An illustrated leaflet containing antiretroviral information targeted for low-literate readers: Development and evaluation

Patient Education and Counseling

Volumn 85, Issue 3, 2011, Pages 508-515

  Dowse, Ros ^a   Ramela, Thato ^a   Browne, Sara H ^b  

^a RHODES UNIVERSITY   (South Africa)

^b UNIVERSITY OF CALIFORNIA SAN DIEGO   (United States)

Author keywords

Acceptability; Antiretroviral information; Low literate; Patient education; Pictograms; Understandability; Visuals; Written medicine information

Indexed keywords

ADULT; AGE; AIDS PATIENT; ARTICLE; CLINICAL ARTICLE; COMPREHENSION; DRUG INFORMATION; EDUCATIONAL STATUS; FEMALE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTED PATIENT; INFORMATION LITERACY; MALE; MEDICAL ILLUSTRATION; NEGRO; PATIENT COUNSELING; PATIENT EDUCATION; PATIENT INFORMATION; PRIORITY JOURNAL; PUBLICATION; SOUTH AFRICA; VISUAL INFORMATION;

ADOLESCENT; ADULT; AGED; ANTI-RETROVIRAL AGENTS; AUDIOVISUAL AIDS; COMMUNICATION; COMPREHENSION; DYSLEXIA; EDUCATIONAL STATUS; FEMALE; FOCUS GROUPS; HIV INFECTIONS; HUMANS; MALE; MIDDLE AGED; PAMPHLETS; PATIENT EDUCATION AS TOPIC; PROGRAM EVALUATION; READING; SOUTH AFRICA; YOUNG ADULT;

EID: 81555195678     PISSN: 07383991     EISSN: 18735134     Source Type: Journal    
DOI: 10.1016/j.pec.2011.01.013     Document Type: Article

References (52)

1. Butow P. Giving and using information: what we know and don't know. Patient Educ Couns 2009, 77:149-150.
2. Healthy people 2010. Health communication. Objectives for improving health (part A: focus areas 1-14), vol. 1, 2nd ed.; 2002. [accessed 24.06.10]. http://www.healthypeople.gov/Document/pdf/Volume1/11HealthCom.pdf.
3. Ley P. Communicating with patients 1988, Croom-Helm, London.
4. Koo M., Krass I., Aslani P. Patient characteristics influencing evaluation of written medicine information: lessons for patient education. Ann Pharmacother 2005, 39:1434-1440.
5. Koo M., Krass I., Aslani P. Enhancing patient education about medicines: factors influencing reading and seeking of written medicine information. Health Expect 2006, 9:174-187.
6. Howard J., Wildman K., Blain J., Wills S., Brown D. The importance of drug information from a patient perspective. J Soc Admin Pharm 1999, 16:115-126.
7. Raynor D.K., Blenkinsopp A., Knapp P., Grime J., Nicolson D.J., Pollock K., et al. A systematic review of quantitative and qualitative research on the role and effectiveness of written information available to patients about individual medicines. Health Tech Assess 2007, 11:1-178.
8. Sless D., Wiseman R. Writing about medicines for people. Usability guidelines for CMI 2003, Australian Government Publishing Service, Canberra. 2nd ed.
9. Blenkinsopp A., Bashford J., Dickinson D. Health professionals need to identify how much information patients want. Brit Med J 1998, 317:413.
10. Coulter A., Entwistle V., Gilbert D. Sharing decisions with patients: is the information good enough?. Brit Med J 1999, 318:318-322.
11. Mansoor L., Dowse R. Effect of pictograms on readability of patient information materials. Ann Pharmacother 2003, 37:1003-1009.
12. Osborne H. Health literacy from A to Z 2005, Jones and Bartlett Publishers, Sudbury, USA.
13. Grime J., Blenkinsopp A., Raynor D.K., Pollock K., Knapp P. The role and value of written information for patients about individual medicines: a systematic review. Health Expect 2007, 10:286-298.
14. Koo M., Krass I., Aslani P. Factors influencing consumer use of written drug information. Ann Pharmacother 2003, 37:259-267.
15. Vander Stichele R.H., Van Haecht C.H., Braem M.D., Bogaert M.G. Attitude of the public toward technical package inserts for medication information in Belgium. Drug Intell Clin Pharm 1991, 25:1002-1006.
16. Basara L.R., Juergens J.P. Patient package insert readability and design. Am Pharm 1994, 34:48-53.
17. Davis T.C., Mayeaux E.J., Fredrickson D., Bocchini J.A., Jackson R.H., Murphy P.W. Reading ability of parents compared with reading level of pediatric patient education materials. Pediatrics 1994, 98:460-464.
18. Bradley B., Singleton M., Li Wan Po A. Readability of patient information leaflets on over-the-counter (OTC) medicines. J Clin Pharm Ther 1994, 19:7-15.
19. Kenny T., Wilson R.G., Purves I.N., Clark J., Newton L.D., Newton D.P., et al. A PIL for every ill? Patient information leaflets (PILs): a review of past, present and future use. Fam Pract 1998, 15:471-479.
20. Doak C.C., Doak L.G., Root J.H. Teaching patients with low-literacy skills 1996, JB Lippincott Co., Philadelphia.
21. Mwingira B., Dowse R. Development of written information for antiretroviral therapy: comprehension in a Tanzanian population. Pharm World Sci 2007, 29:173-182.
22. Rolland P.D. Reading level of drug information printouts: a barrier to effective communication of patient medication information. Drug Inf J 2000, 34:1329-1338.
23. Raynor D.L., Silcock J., Knapp P., Edmondson H. How do patient use medicine leaflets in the UK?. Int J Pharm Pract 2007, 15:209-218.
24. Davies B.A. A picture is worth a thousand words. Brit Med J 2002, 325:1298.
25. Houts P.S., Bachrach R., Witmer J.T., Tringali C.A., Bucher J.A., Localio R.A. Using pictographs to enhance recall of spoken medical instructions. Patient Educ Couns 1998, 35:83-88.
26. Houts P.S., Doak C.C., Doak L.G., Loscalzo M.J. The role of pictures in improving health communication: a review of research on attention, comprehension, recall, and adherence. Patient Educ Couns 2006, 61:173-190.
27. Sojourner R.J., Wogalter M.S. The influence of pictorials on the comprehension and recall of pharmaceutical safety and warning information. Int J Cog Ergonom 1998, 2:93-106.
28. Ngoh L., Shepherd M.D. Design, development and evaluation of visual aids for communicating prescription drug instructions to nonliterate patients in rural Cameroon. Patient Educ Couns 1997, 30:257-270.
29. Morrow D.G., Leirer Von O., Andrassy J.M. Using icons to convey medication schedule information. Appl Ergon 1996, 27:267-275.
30. Houts P.S., Witmer J.T., Egeth H.E., Loscalzo M.J., Zabora J.R. Using pictographs to enhance recall of spoken medical instructions II. Patient Educ Couns 2001, 43:231-242.
31. Hanson E.C., Hartzema A. Evaluating pictograms as an aid for counseling elderly and low-literate patients. J Pharm Market Man 1995, 9:41-54.
32. Austin P.E., Matlack R., Dunn K.A., Kesler C., Brown C.K. Discharge instructions: do illustrations help our patients understand them?. Ann Emerg Med 1995, 25:317-320.
33. Dowse R., Ehlers M.S. The evaluation of pharmaceutical pictograms in a low-literate South African population. Patient Educ Couns 2001, 45:87-99.
34. Faux N.R. Receta medica: communicating medication information across the language/literacy divide. Adult Learn 2007, 15:18-21.
35. Kripalani S., Robertson R., Love-Ghaffari M.H., Henderson L.E., Praska J., Strawder A., et al. Development of an illustrated medication schedule as a low-literacy patient education tool. Patient Educ Couns 2007, 66:368-377.
36. Bernardini C., Ambrogi V., Perioli L.C., Tiralti M.C., Fardella G. Comprehensibility of the package leaflets of all medicinal products for human use: a questionnaire survey about the use of symbols and pictograms. Pharmacol Res 2000, 41:679-688.
37. Dowse R., Ehlers M. Medicine labels incorporating pictograms: do they influence understanding and adherence?. Patient Educ Couns 2005, 58:63-70.
38. Mansoor L., Dowse R. Medicines information and adherence in HIV/AIDS patients. J Clin Pharm Ther 2006, 31:7-15.
39. Katz M.G., Kripalani S., Weiss B.D. Use of pictorial aids in medication instructions: a review of the literature. Am J Health Syst Pharm 2006, 63:2391-2397.
40. Medicines Control Council, Department of Health, Republic of South Africa. Guidelines on the requirements for patient information leaflets; 2004. [accessed 24.06.10]. http://www.mccza.com/dynamism/default_dynamic.asp%3FgrpID=28%26doc=dynamic_generated_page.asp%26categID=172%26groupID=28.
41. Krige D., De Wet J.C. Understanding South African patient information leaflets: readability and cultural competence. Health communication in Southern Africa: engaging with social and cultural diversity 2009, 217-237. Rozenberg/UNISA Press, Amsterdam/Pretoria. L. Lagerwerf, H. Boer, H. Wasserman (Eds.).
42. Statistics South Africa. Census 2001. Census in brief; 2003. [accessed 24.06.10]. http://www.statssa.gov.za/census01/HTML/CInBrief/CIB2001.pdf.
43. Statistics South Africa. Mid-year population estimates 2009; 2009. [accessed 24.06.10]. http://www.statssa.gov.za/publications/P0302/P03022009.pdf.
44. Budget Speech. Minister of Finance, South Africa: Pravin Gordhan; 2010. [accessed 24.06.10]. http://blogs.timeslive.co.za/hartley/2010/02/17/pravin-gordhans-budget-speech-full-text/.
45. Morris L.A., Aikin K.J. The pharmacokinetics of patient communications. Drug Inf J 2001, 35:509-527.
46. Mayer R.E. Multimedia learning 2001, Cambridge University Press, New York.
47. Paivio A. Mental representations: a dual coding approach 1990, Oxford University Press, New York. 2nd ed.
48. Ramela T. An illustrated information leaflet for low-literate HIV/AIDS patients on antiretroviral therapy: design, development and evaluation [MPharm thesis]. Grahamstown: Rhodes University; 2009.
49. Dowse R., Ramela T., Barford K.-L., Browne S. Developing visuals for communicating antiretroviral side effect information to a low-literate target population. AJAR 2010, 9:213-244.
50. Dowse R. Using pictograms in a patient information leaflet to communicate antiretroviral medicines information to HIV/AIDS patients in rural South Africa. Health communication in Southern Africa: engaging with social and cultural diversity 2009, 155-176. Rozenberg/UNISA Press, Amsterdam/Pretoria. L. Lagerwerf, H. Boer, H. Wasserman (Eds.).
51. Berry D.C., Knapp P., Raynor T. Expressing medicine side effects: assessing the effectiveness of absolute risk, relative risk, and number needed to harm, and the provision of baseline risk information. Patient Educ Couns 2006, 63:89-96.
52. Schaafsma E.S., Raynor D.K., De Jong-Van Den Berg L.T.W. Accessing medication information by ethnic minorities: barriers and possible solution. Pharm World Sci 2003, 25:185-190.