{"id":"https://openalex.org/W69564536","doi":null,"title":"Improving medication adherence through patient education distinguishing between appropriate and inappropriate utilization. Patient Education Study Group.","display_name":"Improving medication adherence through patient education distinguishing between appropriate and inappropriate utilization. Patient Education Study Group.","publication_year":1999,"publication_date":"1999-08-01","ids":{"openalex":"https://openalex.org/W69564536","mag":"69564536","pmid":"https://pubmed.ncbi.nlm.nih.gov/10451079"},"language":"en","primary_location":{"id":"pmid:10451079","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10451079","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of rheumatology","raw_type":"Clinical Trial"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016058561","display_name":"Steven M. Edworthy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I168635309","display_name":"University of Calgary","ror":"https://ror.org/03yjb2x39","country_code":"CA","type":"education","lineage":["https://openalex.org/I168635309"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"S M Edworthy","raw_affiliation_strings":["Department of Medicine and Community Health Sciences, Faculty of Medicine, University of Calgary, Alberta, Canada. edworthy@mccaig.ucalgary.ca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Community Health Sciences, Faculty of Medicine, University of Calgary, Alberta, Canada. edworthy@mccaig.ucalgary.ca","institution_ids":["https://openalex.org/I168635309"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091286100","display_name":"Gerald M. Devins","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G M Devins","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":5.4137,"has_fulltext":false,"cited_by_count":68,"citation_normalized_percentile":{"value":0.94947025,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"26","issue":"8","first_page":"1793","last_page":"801"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13970","display_name":"Pharmacy and Medical Practices","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.9980000257492065},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.9359999895095825},{"id":"https://openalex.org/keywords/computer-assisted-instruction","display_name":"computer-assisted instruction","score":0.902999997138977},{"id":"https://openalex.org/keywords/osteoarthritis","display_name":"osteoarthritis","score":0.953000009059906},{"id":"https://openalex.org/keywords/diclofenac","display_name":"diclofenac","score":0.9089999794960022},{"id":"https://openalex.org/keywords/misoprostol","display_name":"misoprostol","score":0.9990000128746033},{"id":"https://openalex.org/keywords/anti-inflammatory-agents","display_name":"anti-inflammatory agents","score":0.6389999985694885},{"id":"https://openalex.org/keywords/self-efficacy","display_name":"self-efficacy","score":0.8050000071525574},{"id":"https://openalex.org/keywords/patient-provider-communication","display_name":"patient-provider communication","score":0.5199999809265137},{"id":"https://openalex.org/keywords/joint-stiffness","display_name":"joint stiffness","score":0.4790000021457672},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7950000166893005}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9310362339019775},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.6710313558578491},{"id":"https://openalex.org/C2778715236","wikidata":"https://www.wikidata.org/wiki/Q55622662","display_name":"Discontinuation","level":2,"score":0.6248396039009094},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.5773138403892517},{"id":"https://openalex.org/C2777929519","wikidata":"https://www.wikidata.org/wiki/Q7144988","display_name":"Patient education","level":2,"score":0.542656660079956},{"id":"https://openalex.org/C2779826273","wikidata":"https://www.wikidata.org/wiki/Q244408","display_name":"Diclofenac","level":2,"score":0.471496045589447},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.46421340107917786},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.42449820041656494},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.423137903213501},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2518154978752136},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2453089952468872},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.23265337944030762},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000894","descriptor_name":"Anti-Inflammatory Agents, Non-Steroidal","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000897","descriptor_name":"Anti-Ulcer Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D003194","descriptor_name":"Computer-Assisted Instruction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004008","descriptor_name":"Diclofenac","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D004311","descriptor_name":"Double-Blind Method","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004359","descriptor_name":"Drug Therapy, Combination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010003","descriptor_name":"Osteoarthritis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D010003","descriptor_name":"Osteoarthritis","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D010003","descriptor_name":"Osteoarthritis","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D010349","descriptor_name":"Patient Compliance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010353","descriptor_name":"Patient Education as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016595","descriptor_name":"Misoprostol","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:10451079","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10451079","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of rheumatology","raw_type":"Clinical Trial"},{"id":"mag:69564536","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10451079","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/randomized-controlled-trial","display_name":"Randomized Controlled Trial"},{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2908576959","https://openalex.org/W6926576871","https://openalex.org/W7099047213","https://openalex.org/W4391731676","https://openalex.org/W1970903428","https://openalex.org/W7099064726","https://openalex.org/W2078674399","https://openalex.org/W7155196198","https://openalex.org/W3133050092","https://openalex.org/W2793400188"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"evaluate":[2],"the":[3,22,58,66,79,111,136,142,145,152,178,197,208,239,257],"effectiveness":[4,240],"of":[5,15,96,135,162,167,220,241,254],"a":[6,71,191,218],"computer":[7,72,115,243],"assisted":[8,244],"educational":[9],"intervention":[10],"to":[11,65,150,182,204,207,215,238,259],"facilitate":[12,268],"appropriate":[13,86,90,248],"utilization":[14,87,134],"an":[16],"antiinflammatory":[17],"medication":[18,59,137],"(Arthrotec)":[19],"and":[20,83,94,105,128,169,252,267],"investigate":[21],"mechanism":[23],"by":[24],"which":[25],"it":[26],"produces":[27],"these":[28],"effects.":[29],"METHODS:":[30],"A":[31],"double":[32],"blind,":[33],"multicenter,":[34],"randomized,":[35],"controlled":[36],"trial":[37],"studied":[38],"patients":[39,51],"over":[40],"age":[41],"50":[42],"years":[43],"with":[44,57,70,107,180],"hip":[45],"or":[46,186],"knee":[47],"osteoarthritis":[48],"(OA).":[49],"All":[50],"(n":[52],"=":[53,222],"252)":[54],"were":[55,123],"treated":[56],"(diclofenac":[60],"+":[61],"misoprostol).":[62],"Patients":[63],"randomized":[64],"experimental":[67,143,153,198],"group":[68,147,154,199,210],"interacted":[69],"program":[73,116],"delivering":[74],"information":[75,119],"about":[76,120],"their":[77],"disease,":[78],"medication,":[80],"its":[81],"intended":[82],"side":[84],"effects,":[85],"(distinguishing":[88],"between":[89,177],"versus":[91],"inappropriate":[92,250],"continuation":[93,251],"discontinuation":[95,253],"medication),":[97],"patient":[98,231],"involvement":[99,232],"in":[100,141,158,194,196,233,271],"treatment":[101],"related":[102],"decision":[103,234],"making,":[104],"communication":[106],"service":[108],"providers.":[109],"In":[110,225],"control":[112,146,209],"condition,":[113],"another":[114],"presented":[117],"generic":[118],"OA.":[121],"Data":[122],"collected":[124],"at":[125,217],"pre-test,":[126],"post-test,":[127],"8":[129],"week":[130],"followup.":[131],"RESULTS:":[132],"Appropriate":[133],"occurred":[138],"more":[139,272],"frequently":[140],"than":[144],"(p<0.029).":[148],"Compared":[149],"controls,":[151],"demonstrated":[155],"significant":[156],"improvements":[157],"knowledge,":[159,261],"realistic":[160,265],"expectations":[161],"drug":[163],"benefits,":[164],"perceived":[165],"ease":[166],"adherence,":[168,269],"self-efficacy":[170],"(all":[171],"p<0.05).":[172],"There":[173],"was":[174,190],"no":[175],"difference":[176],"groups":[179],"regard":[181],"illness":[183],"intrusiveness,":[184],"pain,":[185],"disability,":[187],"but":[188],"there":[189],"greater":[192],"improvement":[193],"stiffness":[195],"(-0.63;":[200],"95%":[201,212],"CI":[202,213],"-0.81":[203],"-0.45)":[205],"compared":[206],"(-0.39;":[211],"-0.53":[214],"-0.25)":[216],"level":[219],"p":[221],"0.04.":[223],"CONCLUSION:":[224],"conditions":[226],"such":[227],"as":[228],"OA,":[229],"where":[230],"making":[235],"is":[236],"essential":[237],"care,":[242],"education":[245],"focussing":[246],"on":[247],"vs":[249],"medications":[255],"has":[256],"potential":[258],"improve":[260],"increase":[262],"self-efficacy,":[263],"maintain":[264],"expectations,":[266],"resulting":[270],"beneficial":[273],"clinical":[274],"outcomes.":[275]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
