| چکیده انگلیسی مقاله |
Objective: The objective of our study is to characterize the knowledge, information sources, and institutional trust of patients regarding medication use in pregnancy. Materials and methods: We conducted a review of three databases: MEDLINE, EMBASE, and CINAHL. We included observational studies and knowledge assessments that examined the knowledge, attitudes, beliefs or information sources of pregnant patients related to medication use during pregnancy. Extraction was completed by two independent reviewers, outcomes were summarized descriptively, and appraisal was conducted. Results: Of the 1359 search results, 34 studies met inclusion criteria. Thus, our systematic review encompasses the beliefs of 11,757 pregnant participants. In most studies, participants described apprehension regarding potential risks to the fetus and the inadequacy of safety information. Across the 23 knowledge assessments, the majority of studies reported patient misconceptions about prescription medication in pregnancy. The most preferred information source was a healthcare provider. However, many participants expressed frustration, mistrust, and skepticism regarding physician knowledge. A common source of mistrust was due to perceived physician self-interest as well as a lack of education tailored to pregnancy. Consequently, informal sources of information were also popular. Conclusion: There is a need to improve the health literacy and trust among pregnant patients regarding drug prescribing. There are modifiable risk factors for mistrust that require further attention. |
| نویسندگان مقاله |
| Abirami Kirubarajan
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada AND Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| Andrew Lam
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| Amy Yu
Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| Cameron Taheri
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| Shawn Khan
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| Claire Sethuram
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| Vikita Mehta
Arts and Sciences, McMaster University, Hamilton, Ontario, Canada
| Nancy Olivieri
Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada AND Division of Pediatrics, University of Toronto, Toronto, Ontario, Canada
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