A Segmentation Analysis of Prescription Drug Information-Seeking Motives among the Elderly

A study was done to determine why elderly users of hypertension medication seek or avoid prescription drug information. Subjects were users of the American Association of Retired Persons Pharmacy Service who returned a questionnaire that measured theoretically relevant motivations and corresponding knowledge and behaviors. Analysis indicated four distinct segments of information seekers: the ambivalent learners, who viewed themselves as vulnerable to negative health information, not particularly healthy, but receptive to drug information; the uncertain patients, who perceived difficulty adhering to the regimen and reported low levels of information receipt from health professionals; the risk avoiders, who viewed information-seeking as a risk-control coping strategy; and the assertively self-reliant, who were the least receptive to information about their medication. The authors postulate different message strategies that could be targeted to these four segments in response to their informational needs.

[1]  J. Murry,et al.  A Lifestyle Typology to Model Young Male Drinking and Driving , 1987 .

[2]  M. Becker,et al.  Health Belief Model and Personal Health Behavior , 1976 .

[3]  L. Nolan,et al.  Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug Reactions * , 1988, Journal of the American Geriatrics Society.

[4]  J. Weisz,et al.  Changing the world and changing the self: A two-process model of perceived control. , 1982 .

[5]  Catherine A. Cole,et al.  Encoding and Media Effects on Consumer Learning Deficiencies in the Elderly , 1987 .

[6]  H. Charles Romesburg,et al.  Cluster analysis for researchers , 1984 .

[7]  D. Kirking,et al.  Choices in prescription-drug benefit programs: mail versus community pharmacy services. , 1990, The Milbank quarterly.

[8]  M. Becker,et al.  Sociobehavioral Determinants of Compliance with Health and Medical Care Recommendations , 1975, Medical care.

[9]  Girish N. Punj,et al.  A Typology of Individual Search Strategies Among Purchasers of New Automobiles , 1984 .

[10]  R. V. Vander Stichele,et al.  Attitude of the Public toward Technical Package Inserts for Medication Information in Belgium , 1991, DICP : the annals of pharmacotherapy.

[11]  M. Becker,et al.  The Health Belief Model: A Decade Later , 1984, Health education quarterly.

[12]  Andrew Baum,et al.  Assessment of preferences for self-treatment and information in health care. , 1980 .

[13]  Second Edition,et al.  Statistical Package for the Social Sciences , 1970 .

[14]  Timothy B. Heath,et al.  The Cognitive Processing of Misleading Advertising in Young and Old Adults: Assessment and Training , 1987 .

[15]  J. Zaichkowsky Measuring the Involvement Construct , 1985 .

[16]  D. Kessler,et al.  Communicating with patients about their medications. , 1991, The New England journal of medicine.

[17]  L. Morris,et al.  A Segmentational Analysis of Prescription Drug Information Seeking , 1987, Medical care.

[18]  G. Laurent,et al.  Measuring Consumer Involvement Profiles , 1985 .

[19]  I. Rosenstock,et al.  Social Learning Theory and the Health Belief Model , 1988, Health education quarterly.

[20]  L. Phillips,et al.  Age Differences in Information Processing: A Perspective on the Aged Consumer , 1977 .

[21]  L. Morris,et al.  Utility of drug leaflets for elderly consumers. , 1984, American journal of public health.

[22]  R. Heidel,et al.  Healthy People 2000: national health promotion and disease prevention objectives (excerpts). US Public Health Service. , 1991, Journal of allied health.

[23]  J. Fincham Patient Compliance in the Ambulatory Elderly:: A Review of the Literature , 1988 .

[24]  E R Tabak Encouraging patient question-asking: a clinical trial. , 1988, Patient education and counseling.

[25]  L A Morris,et al.  Effects of written drug information on patient knowledge and compliance: a literature review. , 1979, American journal of public health.

[26]  G. Moschis Marketing to Older Adults: an Overview and Assessment of Present Knowledge and Practice , 1991 .

[27]  W. Applegate Hypertension in elderly patients. , 1989, Annals of internal medicine.