(Ivanhoe Newswire) -- Medicine can be a very effective
way to treat chronic ailments like diabetes, high blood pressure, and elevated
cholesterol, but only if patients actually the medication their doctor has
prescribed. Now, researchers at the Mayo Clinic have devised a new tool that
could increase patients' compliance with life-saving medications.
In order to find out whether doctor-patient dialogues can
influence a patient's decision to take a statin to lower cholesterol,
researchers videotaped two groups of participants. One group was asked a
distinct set of four questions which included, "What is your risk of having a
heart attack in 10 years?" "What are the benefits of taking statins as compared
to not taking statins? "What side effects can you expect from statins? "What do
you want to do now?" Participants in the second group were not asked to answer a
distinct set of questions and engaged in ordinary dialogue with their doctor.
Based on their findings, researchers concluded 84 percent of patients in the
first group were satisfied with the decision aid, while only half of all
participants in the second group were satisfied with the standard, unstructured
dialogue.
"The decision aid plainly and simply displays for a patient
his or her risk of heart attack in the next 10 years with and without a statin,"
Victor Montori, M.D., an endocrinologist at Mayo Clinic and lead investigator of
the study, was quoted as saying. "If my risk of having a heart attack is very
small, a pill that reduces that risk may not be worth it for me, but if my risk
is really high, a pill that reduces that risk sounds compelling." Researchers
report that in participants who used the decision-aid, statin use tripled after
three months. They suggest patients are more likely to adhere to prescribed
medication if they played an active role the decision-making process.
After assessing the outcomes of this study, Dr. Montori
reports communication can play a key role in facilitating a healthy, productive
doctor-patient relationship and suggests clinicians take a more active role in
helping their patients assess their health decisions.
SOURCE: Archives of Internal Medicine,
published online May 28, 2007