Design, development, and evaluation of visual aids for communicating prescription drug instructions to nonliterate patients in rural Cameroon

Ngoh, Lucy N.; Shepherd, Marvin D.

doi:10.1016/s0738-3991(96)00976-7

Cited by 79 publications

(49 citation statements)

References 35 publications

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“…Ngoh and Shepherd (1997) suggest that this strategy of using visual aids which are familiar allows the image to be memorised for longer, making them more effective. This therefore leads to the recommendation that future sessions should maintain the concept of small groups, but also attempt to find ways of introducing more individualised activities.…”

Section: Discussionmentioning

confidence: 99%

A qualitative evaluation of an NHS Weight Management Programme for obese patients in Liverpool

Webb

Davies

Johnson³

et al. 2014

Nutrition &Amp; Food Science

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Purpose – The increasing prevalence of obesity in the UK has been of concern for some time. This is particularly true in Liverpool and in response the Liverpool Weight Management Programme (LWMP) was devised. It offers a service involving dietitians and other expert agencies working towards facilitating dietary and lifestyle changes in obese NHS patients in Liverpool via a 12-week education programme. This qualitative study aims to investigate patients' experiences of the LWMP. Design/methodology/approach – Informed volunteers participated in focus groups exploring their experiences following the programme. Focus groups were audio recorded and transcribed verbatim, then analysed following a thematic approach utilising constant comparison analysis to allow a qualitative view of the LWMP to be formed. Findings – Participants described an increase in immediate self-confidence during the LWMP, as opposed to coercion and pressure experienced elsewhere. The results also show the implementation of dietary changes by participants and favourable opinions towards both the group settings and patient-centred care. Participants also positively described the LWMP regarding the programmes social approach and aspects of programme content; however, there were issues with over-dependence on healthcare professionals. Healthcare professionals also need to recognise that long-term empowerment may still be lacking and that follow-up support and the effectiveness of some areas of programme content need to be considered to ensure patients benefit from sustainable weight management. Originality/value – This paper addresses an identified need for qualitative research in the area of health service weight management programmes and highlights the importance of long-term support in empowering patients by exploring their lived experience of the LWMP.

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Section: Discussionmentioning

confidence: 99%

A qualitative evaluation of an NHS Weight Management Programme for obese patients in Liverpool

Webb

Davies

Johnson³

et al. 2014

Nutrition &Amp; Food Science

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“…The effect of symbols and pictures on conveying health information has been studied in a variety of contexts and in several different populations (e.g., Delp & Jones, 1996;Dowse & Ehlers, 2003a, 2003bDowse & Ehlers, 2005;Hameen-Antila, Kemppainen, Enlund, Patricia, & Marja, 2004;Hanson, 1995;Hanson & Hartzema, 1995;Mansoor & Dowse, 2003;Morrow, Hier, Menard, & Leirer, 1998;Morrow et al, 2005;Ngoh & Shepherd, 1997;Sansgiry, Cady, & Adamcik, 1997;Sojourner & Wogalter, 1997. For example, studies show that symbols may improve recall (Hanson & Hartzema, 1995;Houts et al, 1998;Houts, Witmer, Egeth, Loscalzo, & Zabora, 2001) and comprehension of (Delp & Jones, 1996;Dowse & Ehlers, 2004, 2005Hanson & Hartzema, 1995;Hardie, Gagnon, & Eckel, 1979;Mansoor & Dowse, 2003;Ngoh & Shepherd, 1997;Schillinger et al, 2005) as well as adherence to important medical instructions among patients with limited literacy skills (Delp & Jones, 1996;Dowse & Ehlers, 2005;Hanson, 1995;Hardie et al, 1979;Ngoh & Shepherd, 1997;Schillinger et al, 2005).…”

Section: Influence Of Symbols On Short-term Recallmentioning

confidence: 99%

The Influence of Symbols on the Short-Term Recall of Pharmacy-Generated Prescription Medication Information in a Low Health Literate Sample

King

McCaffrey

Bentley

et al. 2012

Journal of Health Communication

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“…The intervention was a "culturally-sensitive" visual aid designed to help convey drug information to nonliterate female patients who were on anti-biotic prescriptions [28]. Figure 4 depicts the patterns of interventions for the studies used.…”

Section: Description Of the Studiesmentioning

confidence: 99%

The Effect of Using Pictograms on Comprehension of Medical Information- A Meta-Analysis

Mansukhani¹

2015

J.Pharm Pharm Scien

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This is a meta-analysis to study the effect of using pictorial aids on medication packaging and inserts on the comprehension of medication related information. Health literacy is a growing concern amongst health care systems globally. Research has demonstrated that people with low or marginal levels of literacy have lesser knowledge about their condition and understand "text-only" medication instructions inaccurately. Building on such findings, incorporation of illustrations in the form of pictures have been thought of and studied to improve some of the outcomes related to medication understanding. This metaanalysis aimed to synthesize and analyze data from such studies and unveil avenues for further research which can prove to aid interpretation of medical information via such visual aids. Studies included in this analysis used a specific treatment intervention which comprised of medical information provided as text in conjunction with pictograms, and compared this to a text-only intervention which was treated as the control. All the patients in these studies were randomized to both the interventions. They received medical information in the form of patient label; patient information leaflets (PILs) or consult demonstration by a healthcare provider. Meta-analysis was performed using random effects model. Results supported the primary hypothesis of pictograms aiding in medical comprehension with a p<0.0001. The summary effect size was found to be g = 0.5 [0.19, 0.8]. The I 2 value for this omnibus test was almost 88%, implying a huge amount of heterogeneity in the sample. Amongst the moderators tested, number of years of education was found to be close to significance (p=0.09) and the type of visual aid used was not significant (p=0.87). This analysis could not assess the type of literacy testing because of the lack of standardized testing using tools like REALM or TOFHLA in the included studies. Further, efforts should be made in order to understand how pictograms affect medical comprehension with a follow up to achieve tangible outcomes such as medication compliance and adherence.

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Design, development, and evaluation of visual aids for communicating prescription drug instructions to nonliterate patients in rural Cameroon

Cited by 79 publications

References 35 publications

A qualitative evaluation of an NHS Weight Management Programme for obese patients in Liverpool

A qualitative evaluation of an NHS Weight Management Programme for obese patients in Liverpool

The Influence of Symbols on the Short-Term Recall of Pharmacy-Generated Prescription Medication Information in a Low Health Literate Sample

The Effect of Using Pictograms on Comprehension of Medical Information- A Meta-Analysis

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