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. 2010 Jul 24;66(11):1143–1150. doi: 10.1007/s00228-010-0865-7

Table 1.

Statements used in the questionnaire to assess the reasons for reporting an adverse drug reaction (ADR) and the opinions of patients regarding the reporting of an ADR

Reasons
  I wanted extra information
  The adverse drug reaction was severe
  It was difficult to discuss the adverse drug reaction with my medical practitioner or pharmacist
  The possibility for reporting an adverse drug reaction just exists
  I wanted to be heard
  Someone else pointed the possibility for reporting an adverse drug reaction
  I was angry about the situation
  I wanted action to be taken
  I wanted to share my experiences
  The adverse drug reaction was not mentioned in the patient information leaflet
  I was worried about my own situation
Opinions
  Reporting an adverse drug reaction can prevent harm to other people
  I felt responsible for reporting an adverse drug reaction
  Reporting an adverse drug reaction that is already mentioned in the patient information leaflet is useless
  I only report an adverse drug reaction if it is serious
  Reporting an adverse drug reaction contributes to research and knowledge
  I report an adverse drug reaction if it is not mentioned in the patient information leaflet
  I benefit from reporting an adverse drug reaction
  Reporting an adverse drug reaction contributes to improvement of drugs
  I report an adverse drug reaction if it is unexpected
  In the future I will report a possible adverse drug reaction once again