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Patient beliefs and attitudes to taking statins: systematic review of qualitative studies
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| Zeitschriftentitel: | British Journal of General Practice |
|---|---|
| Personen und Körperschaften: | , , , , , , , |
| In: | British Journal of General Practice, 68, 2018, 671, S. e408-e419 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Royal College of General Practitioners
|
| Schlagwörter: |
| author_facet |
Ju, Angela Hanson, Camilla S Banks, Emily Korda, Rosemary Craig, Jonathan C Usherwood, Tim MacDonald, Peter Tong, Allison Ju, Angela Hanson, Camilla S Banks, Emily Korda, Rosemary Craig, Jonathan C Usherwood, Tim MacDonald, Peter Tong, Allison |
|---|---|
| author |
Ju, Angela Hanson, Camilla S Banks, Emily Korda, Rosemary Craig, Jonathan C Usherwood, Tim MacDonald, Peter Tong, Allison |
| spellingShingle |
Ju, Angela Hanson, Camilla S Banks, Emily Korda, Rosemary Craig, Jonathan C Usherwood, Tim MacDonald, Peter Tong, Allison British Journal of General Practice Patient beliefs and attitudes to taking statins: systematic review of qualitative studies Family Practice |
| author_sort |
ju, angela |
| spelling |
Ju, Angela Hanson, Camilla S Banks, Emily Korda, Rosemary Craig, Jonathan C Usherwood, Tim MacDonald, Peter Tong, Allison 0960-1643 1478-5242 Royal College of General Practitioners Family Practice http://dx.doi.org/10.3399/bjgp18x696365 <jats:sec><jats:title>Background</jats:title><jats:p>Statins are effective in preventing cardiovascular disease (CVD) events and are recommended for at-risk individuals but estimated adherence rates are low.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>To describe patients’ perspectives, experiences, and attitudes towards taking statins.</jats:p></jats:sec><jats:sec><jats:title>Design and setting</jats:title><jats:p>Systematic review of qualitative studies reporting perspectives of patients on statins.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>PsycINFO, CINAHL, Embase, MEDLINE, and PhD dissertations from inception to 6 October 2016 were searched for qualitative studies on adult patients’ perspectives on statins. All text and participant quotations were extracted from each article and analysed by thematic synthesis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Thirty-two studies involving 888 participants aged 22–93 years across eight countries were included. Seven themes were identified: confidence in prevention (trust in efficacy, minimising long-term catastrophic CVD, taking control, easing anxiety about high cholesterol); routinising into daily life; questioning utility (imperceptible benefits, uncertainties about pharmacological mechanisms); medical distrust (scepticism about overprescribing, pressure to start therapy); threatening health (competing priorities and risks, debilitating side effects, toxicity to body); signifying sickness (fear of perpetual dependence, losing the battle); and financial strain.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>An expectation that statins could prevent CVD and being able to integrate the statin regimen in daily life facilitated acceptance of statins among patients. However, avoiding the ‘sick’ identity and prolonged dependence on medications, uncertainties about the pharmacological mechanisms, risks to health, side effects, costs, and scepticism about clinicians’ motives for prescribing statins were barriers to uptake. Shared decision making that addresses the risks, reasons for prescribing, patient priorities, and implementing strategies to minimise lifestyle intrusion and manage side effects may improve patient satisfaction and continuation of statins.</jats:p></jats:sec> Patient beliefs and attitudes to taking statins: systematic review of qualitative studies British Journal of General Practice |
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| title |
Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_unstemmed |
Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_full |
Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_fullStr |
Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_full_unstemmed |
Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_short |
Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_sort |
patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
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Family Practice |
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http://dx.doi.org/10.3399/bjgp18x696365 |
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2018 |
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e408-e419 |
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<jats:sec><jats:title>Background</jats:title><jats:p>Statins are effective in preventing cardiovascular disease (CVD) events and are recommended for at-risk individuals but estimated adherence rates are low.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>To describe patients’ perspectives, experiences, and attitudes towards taking statins.</jats:p></jats:sec><jats:sec><jats:title>Design and setting</jats:title><jats:p>Systematic review of qualitative studies reporting perspectives of patients on statins.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>PsycINFO, CINAHL, Embase, MEDLINE, and PhD dissertations from inception to 6 October 2016 were searched for qualitative studies on adult patients’ perspectives on statins. All text and participant quotations were extracted from each article and analysed by thematic synthesis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Thirty-two studies involving 888 participants aged 22–93 years across eight countries were included. Seven themes were identified: confidence in prevention (trust in efficacy, minimising long-term catastrophic CVD, taking control, easing anxiety about high cholesterol); routinising into daily life; questioning utility (imperceptible benefits, uncertainties about pharmacological mechanisms); medical distrust (scepticism about overprescribing, pressure to start therapy); threatening health (competing priorities and risks, debilitating side effects, toxicity to body); signifying sickness (fear of perpetual dependence, losing the battle); and financial strain.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>An expectation that statins could prevent CVD and being able to integrate the statin regimen in daily life facilitated acceptance of statins among patients. However, avoiding the ‘sick’ identity and prolonged dependence on medications, uncertainties about the pharmacological mechanisms, risks to health, side effects, costs, and scepticism about clinicians’ motives for prescribing statins were barriers to uptake. Shared decision making that addresses the risks, reasons for prescribing, patient priorities, and implementing strategies to minimise lifestyle intrusion and manage side effects may improve patient satisfaction and continuation of statins.</jats:p></jats:sec> |
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| author | Ju, Angela, Hanson, Camilla S, Banks, Emily, Korda, Rosemary, Craig, Jonathan C, Usherwood, Tim, MacDonald, Peter, Tong, Allison |
| author_facet | Ju, Angela, Hanson, Camilla S, Banks, Emily, Korda, Rosemary, Craig, Jonathan C, Usherwood, Tim, MacDonald, Peter, Tong, Allison, Ju, Angela, Hanson, Camilla S, Banks, Emily, Korda, Rosemary, Craig, Jonathan C, Usherwood, Tim, MacDonald, Peter, Tong, Allison |
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| description | <jats:sec><jats:title>Background</jats:title><jats:p>Statins are effective in preventing cardiovascular disease (CVD) events and are recommended for at-risk individuals but estimated adherence rates are low.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>To describe patients’ perspectives, experiences, and attitudes towards taking statins.</jats:p></jats:sec><jats:sec><jats:title>Design and setting</jats:title><jats:p>Systematic review of qualitative studies reporting perspectives of patients on statins.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>PsycINFO, CINAHL, Embase, MEDLINE, and PhD dissertations from inception to 6 October 2016 were searched for qualitative studies on adult patients’ perspectives on statins. All text and participant quotations were extracted from each article and analysed by thematic synthesis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Thirty-two studies involving 888 participants aged 22–93 years across eight countries were included. Seven themes were identified: confidence in prevention (trust in efficacy, minimising long-term catastrophic CVD, taking control, easing anxiety about high cholesterol); routinising into daily life; questioning utility (imperceptible benefits, uncertainties about pharmacological mechanisms); medical distrust (scepticism about overprescribing, pressure to start therapy); threatening health (competing priorities and risks, debilitating side effects, toxicity to body); signifying sickness (fear of perpetual dependence, losing the battle); and financial strain.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>An expectation that statins could prevent CVD and being able to integrate the statin regimen in daily life facilitated acceptance of statins among patients. However, avoiding the ‘sick’ identity and prolonged dependence on medications, uncertainties about the pharmacological mechanisms, risks to health, side effects, costs, and scepticism about clinicians’ motives for prescribing statins were barriers to uptake. Shared decision making that addresses the risks, reasons for prescribing, patient priorities, and implementing strategies to minimise lifestyle intrusion and manage side effects may improve patient satisfaction and continuation of statins.</jats:p></jats:sec> |
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| spelling | Ju, Angela Hanson, Camilla S Banks, Emily Korda, Rosemary Craig, Jonathan C Usherwood, Tim MacDonald, Peter Tong, Allison 0960-1643 1478-5242 Royal College of General Practitioners Family Practice http://dx.doi.org/10.3399/bjgp18x696365 <jats:sec><jats:title>Background</jats:title><jats:p>Statins are effective in preventing cardiovascular disease (CVD) events and are recommended for at-risk individuals but estimated adherence rates are low.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>To describe patients’ perspectives, experiences, and attitudes towards taking statins.</jats:p></jats:sec><jats:sec><jats:title>Design and setting</jats:title><jats:p>Systematic review of qualitative studies reporting perspectives of patients on statins.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>PsycINFO, CINAHL, Embase, MEDLINE, and PhD dissertations from inception to 6 October 2016 were searched for qualitative studies on adult patients’ perspectives on statins. All text and participant quotations were extracted from each article and analysed by thematic synthesis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Thirty-two studies involving 888 participants aged 22–93 years across eight countries were included. Seven themes were identified: confidence in prevention (trust in efficacy, minimising long-term catastrophic CVD, taking control, easing anxiety about high cholesterol); routinising into daily life; questioning utility (imperceptible benefits, uncertainties about pharmacological mechanisms); medical distrust (scepticism about overprescribing, pressure to start therapy); threatening health (competing priorities and risks, debilitating side effects, toxicity to body); signifying sickness (fear of perpetual dependence, losing the battle); and financial strain.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>An expectation that statins could prevent CVD and being able to integrate the statin regimen in daily life facilitated acceptance of statins among patients. However, avoiding the ‘sick’ identity and prolonged dependence on medications, uncertainties about the pharmacological mechanisms, risks to health, side effects, costs, and scepticism about clinicians’ motives for prescribing statins were barriers to uptake. Shared decision making that addresses the risks, reasons for prescribing, patient priorities, and implementing strategies to minimise lifestyle intrusion and manage side effects may improve patient satisfaction and continuation of statins.</jats:p></jats:sec> Patient beliefs and attitudes to taking statins: systematic review of qualitative studies British Journal of General Practice |
| spellingShingle | Ju, Angela, Hanson, Camilla S, Banks, Emily, Korda, Rosemary, Craig, Jonathan C, Usherwood, Tim, MacDonald, Peter, Tong, Allison, British Journal of General Practice, Patient beliefs and attitudes to taking statins: systematic review of qualitative studies, Family Practice |
| title | Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_full | Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_fullStr | Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_full_unstemmed | Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_short | Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_sort | patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| title_unstemmed | Patient beliefs and attitudes to taking statins: systematic review of qualitative studies |
| topic | Family Practice |
| url | http://dx.doi.org/10.3399/bjgp18x696365 |