Impact of pictograms on medication adherence: A systematic literature review

Sletvold, Hege; Sagmo, Lise Annie Bjørnli; Torheim, Eirik A.

doi:10.1016/j.pec.2019.12.018

Cited by 60 publications

(44 citation statements)

References 43 publications

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“…As has been demonstrated in other pictogram-enhanced plans for other disease processes, we believe that incorporation of pictograms into the USCAP will improve adherence to the prescribed therapeutic regimen. 62 Development of the USCAP was strengthened by a multi-staged approach-involving first validating the pictograms alone, and then assessing the USCAP with pictograms included. Our goal was to mitigate the effects of low HL by developing a written action plan which conveys recommendations of clinicians in a clear and actionable manner.…”

Section: Discussionmentioning

confidence: 99%

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Development and Assessment of a Pictographic Pediatric Constipation Action Plan

Reeves

Kolasinski

Yin

et al. 2021

The Journal of Pediatrics

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Development and Assessment of a Pictographic Pediatric Constipation Action Plan

Reeves

Kolasinski

Yin

et al. 2021

The Journal of Pediatrics

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“…Additional elements could support the comprehension of prescription label instructions. A systematic review of Sletvold et al. (2019) showed that pharmaceutical pictograms are useful for patients that are normally at risk for non-adherence to medication therapy ( Sletvold et al., 2019 ).…”

Section: Discussionmentioning

confidence: 99%

“…Additional elements could support the comprehension of prescription label instructions. A systematic review of Sletvold et al (2019) showed that pharmaceutical pictograms are useful for patients that are normally at risk for non-adherence to medication therapy (Sletvold et al, 2019). Also, Katz et al concluded a combination of symbols and textual information were more effective for patients' understanding than the use of symbols only (Katz et al, 2006).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Development of Comprehensible Prescription Label Instructions: A Study Protocol for a Mixed-Methods Approach

et al. 2020

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This protocol describes a mixed-method research to compose and implement comprehensible prescription label instructions and will lead to knowledge about the comprehensibility of textual elements in these labels, with specific attention for patients with limited health literacy. Implementation of optimized prescription label instructions will lead to a better understanding of them, which may contribute to improved medication adherence. A limitation is that non-textual aspects of prescription labels are not investigated.

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“…Pharmaceutical pictograms as a supplement to pharmacy counseling are considered an effective tool facilitating the patient's understanding of the information provided [1,7].…”

Section: Introductionmentioning

confidence: 99%

Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety

Merks

Świeczkowski

Balcerzak³

et al. 2021

Cardiol J.

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Background: Pharmaceutical pictograms have been designed to help communicate medication instructions to patients. Pictograms used within a patient counseling service can significantly improve medication compliance and adherence. The study aimed to assess the improvement of adherence to therapy with the use of pictogram intervention in comparison to standard pharmacy practice in community pharmacies. Methods: Pictograms informing about the proper way of using metoprolol prolonged release tablets were designed to be used on the packages of the drug in community pharmacies. Pharmacies belonging to a pharmacy practice-based research network were randomly assigned to a group using pictograms when dispensing the drug or one following their normal practice. At the first visit, all patients answered a structured questionnaire about their medication behavior in the preceding 7 days. The same questions were asked 4 weeks later to follow-up treatment adherence change and compare studied groups. Descriptive statistics was used to analyze the data, and the McNemar test was used to compare categorical data at baseline and follow-up. Results: Of a total of 253 patients screened, 117 and 104 patients completed the study in the standard practice and pictogram groups, respectively. The use of pictograms significantly improved medication adherence in the following areas: not omitting doses (p < 0.0001), not crushing tablets (p = 0.004), number of tablets/day (p = 0.49), and time of use (p = 0.001), compared to the standard practice group. Conclusions: Our results suggest that pictograms are effective in conveying messages about the proper way of using medications, and they increase treatment adherence, in comparison to standard dispensing practice.

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Impact of pictograms on medication adherence: A systematic literature review

Cited by 60 publications

References 43 publications

Development and Assessment of a Pictographic Pediatric Constipation Action Plan

Development and Assessment of a Pictographic Pediatric Constipation Action Plan

Development of Comprehensible Prescription Label Instructions: A Study Protocol for a Mixed-Methods Approach

Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety

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