Lesson 3. Drug Information and Contemporary Community

Patient Education

Patient Sources of Drug Information

• delivers written or verbal drug information through a planned activity by a health care provider

• potential goals: changing patient behavior, improving adherence, and improving patient health

brief counseling

pharmacist-driven patient education formats:

1. includes medication counseling

2. includes seminar and lectures

3. health_______________

4. invite patients to visit your area and then bring their medications and prescriptions, then check all the products inside the bag then explain what the medicine does for their condition, proper dosage, mode of admin, dosage, frequency, side effects, interaction w/ other drugs

1 = ?

comprehensive education

pharmacist-driven patient education formats:

1. includes medication counseling

2. includes seminar and lectures

3. health_______________

4. invite patients to visit your area and then bring their medications and prescriptions, then check all the products inside the bag then explain what the medicine does for their condition, proper dosage, mode of admin, dosage, frequency, side effects, interaction w/ other drugs

2 = ?

screenings

pharmacist-driven patient education formats:

1. includes medication counseling

2. includes seminar and lectures

3. health_______________

4. invite patients to visit your area and then bring their medications and prescriptions, then check all the products inside the bag then explain what the medicine does for their condition, proper dosage, mode of admin, dosage, frequency, side effects, interaction w/ other drugs

3 = ?

brown bag checkups

pharmacist-driven patient education formats:

1. includes medication counseling

2. includes seminar and lectures

3. health_______________

4. invite patients to visit your area and then bring their medications and prescriptions, then check all the products inside the bag then explain what the medicine does for their condition, proper dosage, mode of admin, dosage, frequency, side effects, interaction w/ other drugs

4 = ?

Consumer Health Information

Patient Sources of Drug Information

• material that is actively sought by patients in response to their need for more information about their health

• not individualized for a specific patient

• completely-patient driven

• evolved out of the patient’s need to be their own advocate (self-diagnosis)

American Cancer Society

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• Supports and conducts research as well as is a source for patients. This site promotes healthy living to help prevent cancer, emotional support for patients, the latest cancer information for those who have been touched by cancer and much more.

• Resources are available 24 hours a day, 7 days a week.

Cleveland Clinic Health Library

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• Provides patients access to thousands of health articles, videos, and tools in order to better manage their health.

Drugs.com

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• Aims to be the Internet’s most trusted resource for drug and related health information. Provides patients with a variety information on over 24,000 prescription and over-the-counter drugs.

• A pill identifier, drug interaction checker, new drug approvals, and health-related news articles are all available to consumers as well.

Consumer Reports

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• Requiring a monthly or annual subscription, this online resource provides patients with information and unbiased ratings on topics such as healthy living, conditions and treatments, physicians, insurance companies, natural health, and prescription drugs.

• Health expert blogs are also provided for subscribers on an array of health topics.

• The Best Buy Drugs feature of this website was created in 2004 to help patients compare brand prescription drugs against generics and provide consumers with the best medicine to treat their disease state for their money.

Everyday Health

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• Consumer-centric health company founded to empower and encourage patients to put themselves at the center of their health care.

• Claims to be a super resource for comprehensive health and medical information.

• Free to consumers, the site gears information toward the person they consider the family's chief medical officer (CMO), women or other caregivers.

• Blogs, forums, and online communities are available so patients can talk to people similar to themselves.

GoodRx

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• A site available to consumers and health care professionals that gathers current prices and discounts to help users find the lowest cost pharmacy prescription medications

Healthfinder

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• A site operated by the Department of Health and Human Services that serves as a gateway to consumer information.

• The major goal of this site is to improve consumer access to health information via government agencies, their partner organizations, and other trustworthy sources that serve the public interest.

Mayo Clinic

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• A nonprofit organization committed to clinical practice, education and research, and providing expert whole-person care to everyone who needs healing.

• Among the many offerings this organization provides, health information regarding symptoms, disease states, medications, medical tests, and best healthy lifestyle practices can be found through this website.

MedlinePlus

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• An online health information resource for patients and their families and friends.

• A service of the National Library of Medicine, it has a mission to protect high-quality, relevant health and wellness information that is trusted, easy to understand, free of advertising, and free of cost.

PatientsLikeMe

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• Privately funded social media site that was founded in 2004 with the intent of positively impacting patients diagnosed with life-changing diseases.

• This site is the world's largest personalized health network and welcomes patients living with any health condition.

• Through an online community of physicians, organizations, and patients, patients are encouraged to share information about their disease states, treatments, and overall experiences.

• The hope is that through this online platform patients will feel more connected to others going through similar circumstances as well as empowered and in more control of their disease state.

WebMD

CONSUMER HEALTH INFORMATION AND SOCIAL MEDIA SITES:

• Health website allowing patients to obtain their health information via a variety of different ways.

• Health information is available on a wealth of different topics such as drugs and treatments, disease states, and prevention.

• Online communities for patients seeking support or desiring to share their experiences are also set up in the form of blogs, video, and message boards.

• Additionally, patients have access to slide shows, newsletters, food and Drug Administration (FDA) consumer updates, symptom checkers, drug identifiers, and ask the expert feature.

• has established an independent Medical Review Board to ensure all health information made available to the public is accurate and timely

Social Media a new form of CHI

allow patients to create content and share information about their health on the Internet

peer-to-peer health care

Social Media a new form of CHI

• group of individuals that share the same medical condition they connect with each other because they relate to each other share tips and emotional support with each other

Wisdom of Crowds

Social Media a new form of CHI

• a belief that when patients share information about their common conditions through social networking, their collective wisdom is more beneficial than the expert opinion of just one individual

• negative: not a substitute of going to your healthcare provider

Wikis

SOCIAL MEDIA DEFINITIONS AND PLATFORMS USED TO OBTAIN HEALTH INFORMATION

• Allows user editing and adding of content via a collaborative website

• ex: Wikipedia and Flu Wiki

Social Networks

SOCIAL MEDIA DEFINITIONS AND PLATFORMS USED TO OBTAIN HEALTH INFORMATION

• A website where those with special interests in common can connect and share with one another

• ex: Angie’s List, PatientsLikeMe, Everyday Health, Facebook, and Twitter

Blogs

SOCIAL MEDIA DEFINITIONS AND PLATFORMS USED TO OBTAIN HEALTH INFORMATION

• An online diary; one can log their personal thoughts on various topics and post to a web page

• ex: WebMD and Sharing Mayo Clinic

Online Forums

SOCIAL MEDIA DEFINITIONS AND PLATFORMS USED TO OBTAIN HEALTH INFORMATION

• Thoughts and ideas are shared and open discussion takes place via various mediums such as websites

• ex: Everyday Health, Google Health, and Yahoo! Groups

Video-sharing

SOCIAL MEDIA DEFINITIONS AND PLATFORMS USED TO OBTAIN HEALTH INFORMATION

• A medium where information, ideas, and opinions, can be shared via videos accessible to many

• ex: Instagram and YouTube

Mobile Health

• global shift to connected health or technology-enabled care

• converges health technology, digital media, and mobile devices in order to enable patients, caregivers, and health care professionals to access data and information more easily

prescribed digital therapeutics

Mobile Health

• the doctor prescribes a medical application to the patient

• applications that can help manage your disease --> check which are FDA approved to be used as a medical device

welldoc

Examples of prescribed digital therapeutics

• for aged 18 years and older who have type 1 or 2 diabetes

The PDT: Pathway

Examples of prescribed digital therapeutics

• for mental health conditions (depression, anxiety, and insomnia)

Credibility of App

AREAS OF EVALUATION FOR CONSUMER MOBILE HEALTH APPLICATIONS

• Are credentials of app suitable?

• Are authors/publishers clearly listed?

• Is the app promoting a product?

• Is the organization that developed the app reputable?

Accuracy of Information

AREAS OF EVALUATION FOR CONSUMER MOBILE HEALTH APPLICATIONS

• Is it peer-reviewed?

• Is the information current and/or frequently updated?

• Are recent and reputable guidelines used to support recommendations made?

• Are references cited?

Evidence-Based Medicine

AREAS OF EVALUATION FOR CONSUMER MOBILE HEALTH APPLICATIONS

• Are recommendations evidence-based?

• Do recommendations target a specific audience or are they general in nature?

• Are opinion statements clearly marked?

• Are users directed to a health care professional before making changes to health care routine?

Ease of Use

AREAS OF EVALUATION FOR CONSUMER MOBILE HEALTH APPLICATIONS

• Does the app fit to the screen?

• Is the setup of the app well designed and organized?

• Is the app easily navigated?

• Does the app have a search function?

• Is there a main menu that helps clearly lay content out?

Health Literacy

AREAS OF EVALUATION FOR CONSUMER MOBILE HEALTH APPLICATIONS

• Is medical jargon used?

• Is it easy for the lay reader to understand?

• Is font and setup of app easy to read?

• Does app gear information toward the consumer?

A New Model of Drug Information

• Pharmacists should discuss with their patients why they remain an important source of drug information

• Patients can be encouraged not to see CHI as a replacement for actual interaction with a health care provider – but as an extension of care and a way to improve communication

Health Literacy

• Once patients identify or are given quality health information, they still may face barriers in being able to use it to improve their health.

• capability of patients to read or hear health information, understand it, and then act upon it

Participatory Medicine

• refers to a recent movement for a new model of cooperative health care

• patients play an active role when it comes to their health care alongside the health care provider

• patients are seen as valuable health care resources, and providers are encouraged to view them as equal partners