Consumer Understanding of Prescription Drug Information: An Illustration Using an Antidepressant Medication

Shiffman, Saul; Gerlach, Karen K.; Sembower, Mark A.; Rohay, Jeffrey M.

doi:10.1345/aph.1p477

Cited by 47 publications

(53 citation statements)

References 10 publications

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“…Provider perspectives on how people understand information has focused on ensuring that patients receive disease and treatment information at the correct reading level and in the correct language (Shiffman, Gerlach, Sembower, & Rohay, 2011); on the importance of taking HIV medication (Millard, Elliott, & Girdler, 2013); and on how to address symptoms and manage side effects (Okonsky et al, 2014). It does not always, however, prioritize building and maintaining long-term relationships between patients and providers, as our data suggest is so important.…”

Section: Discussionmentioning

confidence: 99%

Building Trust and Relationships Between Patients and Providers: An Essential Complement to Health Literacy in HIV Care

Dawson–Rose¹,

Cuca²,

Webel³

et al. 2016

Journal of the Association of Nurses in AIDS Care

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Health literacy is important for access to and quality of HIV care. While most models of health literacy acknowledge the importance of the patient–provider relationship to disease management, a more nuanced understanding of this relationship is needed. Thematic analysis from 28 focus groups with HIV-experienced patients (n = 135) and providers (n = 71) identified a long-term and trusting relationship as an essential part of HIV treatment over the continuum of HIV care. We found that trust and relationship building over time were important for patients with HIV as well as for their providers. An expanded definition of health literacy that includes gaining a patient’s trust and engaging in a process of health education and information sharing over time could improve HIV care. Expanding clinical perspectives to include trust and the importance of the patient–provider relationship to a shared understanding of health literacy may improve patient experiences and engagement in care.

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Section: Discussionmentioning

confidence: 99%

Building Trust and Relationships Between Patients and Providers: An Essential Complement to Health Literacy in HIV Care

Dawson–Rose¹,

Cuca²,

Webel³

et al. 2016

Journal of the Association of Nurses in AIDS Care

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“…This corroborates previous findings of associations between lower health literacy and lower health care knowledge. 4,13,18 In asthma, health literacy has been shown to be associated with improved disease management and outcomes, including increased disease knowledge, proper inhaler use, improved asthma control, improved quality of life, and fewer emergency department visits, [19][20][21] and it has been suggested that in COPD, adherence to therapy and health outcomes are both related to health literacy. 22 Patient-directed materials including MGs have welldocumented shortcomings, which may partially explain why these materials are inconsistently read by patients.…”

Section: Disantostefano Et Al 579mentioning

confidence: 99%

Patient Comprehension of Medication Guides for Asthma and Chronic Obstructive Pulmonary Disease Medications

DiSantostefano

Beck

Yeakey

et al. 2014

Ther Innov Regul Sci

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“…Neste contexto os doentes têm oportunidade de esclarecer as suas dúvi-das e de receber informações consideradas determinantes para a utilização racional e segura dos medicamentos. [29][30][31] Complementarmente, a investigação sobre a adequabilidade da apresentação e da extensão dos FIs, assim como a avaliação do impacto da utilização de FIs mistos nos resultados em saúde, deveria incluir testes de legibilidade específicos para avaliar as variações na resposta entre os doentes ou potenciais utilizadores dos medicamentos dos diferentes países da União Europeia, já que as populações destes países apresentam diferentes níveis educacionais. 26 Embora este não tenha sido o foco principal da presente investigação, verificou-se que alguns FIs estavam indisponíveis na base Infomed, o que eventualmente poderá comprometer o acesso imediato à informação por parte dos utilizadores da base (doentes ou profissionais de saúde), ainda que os profissionais de saúde supostamente consultem preferencialmente o resumo das características do medicamento, que também se encontra publicado nesta base.…”

Section: Considerações Finaisunclassified

Problemas Identificados nos Folhetos Informativos dos Medicamentos Não Genéricos Portugueses

2015

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Introduction:All medicines for human use are marketed with a package leaflet. Every package leaflet must contain an initial list mentioning all sections of the document in accordance to the European template Quality Review of Documents, being not to extensive, i.e. comprising approximately 1500 words. The so-called mixed leaflets contain information about medicines with more than one strength/ pharmaceutical form, and only exceptionally are authorized. In this context, the objectives of the present study comprised the identification of issues in all package leaflets of Portuguese non-generic medicines: 1. to confirm the presence of an initial list, 2. to quantify the number of mixed leaflets, and 3. to evaluate their length (in number of pages). Material and Methods:Consultation of the leaflets, in a public database (Infomed), according to the classification of the National Prescribing Guide (1 st trimester 2012). The data collected was subject to quality control and statistical analysis. Results: Identification of 2729 package leaflets, representing 3080 medicines. A total of 2042 leaflets were evaluated, with 181 (8.9%) missing the initial list and 351 (17.2%) being mixed. The average number of pages was 6.9 (SD=2.6), the minimum = 2 and the maximum = 26. Discussion: In some cases, readability and comprehension of some Portuguese leaflets might be compromised since: 1) some leaflets did not contain an initial list, 2) were classified as mixed leaflets, and/or 3) were classified as too extensive. Conclusion: Regulatory authorities and marketing authorization holders might need to take into consideration these issues during the development and approval of package leaflets.

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Consumer Understanding of Prescription Drug Information: An Illustration Using an Antidepressant Medication

Abstract: Information provided with at least some prescription drugs is not adequately understood by less-educated consumers and does not effectively communicate critical safety messages or directions.

Cited by 47 publications

References 10 publications

Building Trust and Relationships Between Patients and Providers: An Essential Complement to Health Literacy in HIV Care

Building Trust and Relationships Between Patients and Providers: An Essential Complement to Health Literacy in HIV Care

Patient Comprehension of Medication Guides for Asthma and Chronic Obstructive Pulmonary Disease Medications

Problemas Identificados nos Folhetos Informativos dos Medicamentos Não Genéricos Portugueses

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