eprintid: 10081780 rev_number: 30 eprint_status: archive userid: 608 dir: disk0/10/08/17/80 datestamp: 2019-09-18 13:24:32 lastmod: 2021-09-17 22:25:06 status_changed: 2020-12-03 19:28:28 type: article metadata_visibility: show creators_name: Gasteiger, C creators_name: Jones, ASK creators_name: Kleinstäuber, M creators_name: Lobo, M creators_name: Horne, R creators_name: Dalbeth, N creators_name: Petrie, KJ title: Effects of Message Framing on Patients’ Perceptions and Willingness to Change to a Biosimilar in a Hypothetical Drug Switch ispublished: pub divisions: UCL divisions: B02 divisions: C08 divisions: D10 divisions: G11 note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: Objective: Patients may hold negative perceptions towards biosimilars which can create barriers to their uptake. Physicians also report uncertainty in how best to explain biosimilars. The aim of this study was to measure the effect of differently framed explanations on patients’ perceptions of and willingness to change to a biosimilar in a hypothetical drug switch. Methods: Ninety‐six patients with rheumatic diseases taking an originator biologic were randomised to receive one of four biosimilar explanations ‐ positive framing with and without an analogy, and negative framing with and without an analogy. Willingness to switch to a biosimilar, perceptions about biosimilars, and the effectiveness of the explanation were measured after the information delivery. Results: Positive framing led to more participants being willing to switch (67%) than negative framing (46%). Framing significantly predicted willingness to switch to a biosimilar, with participants in the positive framing group being 2.36 times more willing to switch (P = 0.041). The positive framing group also reported significantly greater perceived efficacy of biosimilars (P = 0.046), and thought the explanation was more convincing (P = 0.030). The analogy did not enhance willingness to switch or understanding (P > 0.05). Conclusion: Positive framing can improve perceptions of and willingness to switch to a biosimilar in patients currently taking biologic treatments. date: 2020-09 date_type: published official_url: https://doi.org/10.1002/acr.24012 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1668027 doi: 10.1002/acr.24012 lyricists_name: Horne, Robert lyricists_name: Jones, Annie Selina Kozlowski lyricists_id: RHORN95 lyricists_id: AJONA85 actors_name: Austen, Jennifer actors_id: JAUST66 actors_role: owner full_text_status: public publication: Arthritis Care and Research volume: 72 number: 9 pagerange: 1323-1330 event_location: United States issn: 2151-4658 citation: Gasteiger, C; Jones, ASK; Kleinstäuber, M; Lobo, M; Horne, R; Dalbeth, N; Petrie, KJ; (2020) Effects of Message Framing on Patients’ Perceptions and Willingness to Change to a Biosimilar in a Hypothetical Drug Switch. Arthritis Care and Research , 72 (9) pp. 1323-1330. 10.1002/acr.24012 <https://doi.org/10.1002/acr.24012>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10081780/3/Horne%20Biosimilars%20framing%20revised%20clean.pdf