P15S02: Smoking cessation
(medication)
Bottom line: Information on medication to
stop smoking was used to maintain the
management of a patient (prescription for Champix). It contributed to increase patient
knowledge about this treatment.
Level 1 outcome (situational relevance): On August 6, 2008, P15 did a search at
work by themselves, during the encounter with the patient. They retrieved one information hit about Champix. The reported search
objectives were: to address a clinical question and to share information with
the patient. “[...] The patient [a thirty year old woman] was trying to
decide what [...] was available out there for her [to quit
smoking, and] for constipation. I gave her a handout going
over efficacy and side effects for Champix.” According to P15, 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 confirmation,
reassurance and reminder, P15 stated: “The information I was giving her [the patient], I already knew,
but it confirms what I already know so I can tell her confidently.”
Retrieved
information hit:
1) e-Therapeutics+ (CIRT): e-CPS Tab – Keyword: Champix – Information for
the patient – Printable pdf version (P15S02H01)
Level 3 outcome
(information use): Information on Champix was retrieved,
and used to maintain (be more certain about) the management of
the patient (information used as presented in e-Therapeutics+). “I started her on [Champix]. […] This patient, […] she said she
was very sensitive with medication on her stomach. […] She wasn't on
anything, and she wanted to try something [to quit smoking]. […] Because she
has the history of this upset stomach, on some medication, I just wanted to,
again, let her know what other side effects to look for, and that she may or
may not experience them, but to at least give it a try, […] [to] start
medication and to quit smoking.”
Level 4 outcome (patient health): Regarding patient
health, P15 reported that the information contributed to increase patient
knowledge. “I already knew the information. So, I'm giving it [printed
document for patients] to a patient who doesn't know anything about it. To take
it home, absorb it, and understand it. [...] I was just
trying to give her [the patient] more information to help her make her
decision [and] preventing her from long-term effects of
smoking cessation.”
Levels of outcome of information-seeking
|
Situational relevance |
Positive cognitive
impact |
Information use |
Patient health |
|
Address a clinical question Share information |
Reminded something Motivated to learn Confirmed Reassured |
Be more certain |
Patient knowledge |