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Words that make pills easier to swallow: a communication typology to address practical and perceptual barriers to medication intake behavior

机译：使药片更容易吞咽的词语：一种沟通类型，以解决药物摄入行为的实际和感性障碍

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Purpose: The barriers to patients’ successful medication intake behavior could be reduced through tailored communication about these barriers. The aim of this study is therefore (1) to develop a new communication typology to address these barriers to successful medication intake behavior, and (2) to examine the relationship between the use of the typology and the reduction of the barriers to successful medication intake behavior. Patients and methods: Based on a literature review, the practical and perceptual barriers to successful medication intake behavior typology (PPB-typology) was developed. The PPB-typology addresses four potential types of barriers that can be either practical (memory and daily routine barriers) or perceptual (concern and necessity barriers). The typology describes tailored communication strategies that are organized according to barriers and communication strategies that are organized according to provider and patient roles. Eighty consultations concerning first-time medication use between nurses and inflammatory bowel disease patients were videotaped. The verbal content of the consultations was analyzed using a coding system based on the PPB-typology. The Medication Understanding and Use Self-efficacy Scale and the Beliefs about Medicine Questionnaire Scale were used as indicators of patients’ barriers and correlated with PPB-related scores. Results: The results showed that nurses generally did not communicate with patients according to the typology. However, when they did, fewer barriers to successful medication intake behavior were identified. A significant association was found between nurses who encouraged question-asking behavior and memory barriers (r = −0.228, P = 0.042) and between nurses who summarized information (r = −0.254, P = 0.023) or used cartoons or pictures (r = −0.249, P = 0.026) and concern barriers. Moreover, a significant relationship between patients’ emotional cues about side effects and perceived concern barriers (r = 0.244, P = 0.029) was found as well. Conclusion: The PPB-typology provides communication recommendations that are designed to meet patients’ needs and assist providers in the promotion of successful medication intake behavior, and it can be a useful tool for developing effective communication skills training programs.
机译：目的：通过针对这些障碍进行有针对性的沟通，可以减少患者成功用药行为的障碍。因此，本研究的目的是（1）开发一种新的交流类型学，以解决成功药物摄入行为的这些障碍，以及（2）研究这种类型学的使用与减少成功药物摄入障碍之间的关系。行为。患者和方法：根据文献综述，成功的药物摄入行为类型学（PPB型）的实际和感性障碍得到发展。 PPB类型学解决了四种潜在的障碍类型，它们可能是实际的（内存和日常障碍）或感知的（关注和必要障碍）。该类型描述了根据障碍组织的量身定制的交流策略，以及根据提供者和患者角色组织的交流策略。录制了关于护士与炎症性肠病患者之间首次使用药物的八十次会诊录像。会诊的言语内容使用基于PPB类型的编码系统进行了分析。药物理解和使用自我效能感量表和药物问卷调查量表被用作患者障碍的指标，并与PPB相关评分相关。结果：结果表明，根据类型，护士通常不与患者沟通。但是，当他们这样做时，发现成功药物摄入行为的障碍就更少了。在鼓励提问行为和记忆障碍的护士之间（r = −0.228，P = 0.042）与总结信息（r = −0.254，P = 0.023）或使用卡通或图片的护士之间存在显着关联（r = -0.249，P = 0.026）并关注壁垒。此外，还发现了患者对副作用的情绪暗示与关注障碍之间的显着关系（r = 0.244，P = 0.029）。结论：PPB型提供的交流建议旨在满足患者的需求，并帮助提供者促进成功的药物摄入行为，并且可以成为制定有效的交流技能培训计划的有用工具。

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