Introduction
Methods
Study design, setting and recruitment
Survey development and administration
Data analysis
Results
Characteristic | na
| In-Person | nb
| Online | Nc
| Total |
---|---|---|---|---|---|---|
Age (years), mean [SD]d**
| 218 | 58 (14.8) | 323 | 49 (14.6) | 540 | 52 (15.3) |
Sex, n (%)e**
| 218 | 322 | 540 | |||
Female | –––- | 129 (59.2) | –––- | 274 (85.1) | –––- | 403 (74.6) |
Ethnicity, n (%)e**
| 214 | 321 | 535 | |||
Not Hispanic/Latino | –––- | 188 (87.9) | –––- | 309 (96.3) | –––- | 497 (92.9) |
Hispanic or Latino | –––- | 4 (1.9) | –––- | 5 (1.6) | –––- | 9 (1.7) |
Prefer not to answer | –––- | 22 (10.3) | –––- | 7 (2.2) | –––- | 29 (5.4) |
Race, n (%)ef
| 223 | 323 | 546 | |||
White*
| –––- | 174 (78.0) | –––- | 278 (86.1) | –––- | 452 (82.8) |
Black or African American*
| –––- | 35 (15.7) | –––- | 30 (9.3) | –––- | 65 (11.9) |
Otherg
| –––- | 8 (3.5) | –––- | 7 (2.1) | –––- | 15 (2.7) |
Prefer not to answer | –––- | 5 (2.2) | –––- | 7 (2.2) | –––- | 12 (2.2) |
Highest level of schooling, n (%)h***
| 216 | 322 | 538 | |||
At least some college | –––- | 134 (62.0) | –––- | 297 (92.2) | –––- | 431 (80.1) |
Tobacco use, n (%)h
| 217 | 322 | 539 | |||
Never tried tobacco | –––- | 92 (42.4) | –––- | 131 (40.7) | –––- | 233 (41.4) |
Experimented with tobacco a few times in the past | –––- | 31 (14.3) | –––- | 59 (18.3) | –––- | 90 (16.7) |
Used to use tobacco but quit | –––- | 64 (29.5) | –––- | 82 (25.5) | –––- | 146 (27.1) |
Use tobacco less than once a day | –––- | 4 (1.8) | –––- | 6 (1.9) | –––- | 10 (1.9) |
Use tobacco once or more a day | –––- | 26 (12.0) | –––- | 44 (13.7) | –––- | 70 (13.0) |
Health conditions, n (%)ef
| 222 | 323 | 545 | |||
Diabetes | –––- | 52 (23.4) | –––- | 67 (20.7) | –––- | 119 (21.8) |
Coronary artery disease/heart disease**
| –––- | 26 (11.7) | –––- | 17 (5.3) | –––- | 43 (7.9) |
Chronic pain | –––- | 51 (23.0) | –––- | 92 (28.5) | –––- | 143 (26.2) |
Heart failure | –––- | 6 (2.7) | –––- | 6 (1.9) | –––- | 12 (2.2) |
COPD (bronchitis/emphysema) | –––- | 10 (4.5) | –––- | 8 (2.5) | –––- | 18 (3.3) |
Osteoporosis | –––- | 20 (9.0) | –––- | 33 (10.2) | –––- | 53 (9.7) |
High blood pressure***
| –––- | 129 (58.1) | –––- | 135 (41.8) | –––- | 264 (48.4) |
Asthma*
| –––- | 29 (13.1) | –––- | 63 (19.5) | –––- | 92 (16.9) |
High cholesterol | –––- | 61 (27.5) | –––- | 92 (28.5) | –––- | 153 (28.1) |
Arthritis | –––- | 58 (26.1) | –––- | 100 (31.0) | –––- | 158 (29.0) |
Kidney disease**
| –––- | 20 (9.0) | –––- | 12 (3.7) | –––- | 32 (5.9) |
Depression***
| –––- | 49 (22.1) | –––- | 130 (40.2) | –––- | 179 (32.8) |
Otheri***
| –––- | 44 (19.8) | –––- | 151 (46.7) | –––- | 195 (35.8) |
Pharmacy services received, n (%)e
| 215 | 317 | 532 | |||
One or more servicej
| –––- | 57 (26.5) | –––- | 68 (21.5) | –––- | 125 (23.5) |
Not sure | –––- | 6 (2.8) | –––- | 13 (4.1) | –––- | 19 (3.6) |
None | –––- | 152 (70.7) | –––- | 236 (74.4) | –––- | 388 (72.9) |
Number of prescription medications, n (%)h*
| 217 | 323 | 540 | |||
Less than three medications | 39 (18.0) | 85 (26.3) | 124 (23.0) | |||
Three or more medications | –––- | 178 (82.0) | –––- | 238 (73.7) | –––- | 416 (77.0) |
Frequency of pharmacy visits, n (%)h
| 215 | 321 | 536 | |||
Less than once a month | 45 (20.9) | 56 (17.4) | 101 (18.8) | |||
At least once a month | –––- | 170 (79.1) | –––- | 265 (82.6) | –––- | 435 (81.2) |
Type of community pharmacy used for prescription medication(s), n (%)e***
| 217 | 322 | 539 | |||
Independently-owned | –––- | 50 (23.0) | –––- | 14 (4.3) | –––- | 64 (11.9) |
Chain | –––- | 42 (19.4) | –––- | 170 (52.8) | –––- | 212 (39.3) |
Grocery store-based pharmacy | –––- | 60 (27.6) | –––- | 53 (16.5) | –––- | 113 (21.0) |
Mass merchandiser | –––- | 15 (6.9) | –––- | 55 (17.1) | –––- | 70 (13.0) |
Health system/hospital outpatient | –––- | 50 (23.0) | –––- | 30 (9.3) | –––- | 80 (14.8) |
CP-PACIC items |
PAF
a
| |
---|---|---|
F1b
| F2c
| |
1. Asked for my ideas when we discussed treatment/medicine options | 0.59 | |
2. Given choices about treatment/medicine to think about | 0.51 | |
3. Asked to talk about any problems with my medicines or their effects | 0.75 | |
4. Given written materials of things I should do to improve my health | 0.53 | |
5. Satisfied that my care was well organized | 0.84 | |
6. Informed how what I did to take care of my illness influenced my health condition(s) | 0.58 | |
7. Asked to talk about my goals in caring for my illness | 0.64 | |
8. Helped to set specific goals to improve my eating or exercise | 0.80 | |
9. Given a copy of my treatment/medicine plan | 0.59 | |
10. Encouraged to go to a specific group or class to help me cope with my chronic illness | 0.97 | |
11. Asked questions, either directly or on a survey, about my health habits | 0.83 | |
12. Sure that my pharmacists thought about my values and my traditions when they recommended treatments to me | 0.54 | |
13. Helped to make a treatment/medicine plan that I could do in my daily life | 0.53 | |
14. Helped to plan ahead so I could take care of my illness even in hard times | 0.53 | |
15. Asked how my chronic illness affects my life | 0.77 | |
16. Contacted after a visit to see how things were going | 0.77 | |
17. Encouraged to attend programs in the community that could help me | 1.02 | |
18. Referred or encouraged to talk with a dietician, health educator, or counselor | 0.94 | |
19. Told how my visits with other types of health care providers, like doctors and nurse practitioners, helped my treatment | 0.90 | |
20. Asked how my visits with other health care providers were going | 0.82 |
In Person (n = 223) |
Online (n = 323) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CP-PACIC item |
Median (IQR)
|
Mean Rank
| 0
None of the time
n (%) | 1
A little of the time
n (%) | 2
Some of the time
n (%) | 3
Most of the time
n (%) | 4
Always
n (%) |
Median (IQR)
|
Mean
Rank
| 0
None of the time
n (%) | 1
A little of the time
n (%) | 2
Some of the time
n (%) | 3
Most of the time
n (%) | 4
Always
n (%) |
1. Asked for my ideas when we discussed treatment/medicine options***
| 2.0 (3) | 348.4 | 74 (33.2) | 20 (9.0) | 53 (23.8) | 32 (14.3) | 44 (19.7) | 0 (0) | 221.8 | 244 (75.5) | 23 (7.1) | 29 (9.0) | 15 (4.6) | 12 (3.7) |
2. Given choices about treatment/medicine to think about***
| 2.0 (3) | 342.4 | 81 (36.3) | 17 (7.6) | 45 (20.2) | 41 (18.4) | 39 (17.5) | 0 (1) | 223.9 | 231 (71.5) | 40 (12.4) | 32 (9.9) | 12 (3.7) | 8 (2.5) |
3. Asked to talk about any problems with my medicines or their effects***
| 3.0 (3) | 320.7 | 41 (18.4) | 20 (9.0) | 27 (12.1) | 42 (18.8) | 93 (41.7) | 2.0 (3) | 240.2 | 121 (37.5) | 40 (12.4) | 38 (11.8) | 55 (17.0) | 69 (21.4) |
4. Given written materials of things I should do to improve my health***
| 3.0 (4) | 332.8 | 58 (26.0) | 20 (9.0) | 29 (13.0) | 34 (15.2) | 82 (36.8) | 0 (2) | 230.9 | 183 (56.7) | 32 (9.9) | 32 (9.9) | 29 (9.0) | 47 (14.6) |
5. Satisfied that my care was well organized***
| 4.0 (1) | 332.2 | 13 (5.8) | 10 (4.5) | 21 (9.4) | 56 (25.1) | 123 (55.2) | 3.0 (4) | 232.3 | 51 (15.8) | 30 (9.3) | 66 (20.4) | 96 (29.7) | 80 (24.8) |
6. Informed how what I did to take care of my illness influenced my health condition(s)***
| 2.0 (4) | 353.3 | 58 (26.0) | 30 (13.5) | 26 (11.7) | 43 (19.3) | 66 (29.6) | 0 (1) | 217.4 | 217 (67.2) | 37 (11.5) | 30 (9.3) | 25 (7.7) | 14 (4.3) |
7. Asked to talk about my goals in caring for my illness***
| 1.0 (3) | 336.5 | 103 (46.2) | 29 (13.0) | 33 (14.8) | 25 (11.2) | 33 (14.8) | 0 (0) | 228.0 | 273 (84.5) | 14 (4.3) | 20 (6.2) | 10 (3.1) | 6 (1.9) |
8. Helped to set specific goals to improve my eating or exercise***
| 1.0 (2) | 334.0 | 109 (48.9) | 25 (11.2) | 41 (18.4) | 20 (9.0) | 28 (12.6) | 0 (0) | 228.5 | 278 (86.1) | 19 (5.9) | 14 (4.3) | 9 (2.8) | 3 (0.9) |
9. Given a copy of my treatment/medicine plan***
| 4.0 (3) | 333.7 | 45 (20.2) | 14 (6.3) | 23 (10.3) | 27 (12.1) | 114 (51.1) | 0 (3) | 230.6 | 172 (53.3) | 18 (5.6) | 24 (7.4) | 31 (9.6) | 78 (24.1) |
10. Encouraged to go to a specific group or class to help me cope with my chronic illness***
| 0 (2) | 324.7 | 137 (61.4) | 16 (7.2) | 22 (9.9) | 17 (7.6) | 31 (13.9) | 0 (0) | 238.2 | 298 (92.3) | 11 (3.4) | 5 (1.5) | 4 (1.2) | 5 (1.5) |
11. Asked questions, either directly or on a survey, about my health habits***
| 0 (2) | 325.5 | 117 (52.5) | 26 (11.7) | 26 (11.7) | 21 (9.4) | 33 (14.8) | 0 (0) | 235 | 274 (84.8) | 17 (5.3) | 14 (4.3) | 9 (2.8) | 9 (2.8) |
12. Sure that my pharmacists thought about my values and my traditions when they recommended treatments to me***
| 2.0 (4) | 345.4 | 77 (34.5) | 15 (6.7) | 27 (12.1) | 33 (14.8) | 71 (31.8) | 0 (1) | 223.9 | 232 (71.8) | 20 (6.2) | 38 (11.8) | 16 (5.0) | 17 (5.3) |
13. Helped to make a treatment/medicine plan that I could do in my daily life***
| 2.0 (3) | 338.1 | 89 (39.9) | 19 (8.5) | 31 (13.9) | 33 (14.8) | 51 (22.9) | 0 (0) | 224.3 | 248 (77.7) | 24 (7.5) | 23 (7.2) | 10 (3.1) | 14 (4.4) |
14. Helped to plan ahead so I could take care of my illness even in hard times***
| 1.0 (3) | 328.1 | 101 (45.3) | 18 (8.1) | 36 (16.1) | 21 (9.4) | 47 (21.1) | 0 (0) | 230.6 | 252 (78.0) | 25 (7.7) | 20 (6.5) | 10 (3.1) | 15 (4.6) |
15. Asked how my chronic illness affects my life***
| 1.0 (3) | 331.1 | 111 (49.8) | 22 (9.9) | 30 (13.5) | 25 (11.2) | 35 (15.7) | 0 (0) | 232.7 | 271 (83.9) | 18 (5.6) | 12 (3.7) | 14 (4.3) | 8 (2.5) |
16. Contacted after a visit to see how things were going***
| 0 (3) | 332.5 | 112 (50.2) | 25 (11.2) | 27 (12.1) | 26 (11.7) | 33 (14.8) | 0 (0) | 232.8 | 275 (85.1) | 17 (5.3) | 13 (4.0) | 11 (3.4) | 7 (2.2) |
17. Encouraged to attend programs in the community that could help me***
| 0 (2) | 320.3 | 137 (61.4) | 21 (9.4) | 24 (10.8) | 16 (7.2) | 25 (11.2) | 0 (0) | 238.6 | 293 (90.7) | 15 (4.6) | 7 (2.2) | 5 (1.5) | 3 (0.9) |
18. Referred or encouraged to talk with a dietician, health educator, or counselor***
| 0 (2) | 318.2 | 132 (59.2) | 18 (8.1) | 24 (10.8) | 18 (8.1) | 31 (13.9) | 0 (0) | 242.7 | 275 (85.1) | 18 (5.6) | 14 (4.3) | 9 (2.8) | 7 (2.2) |
19. Told how my visits with other types of health care providers, like doctors and nurse practitioners, helped my treatment***
| 0 (3) | 325.9 | 117 (52.5) | 22 (9.9) | 28 (12.6) | 21 (9.4) | 35 (15.7) | 0 (0) | 234.0 | 272 (84.2) | 24 (7.4) | 13 (4.0) | 9 (2.8) | 5 (1.5) |
20. Asked how my visits with other health care providers were going***
| 0 (3) | 323.9 | 117 (52.5) | 21 (9.4) | 28 (12.6) | 21 (9.4) | 36 (16.1) | 0 (0) | 234.2 | 269 (83.3) | 19 (5.9) | 13 (4.0) | 14 (4.3) | 8 (2.5) |
Characteristic | n | Median total CP-PACIC scale score (IQR) |
P-value |
---|---|---|---|
Respondent group typea
|
546
|
–––––––––
|
< .001***
|
In-person | 223 | 29 (36.0) | |
Online | 323 | 8 (12.0) | |
Age (years)b
|
541
|
–––––––––
|
.018*
|
Sexa
|
540
|
–––––––––
|
< .001***
|
Male | 137 | 29 (39.0) | |
Female | 403 | 11 (19.0) | |
Ethnicitya
|
506
|
–––––––––
|
.729
|
Not Hispanic/Latino | 497 | 12 (27) | |
Hispanic or Latino | 9 | 20 (26) | |
Racec,d
|
522
|
–––––––––
|
.243
|
White | 444 | 12 (25.8) | |
Black or African American | 65 | 16 (33.5) | |
Other | 13 | 23 (36.0) | |
Educationa
|
538
|
–––––––––
|
< .001***
|
No college | 107 | 29 (38.0) | |
At least some college | 431 | 11 (22.0) | |
Tobacco use statusa
|
539
|
–––––––––
|
.991
|
Never or former user | 459 | 12 (27.0) | |
Current user | 80 | 11 (32.5) | |
Health conditions | |||
Diabetes
a
|
544
|
–––––––––
|
.205
|
No | 425 | 12 (26.5) | |
Yes | 119 | 15 (32.0) | |
Coronary artery disease/heart disease
a
|
545
|
–––––––––
|
.006**
|
No | 502 | 12 (26.0) | |
Yes | 43 | 25 (39.0) | |
Chronic pain
a
|
544
|
–––––––––
|
.102
|
No | 401 | 13 (26.0) | |
Yes | 143 | 10 (29.0) | |
Heart failure
a
|
545
|
–––––––––
|
.146
|
No | 533 | 12 (27.0) | |
Yes | 12 | 40 (53.3) | |
COPD (bronchitis/emphysema)
a
|
545
|
–––––––––
|
.176
|
No | 527 | 12 (27.0) | |
Yes | 18 | 22.5 (34.5) | |
Osteoporosis
a
|
545
|
–––––––––
|
.213
|
No | 492 | 12 (30.0) | |
Yes | 53 | 12 (17.5) | |
High blood pressure
a
|
545
|
–––––––––
|
.125
|
No | 281 | 12 (23.5) | |
Yes | 264 | 14 (30.0) | |
Asthma
a
|
545
|
–––––––––
|
.944
|
No | 453 | 13 (27.0) | |
Yes | 92 | 11.5 (29.8) | |
High cholesterol
a
|
545
|
–––––––––
|
.638
|
No | 392 | 13 (25.0) | |
Yes | 153 | 11 (32.0) | |
Arthritis
a
|
545
|
–––––––––
|
.004**
|
No | 387 | 13 (31.0) | |
Yes | 158 | 10 (21.3) | |
Kidney disease
a
|
545
|
–––––––––
|
.254
|
No | 513 | 12 (27.0) | |
Yes | 32 | 17 (37.0) | |
Depression
a
|
545
|
–––––––––
|
< .001***
|
No | 366 | 15 (31.0) | |
Yes | 179 | 9 (18.0) | |
Other
a,e
|
545
|
–––––––––
|
< .001***
|
No | 350 | 16 (32.5) | |
Yes | 195 | 9 (18.0) | |
Pharmacy services receiveda,f
|
511
|
–––––––––
|
< .001***
|
None | 386 | 10 (20.0) | |
One or more service | 125 | 29 (39.0) | |
Number of prescription medicationsa
|
540
|
–––––––––
|
.669
|
Less than three medications | 124 | 11.5 (22.5) | |
Three or more medications | 416 | 12 (29.5) | |
Frequency of pharmacy visitsa
|
536
|
–––––––––
|
.225
|
Less than once a month | 101 | 11 (17.5) | |
At least once a month | 435 | 13 (30.0) | |
Type of community pharmacy used for prescription medication(s), n (%)c,g
|
539
|
–––––––––
|
< .001***
|
Independently-owned | 64 | 35 (43.0) | |
Chain | 212 | 8 (16.0) | |
Grocery store-based pharmacy | 113 | 20 (28.5) | |
Mass merchandiser | 70 | 8 (15.0) | |
Health system/hospital outpatient | 80 | 18 (30.0) |