Table 5

Relationships With Clinicians: Second-Order Constructs

Second-Order ConstructExplanatory NotesArticles
Promote persistence
Importance of good relationship with prescribing clinicianValuing approachability and openness to discuss adverse effects1, 5, 9, 11c, 13, 15
Importance of information given in suitable languageDialogue with clinician in language deemed appropriate5, 6, 11a, 11c, 15
Importance of information at initiationReceiving adequate information when first starting treatment was deemed helpful9, 11a
Ambivalence toward persistence
Adequate information about medication effectsWanting information about medication effects and using other resources (eg, Internet) if this is not provided by clinician3, 8, 9, 11b, 15
Wanting individualized treatmentI know this medication is good, but is it good for me?8, 10, 12
Deter persistence
Receiving conflicting information from health professionalsBreakdown in transition of care between different health care settings8, 11a, 11b, 11c
Skeptical about advice from noncliniciansHeart disease considered too important to discuss with pharmacists6, 15
Reluctance to seek information about drugs from cliniciansConcerns about inconveniencing busy clinicians6, 10
Perceived severity of illness reduced by clinician terminologyFalsely reassured by misinterpreting jargon2