Consumer confusion between prescription drug precautions and side effects.
Jacqueline B Amoozegar, Douglas J Rupert, Helen W Sullivan and 1 others
PMID 28069321WHAT IT FOUND
Among 134 consumers who mentioned a precaution when asked about side effects, 80 read it as a side effect.
This can make patients perceive a drug as riskier or fail to mention conditions that need dose changes.
Key findings
01Of 873 participants, 134 (15.3%) mentioned at least one drug precaution when asked to list side effects and negative outcomes.
02Among the 134 participants who mentioned a precaution, 80 (59.7%) interpreted it as a side effect, 23 (17.1%) interpreted it accurately, and 31 (23.1%) interpreted it in another way.
03Participants who misinterpreted precautions as side effects rated the advertised drugs as significantly more likely to cause side effects than participants who accurately interpreted precautions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was an exploratory study nested within a larger project, and the measures were not created specifically to assess precaution recall or interpretation. The interpretation analysis included only 134 of 873 participants because precaution recall was low. Participants who did not mention a precaution could have missed it, recalled it but not reported it, or correctly understood it, so the study cannot estimate confusion in all consumers. Illness population proportions are not directly comparable because the seasonal allergies website had multiple precautions. The websites were fictitious and did not test real drugs or real brand-name sites. The study measured perceived risk, not actual behavior such as refusing medication or failing to tell a provider about a condition. One precaution about angioedema lacked the reason for telling the doctor, which may have affected interpretation. The absence of demographic predictors may reflect limited power or imprecise measurement.
Declared interests
This work was supported by the National Cancer Institute under grant number R01 CA172851. The supplied text does not state other conflicts of interest.
The easy way to misread this
Do not conclude that most consumers confuse precautions and side effects. Only 134 of 873 participants mentioned a precaution, and the misinterpretation percentages apply to those 134, not to all consumers.