Pictorial versus written asthma action plans for youth: initial impact on regimen knowledge, medication adherence, symptom control, and family satisfaction

Infographics and/or Pictograms and Medication Adherence: A Scoping Review

“…Given the ability of visual tools to communicate complex information in an accessible way, we were interested in exploring whether comprehension or understanding of medication-related factors, such as medication side effects and regimen, improved in individuals exposed to infographics or pictograms. Eight of the included articles (Artmann et al, 2022;Branda et al, 2022;Browne et al, 2019;Dowse et al, 2014;Dowse & Ehlers, 2005;Hynes et al, 2022;Mohamed et al, 2021;Wilby et al, 2011) studied comprehension or understanding of these factors as an outcome measure in some capacity. Seven of these studies (87.5%; Branda et al, 2022;Browne et al, 2019;Dowse et al, 2014;Dowse & Ehlers, 2005;Hynes et al, 2022;Mohamed et al, 2021;Wilby et al, 2011) showed an overall improvement in comprehension or understanding when experimental groups receiving pictograms were compared against control groups.…”

“…Eight of the included articles (Artmann et al, 2022;Branda et al, 2022;Browne et al, 2019;Dowse et al, 2014;Dowse & Ehlers, 2005;Hynes et al, 2022;Mohamed et al, 2021;Wilby et al, 2011) studied comprehension or understanding of these factors as an outcome measure in some capacity. Seven of these studies (87.5%; Branda et al, 2022;Browne et al, 2019;Dowse et al, 2014;Dowse & Ehlers, 2005;Hynes et al, 2022;Mohamed et al, 2021;Wilby et al, 2011) showed an overall improvement in comprehension or understanding when experimental groups receiving pictograms were compared against control groups.…”

“…Twenty-three (Almomani et al, 2018;Braich et al, 2011;Chan & Hassali, 2014;Chongpornchai et al, 2021;Dowse et al, 2014;Dowse & Ehlers, 2005;Ebrahimabadi et al, 2019;Hynes et al, 2022;Kalichman et al, 2013;Mansoor & Dowse, 2006;Maximos et al, 2021;Merks et al, 2019;Merks et al, 2021;Mohamed et al, 2021;Monroe et al, 2018;Nahrisah et al, 2020;Näslund et al, 2019;Negarandeh et al, 2013;Park, 2011;Patiag et al, 2020;Phimarn et al, 2019;Shenoi et al, 2021;Yin et al, 2008) of the included studies considered medication adherence, or a similar term, as an outcome measure, with the exposure being infographics or pictograms in some capacity. Of these studies, 18 (78.2%) displayed significant improvements in adherence (Almomani et al, 2018;Braich et al, 2011;Chongpornchai et al, 2021;Dowse & Ehlers, 2005;Ebrahimabadi et al, 2019;Hynes et al, 2022;Kalichman et al, 2013;Mansoor & Dowse, 2006;Merks et al, 2021;Mohamed et al, 2021;Nahrisah et al, 2020;Näslund et al, 2019;Negarandeh et al, 2013;Phimarn et al, 2019;Sheno...…”