Evidence map›Paper›PMID 34503908›Full record

ArticleJournal of the American Pharmacists Association : JAPhA

Identifying over-the-counter information to prioritize for the purpose of reducing adverse drug reactions in older adults: A national survey of pharmacists.

Beth A Martin, Robert M Breslow, Amanda Sims, Alyssa L Harben, Laura Bix, Mark W Becker

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of the American Pharmacists Association : JAPhA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04345731 (Over-the-counter), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 42% of its field
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.

NCT04345731 nacompletednot on this map

Over-the-counter (OTC) Labels for Older Adults

TypeinterventionalSponsorMichigan State UniversityRan2018 to 2023Enrolled420ConditionsAdverse Drug EventArmsOver the counter drug labels
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors.

Beth A Martin
Robert M Breslow
Amanda Sims
Alyssa L Harben
Laura Bix
Mark W Becker

Funding

Optimizing OTC labels for older adults: Empirical evaluation of labels designed to provide older users the information they need to minimize adverse drug eventsR01HS025386 · AHRQ · MICHIGAN STATE UNIVERSITY · PI BECKER, MARK W., BIX, LAURA LEE · 2018 to 2022
$1.6M
AHRQ HHS R01 HS025386
6 · The paper itself

Abstract

backgroundOver-the-counter (OTC) medication use is associated with risks of adverse drug reactions (ADRs), particularly among older adults. The Drug Facts Label (DFL) is supposed to provide consumers with information that would avoid ADRs, yet research suggests that consumers frequently fail to interact with this critical information. We postulate that emphasizing critical information by placing it on the front of the package may increase its usage. Before doing so, the most critical information from the DFL needs to be identified.

objectivesThis study aimed to determine which information from the DFL is most critical in reducing ADRs at the time of purchase or use by older adults.

methodsA national survey of practicing pharmacists knowledgeable about OTC medication use by older adults asked participants to rank order the importance of the DFL sections to reduce ADRs in older adults. Open-ended questions focused on identifying ways of improving OTC medication labeling. Quantitative rankings were used to calculate the content validity ratio and analyzed using Wilcoxon signed rank tests. Qualitative results were categorized into themes.

resultsA total of 318 responses (12% response rate) were analyzed. There was high consensus that uses and purpose, active ingredient, warnings, and directions for use were the most important sections of the DFL. Within the warning section, 2 specific warnings, "Do not use" and "Ask a doctor or pharmacist," were deemed most important. Similarly, qualitative themes focused on seeking health care provider assistance or were specific to age-related precautions.

conclusionsPrioritizing warnings that highlight the importance of possible drug-drug and drug-disease precautions and the need to seek medical advice before taking OTC medications were deemed most critical. Moving this type of information to the front of the package may help reduce ADRs among older adults.

Indexed as

Drug-Related Side Effects and Adverse ReactionsPharmacistsAgedConsumer BehaviorCounselingHumansNonprescription DrugsNonprescription Drugs

Identifiers

PMID34503908
PMCPMC8968788
OpenAlexW3193918576

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.