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Dosing frequencies in general practice--Whose decision and why?

Deborah C Saltman1, Geoffrey P Sayer, Natalie A O'Dea

  • 1University of Sydney, New South Wales. rosie@gp.med.usyd.edu.au

Australian Family Physician
|November 14, 2006
PubMed
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Patient medication dosing frequency preference is influenced by prior experience and perceived control. Women over 60 showed varied preferences for daily, weekly, or monthly schedules based on these factors.

Area of Science:

  • Geriatric Medicine
  • Pharmacology
  • Patient Adherence

Background:

  • Limited understanding of patient preferences regarding medication dosing frequency (daily, weekly, monthly).
  • Focus on women over 60 years of age to explore attitudes towards dosing schedules.
  • Investigated the impact of medical condition, prior medication experience, and perceived control on preferences.

Purpose of the Study:

  • To investigate patient preferences for medication dosing frequencies in women over 60.
  • To determine factors influencing these preferences, including condition, medication history, and perceived control.

Main Methods:

  • 107 Australian general practitioners (GPs) recruited approximately 10 patients each.
  • Patients were categorized by condition type: preventable (osteoporotic fracture), chronic, or acute/no conditions.

Related Experiment Videos

  • Preferences for daily, weekly, or monthly dosing were assessed against patient characteristics.

    • Main Results:

    • A majority (67%) preferred initiating medication daily.
    • Patients with chronic/acute conditions and those experienced with daily/intermittent medication favored monthly dosing.
    • Prior weekly medication experience led to a weekly dosing preference; greater perceived control correlated with monthly preference.

    Conclusions:

    • Patient preferences for medication dosing frequency are significantly shaped by previous experience with specific schedules.
    • Condition type and the level of perceived control in decision-making also play a crucial role in preference.
    • Findings offer initial evidence on patient-driven dosing frequency determination, aiding GPs in medication selection and patient counseling.