P03S03: Proton-Pump Inhibitors

Bottom line: Information on Proton-Pump Inhibitors (PPIs) was used to justify the management of the patient and to persuade a nurse to make a change (PPIs replacing former medication). There were no information-related patient health outcomes (no follow-up yet).

Level 1 outcome (situational relevance): On August 26, 2008, P03 did a search at home, by themselves. The search was not related to an encounter with a patient, but was then used for a patient (see below, so search done before the encounter with this patient). They retrieved one information hit about PPIs [Proton-Pump Inhibitors]. The reported search objective was to fulfill an educational or research objective. “That was a [search I did] just for my own [education], but also because those are the ones that they wanted you to rate [for the research project].” According to P03, e-Therapeutics+ was the only source for information, and the found information was relevant.

Level 2 outcome (cognitive impact): One hit was associated with a report of positive cognitive impact (see table). Regarding practice improvement, P03 stated: “That wasn’t sort of the standard of which treatment to use first [knowledge before the search]. So now that I know that it [my practice] would be improved because I have a reason to go to this treatment first [PPIs as first choice treatment], because it just wasn't something that I had known before looking this up.”

Retrieved information hit(s):

1) e-Therapeutics+ (CIRT): Home tab – Evaluate Therapeutic Information – August 26 Highlight (P03S03H01).

Level 3 outcome (information use): Information on PPIs was retrieved, and used to justify the management of the patient and to persuade other health professionals to make changes (information used as presented in e-Therapeutics+). “It was one of the patients that I see in the breast cancer prevention trials that was having difficulty. And so I had put her on this treatment [PPIs]. […] [The information was used] to justify the treatment plan that I was proposing. […] [It was also used] to help her realize why we were making the change, as well as the clinic nurse that was in the clinic with us. […] I think the clinic nurse did [need to be persuaded] yeah.”

Level 4 outcome (patient health): There was no clear relationship between the information use and information-related health outcomes. There was no follow-up (yet) so we do not know whether the patient took the treatment (or not).

Levels of outcome of information-seeking

Situational relevance	Positive cognitive impact	Information use	Patient health
Fulfill educational objective	Practice improved Learned something Motivated to learn	Persuade Justify choice	No outcome

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