.Medical decision making : an international journal of the Society for Medical Decision Making · 2018
    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

7 authors.

Liana FraenkelYale University School of Medicine, New Haven, CT, USA (LF, JRB, HC, SS).
Marilyn StolarYale Center for Analytical Sciences, Yale University School of Public Health, New Haven, CT, USA (MS).
Jonathan R BatesYale University School of Medicine, New Haven, CT, USA (LF, JRB, HC, SS).
Richard L StreetDepartment of Communication, Texas A&M University, College Station, TX, USA (RLS).
Harjinder ChowdharyYale University School of Medicine, New Haven, CT, USA (LF, JRB, HC, SS).
Sarah SwiftYale University School of Medicine, New Haven, CT, USA (LF, JRB, HC, SS).
Ellen PetersPsychology Department, The Ohio State University, Columbus, OH, USA (EP).

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Improving Decision Making in Patients with Rheumatic DiseaseK24AR060231 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2011 to 2018
$1.2M
NCATS NIH HHS UL1 TR001863NIAMS NIH HHS K24 AR060231
6 · The paper itself

Abstract

objectiveTo determine if 1) patients have distinct affective reaction patterns to medication information, and 2) whether there is an association between affective reaction patterns and willingness to take medication.

methodsWe measured affect in real time as subjects listened to a description of benefits and side effects for a hypothetical new medication. Subjects moved a dial on a handheld response system to indicate how they were feeling from "Very Good" to "Very Bad". Patterns of reactions were identified using a cluster-analytic statistical approach for multiple time series. Subjects subsequently rated their willingness to take the medication on a 7-point Likert scale. Associations between subjects' willingness ratings and affect patterns were analyzed. Additional analyses were performed to explore the role of race/ethnicity regarding these associations.

resultsClusters of affective reactions emerged that could be classified into 4 patterns: "Moderate" positive reactions to benefits and negative reactions to side effects ( n = 186), "Pronounced" positive reactions to benefits and negative reactions to side effects ( n = 110), feeling consistently "Good" ( n = 58), and feeling consistently close to "Neutral" ( n = 33). Mean (standard error) willingness to take the medication was greater among subjects feeling consistently Good 4.72 (0.20) compared with those in the Moderate 3.76 (0.11), Pronounced 3.68 (0.14), and Neutral 3.62 (0.26) groups. Black subjects with a Pronounced pattern were less willing to take the medication compared with both Hispanic ( P = 0.0270) and White subjects ( P = 0.0001) with a Pronounced pattern.

conclusionPatients' affective reactions to information were clustered into specific patterns. Reactions varied by race/ethnicity and were associated with treatment willingness. Ultimately, a better understanding of how patients react to information may help providers develop improved methods of communication.

Indexed as

AffectAdultAgedFemaleHumansMaleMiddle AgedPatient Acceptance of Health CarePrescription DrugsRacial GroupsRisk AssessmentSocioeconomic FactorsPrescription Drugsaffectdecision makingrisk perceptions

Identifiers

PMID28853340
PMCPMC5764789

What OpenQuestion holds

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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.