Derjung M Tarn1, Arun Karlamangla2, Ian D Coulter3, Debora A Paterniti4, Lyndee Knox5, Peter S Khang6, Ka-Kit Hui7, Neil S Wenger8. 1. Department of Family Medicine, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, USA. Electronic address: dtarn@mednet.ucla.edu. 2. Division of Geriatrics, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, USA. 3. Department of Dentistry, University of California-Los Angeles, Los Angeles, USA; RAND Corp., Santa Monica, USA. 4. Center for Healthcare Policy and Research and Departments of Internal Medicine and Sociology, University of California-Davis Medical Center, Sacramento, USA. 5. L.A. Net Community Health Resource Network, Los Angeles, USA. 6. Kaiser Permanente Southern California, Los Angeles, USA. 7. UCLA Center for East-West Medicine, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, USA. 8. Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, USA.
Abstract
OBJECTIVE: Explore patterns in patients' disclosures of supplement use and identify provider and patient characteristics associated with disclosures. METHODS: Cross-sectional study of 61 outpatient primary care, integrative medicine, and complementary medicine providers, and 603 of their patients. Primary outcomes were supplement disclosures (based on audio recorded office visits, post-visit patient surveys and medical record abstractions for the day of the visits). RESULTS: Seventy-nine percent of 603 patients reported on a post-visit survey that they took a total of 2107 dietary supplements. Of those taking supplements, 232 patients (48.6%) discussed at least one supplement with their provider on the day of their office visit. However, patients disclosed only 714 (33.9%) of the 2107 supplements they were taking. Patients more frequently disclosed supplement use when they saw providers who attributed greater importance to asking about supplements. Patient characteristics such as patient activation, number of medical conditions, and use of prescription medications were not associated with disclosure of supplement use. CONCLUSIONS: Provider rating of the importance of asking about supplements is a major factor prompting patients' disclosures of supplement use. PRACTICE IMPLICATIONS: Provider-targeted interventions to encourage provider awareness about potential supplement-drug interactions are needed to increase disclosures about dietary supplement use.
OBJECTIVE: Explore patterns in patients' disclosures of supplement use and identify provider and patient characteristics associated with disclosures. METHODS: Cross-sectional study of 61 outpatient primary care, integrative medicine, and complementary medicine providers, and 603 of their patients. Primary outcomes were supplement disclosures (based on audio recorded office visits, post-visit patient surveys and medical record abstractions for the day of the visits). RESULTS: Seventy-nine percent of 603 patients reported on a post-visit survey that they took a total of 2107 dietary supplements. Of those taking supplements, 232 patients (48.6%) discussed at least one supplement with their provider on the day of their office visit. However, patients disclosed only 714 (33.9%) of the 2107 supplements they were taking. Patients more frequently disclosed supplement use when they saw providers who attributed greater importance to asking about supplements. Patient characteristics such as patient activation, number of medical conditions, and use of prescription medications were not associated with disclosure of supplement use. CONCLUSIONS: Provider rating of the importance of asking about supplements is a major factor prompting patients' disclosures of supplement use. PRACTICE IMPLICATIONS: Provider-targeted interventions to encourage provider awareness about potential supplement-drug interactions are needed to increase disclosures about dietary supplement use.
Authors: Han-Yao Huang; Benjamin Caballero; Stephanie Chang; Anthony J Alberg; Richard D Semba; Christine R Schneyer; Renee F Wilson; Ting-Yuan Cheng; Jason Vassy; Gregory Prokopowicz; George J Barnes; Eric B Bass Journal: Ann Intern Med Date: 2006-07-31 Impact factor: 25.391
Authors: Dima M Qato; G Caleb Alexander; Rena M Conti; Michael Johnson; Phil Schumm; Stacy Tessler Lindau Journal: JAMA Date: 2008-12-24 Impact factor: 56.272
Authors: Luke Hillman; Michelle Gottfried; Maureen Whitsett; Jorge Rakela; Michael Schilsky; William M Lee; Daniel Ganger Journal: Am J Gastroenterol Date: 2016-04-05 Impact factor: 10.864
Authors: Derjung M Tarn; Maureen Barrientos; Angel Y Wang; Abhijit Ramaprasad; Margaret C Fang; Janice B Schwartz Journal: J Am Geriatr Soc Date: 2019-10-28 Impact factor: 5.562
Authors: Elana Post; Keturah Faurot; Zachary O Kadro; Jacob Hill; Catharine Nguyen; Gary N Asher; Susan Gaylord; Amanda Corbett Journal: Glob Adv Health Med Date: 2022-01-27