Development of pictographs depicting medication use instructions for low-literacy medical clinic ambulatory patients

Journal of Managed Care Pharmacy

Volumn 16, Issue 5, 2010, Pages 337-345

  Chuang, Mei Hua ^a,b   Lin, Chin Lon ^c   Wang, Yuh Feng ^b   Cham, Thau Ming ^a  

^a KAOHSIUNG MEDICAL UNIVERSITY   (Taiwan)

^b Buddhist Dalin Tzuchi General Hospital   (Taiwan)

^c Taiwan Buddhist Tzuchi Foundation   (Taiwan)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; AMBULATORY CARE; ARTICLE; AUDIOVISUAL EQUIPMENT; COMPREHENSION; EDUCATION; FEMALE; FISHER EXACT TEST; GROUPS BY AGE; HEALTH SURVEY; HOSPITAL; HUMAN; INFORMATION PROCESSING; MAJOR CLINICAL STUDY; MALE; MEAL; MEDICAL STAFF; QUANTITATIVE ANALYSIS; SCHOOL; TAIWAN; TEACHING HOSPITAL;

EID: 77953296558     PISSN: 10834087     EISSN: None     Source Type: Journal    
DOI: 10.18553/jmcp.2010.16.5.337     Document Type: Article

References (19)

1. Report of the National Work Group on Literacy and Health. Communicating with patients who have limited literacy skills. J Fam Pract. 1998;46:168-76.
2. Davis TC, Wolf MS, Bass PF 3rd, et al. Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med. 2006;21(8):847-51. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1831578/pdf/jgi0021- 0847.pdf. Accessed May 21, 2010.
3. Davis TC, Wolf MS, Bass PF 3rd, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94. Available at: http://www.annals.org/content/145/12/887.full.pdf+html. Accessed May 21, 2010.
4. Mayeaux EJ Jr, Murphy PW, Arnold C, Davis TC, Jackson RH, Sentell T. Improving patient education for patients with low literacy skills. Am Fam Physician. 1996;53(1):205-11. (Pubitemid 26021344)
5. Hwang SW, Tram CQ, Knarr N. The effect of illustrations on patient comprehension of medication instruction labels. BMC Fam Pract. 2005;6(1):26. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1177941/pdf/1471-2296- 6-26.pdf. Accessed May 21, 2010.
6. Osborne ZP, Bryant SM. Patients discharged with a prescription for acetaminophen-containing narcotic analgesics do not receive appropriate written instructions. Am J Emerg Med. 2003;21(1):48-50. Available at: http://download.journals.elsevierhealth.com/pdfs/journals/0735-6757/ PIIS0735675702422395.pdf. Accessed May 21, 2010.
7. Spandorfer JM, Karras DJ, Hughes LA, Caputo C. Comprehension of discharge instructions by patients in an urban emergency department. Ann Emerg Med. 1995;25(1):71-74.
8. Mansoor LE, Dowse R. Effect of pictograms on readability of patient information materials. Ann Pharmacother. 2003:37(7-8):1003-09.
9. Knapp P, Raynor DK, Jebar AH, Price SJ. Interpretation of medication pictograms by adults in the UK. Ann Pharmacother. 2005;39(7-8):1227-33.
10. Webb J, Davis TC, Bernadella P, et al. Patient-centered approach for improving prescription drug warning labels. Patient Educ Couns. 2008;72(3):443-49.
11. Dowse R, Ehlers MS. The influence of education on the interpretation of pharmaceutical pictograms for communicating medicine instructions. Patient Educ Couns. 2001;45(2):87-99.
12. Nielsen-Bohlman L, Panzer A, Kindig DA, eds. Institute of Medicine. Health Literacy: A Prescription to End Confusion. Washington, DC: National Academies Press; 2004.
13. Wolf MS, Davis TC, Tilson HH, Bass PF 3rd, Parker RM. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55.
14. Houts PS, Witmer JT, Egeth HE, Loscalzo MJ, Zabora JR. Using pictographs to enhance recall of spoken medical instructions II. Patient Educ Couns. 2001;43(3):231-42.
15. Austin PE, Matlack R 2nd, Dunn KA, Kesler C, Brown CK. Discharge instructions: do illustrations help our patients understand them? Ann Emerg Med. 1995;25(3):317-20.
16. Gazmararian JA, Baker DW, Williams MV, et al. Health literacy among Medicare enrollees in a managed care organization. JAMA. 1999;281(6):545-51. Available at: http://jama.ama-assn.org/cgi/reprint/281/6/545. Accessed May 21, 2010.
17. Shea JA, Beers BB, McDonald VJ, Quistberg DA, Ravenell KL, Asch DA. Assessing health literacy in African American and Caucasian adults: disparities in rapid estimate of adult literacy in medicine (REALM) scores. Fam Med. 2004;36(8):575-81. Available at: http://www.stfm.org/fmhub/fm2004/September/ Judy575.pdf. Accessed May 21, 2010.
18. Williams MV. Recognizing and overcoming inadequate health literacy, a barrier to care. Cleve Clin J Med. 2002;69(5):415-18. Available at: http://www.ccjm.org/content/69/5/415.full.pdf. Accessed May 21, 2010.
19. Kripalani S, Robertson R, Love-Ghaffari MH, et al. Development of an illustrated medication schedule as a low-literacy patient education tool. Patient Educ Couns. 2007;66(3):368-77.