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Table 4 Reasons why CWC education may or may not change primary care patient behaviour

From: A survey of primary care patients’ readiness to engage in the de-adoption practices recommended by Choosing Wisely Canada

Will CWC information change your behaviour?
If yes, how? If not, why not?
Will take action I already hold the views of CWC
“I will ask my friends if they are taking antipsychotic drugs”
“I will certainly ask—I don’t think she’s in medications but I will verify that. I now will be more savvy when advocating for her”
“We will exercise and eat better and when the doctor says they will give a test, I will ask if it is necessary and whether it has to be done annually”
“I would certainly have conversations with family members and caregivers and want to know what they are taking”
“I would discourage antipsychotics for dementia, unless other things have not helped”
“I will talk to my friends about antipsychotic use and if they are concerned, I will educate them”
“Not really. I try to be careful anyways and so I am already doing the things you are suggesting”
“I self monitor and I am an RN so I know what CWC is telling me and my views conform with what CWC says; I listen to doctors and would question if I didn’t agree with the recommendation”
“I question physician recommendations anyways and my views conform with Choosing Wisely. I always discuss why I need test, procedures, and exams”
“I have already been exposed to this information and I already agree with this”
“I already believe that overtesting is a waste of money, can cause more problems with more false positives and harms”
Will ask more questions Trust physician judgment
“I will question physician decisions more and I will be more assertive. I will take more responsibility for asking questions. I need a good reason to take medications and I will take more control over my health”
“Now that I am aware of this, if a professional recommended an antipsychotic, I might inquire more about it than I would have otherwise; I’d ask if there were other courses if action and if it was really necessary. I’d now wonder whereas before I wouldn’t have”
“The next time a doctor recommends a certain test, I will do more research, ask questions and not feel obligated because a health care practitioner recommends it”
“I would question more especially for tests and medications”
“It wouldn’t change my behaviour—because I trust what the doctor says”
“I trust my doctor to tell me which tests to have”
“I have a great doctor that doesn’t send me for anything unnecessary; I trust him unreservedly and so because I already have that care, I don’t need to change my behaviour”
I should have as many tests as possible to be safe
“Prevention is important. My father had an ECG and it saved his life so I think getting routine preventive tests all the time, even if not necessary, is important”
“It will not—because my sister died, I now get tests for everything”