Using pictograms in a patient information leaflet to communicate antiretroviral medicines information to HIV/AIDS patients in rural South Africa:
- Authors: Dowse, Roslind
- Date: 2009
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/156817 , vital:40053 , ISBN
- Description: The objectives were to design a simple, illustrated patient information leaflet for the antiretroviral regimen of stavudine, lamivudine and efavirenz and to evaluate its readability and acceptability in the local Xhosa population. In order to achieve this, a further objective was to design and evaluate illustrations to include in the patient information leaflet which were culturally acceptable and well interpreted. Illustrations or pictograms were designed to illustrate selected instructions appearing in the patient information leaflet and were individually tested in 30 Xhosa participants who had a maximum of 8 years of formal schooling. Results were used to improve the pictograms for inclusion in the patient information leaflet. The patient information leaflet was designed and tested in sixty Xhosa participants with varied levels of education who had stated they could read. Demographic data were collected and they were then asked to read the patient information leaflet, available in both English and isiXhosa, and a series of questions was asked to assess its comprehension and acceptability. The overall average rate of understanding was 95. Six of the 20 questions were located and understood by all participants, and only two questions resulted in less than an 85 correct response. Physical appearance and quantity of information were highly rated and all participants were enthusiastic about the inclusion of pictograms.
- Full Text:
- Date Issued: 2009
- Authors: Dowse, Roslind
- Date: 2009
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/156817 , vital:40053 , ISBN
- Description: The objectives were to design a simple, illustrated patient information leaflet for the antiretroviral regimen of stavudine, lamivudine and efavirenz and to evaluate its readability and acceptability in the local Xhosa population. In order to achieve this, a further objective was to design and evaluate illustrations to include in the patient information leaflet which were culturally acceptable and well interpreted. Illustrations or pictograms were designed to illustrate selected instructions appearing in the patient information leaflet and were individually tested in 30 Xhosa participants who had a maximum of 8 years of formal schooling. Results were used to improve the pictograms for inclusion in the patient information leaflet. The patient information leaflet was designed and tested in sixty Xhosa participants with varied levels of education who had stated they could read. Demographic data were collected and they were then asked to read the patient information leaflet, available in both English and isiXhosa, and a series of questions was asked to assess its comprehension and acceptability. The overall average rate of understanding was 95. Six of the 20 questions were located and understood by all participants, and only two questions resulted in less than an 85 correct response. Physical appearance and quantity of information were highly rated and all participants were enthusiastic about the inclusion of pictograms.
- Full Text:
- Date Issued: 2009
Development of written information for antiretroviral therapy: comprehension in a Tanzanian population
- Mwingira, Betty, Dowse, Roslind
- Authors: Mwingira, Betty , Dowse, Roslind
- Date: 2007
- Language: English
- Type: Article
- Identifier: vital:6404 , http://hdl.handle.net/10962/d1006477
- Description: Objective To design and develop a simple, easily readable patient information leaflet (PIL) for a commonly used antiretroviral (ARV) regimen and to evaluate its readability and acceptability in a Tanzanian population. Method A PIL incorporating simple text and pictograms was designed for the antiretroviral regimen of stavudine, lamivudine and efavirenz. The PIL was designed according to established good design guidelines, modified during a multi-stage iterative testing process and piloted in a South African Xhosa population. The PIL was made available in both English and Kiswahili. Sixty Tanzanian participants who were not taking ARVs were interviewed. They were asked to read the PIL in the language of their choice and were then asked a series of two-part questions; the first part required participants to locate the information in the PIL, after which they were asked to explain the information in their own words. Acceptability was assessed through close-ended questions and open-ended feedback. The influence of selected patient characteristics on comprehension of the PIL was investigated using one-way ANOVA and t-tests for independent samples with a significance level set at 0.05. Main outcome measure Comprehension of the written information in an overall percentage understanding. Results The overall average percentage comprehension of the PIL was 95%. The target set by the EC guideline that at least 80% of participants correctly locate and understand the information was achieved for 19 of the 20 questions. Five of the six instructions illustrated by pictograms were correctly understood by all participants. The only patient characteristics significantly associated with comprehension were educational level and self-reported ease of reading the PIL. Acceptability of the PIL was high and positive comments were associated with simplicity, good design, easy readability and user-friendliness, the latter enhanced by the inclusion of pictograms. Conclusion The PIL designed for this study was shown to be effective in communicating information about ARVs. Patient characteristics must be taken into account when developing written information, and the final document must be tested for comprehension in the target population.
- Full Text:
- Date Issued: 2007
- Authors: Mwingira, Betty , Dowse, Roslind
- Date: 2007
- Language: English
- Type: Article
- Identifier: vital:6404 , http://hdl.handle.net/10962/d1006477
- Description: Objective To design and develop a simple, easily readable patient information leaflet (PIL) for a commonly used antiretroviral (ARV) regimen and to evaluate its readability and acceptability in a Tanzanian population. Method A PIL incorporating simple text and pictograms was designed for the antiretroviral regimen of stavudine, lamivudine and efavirenz. The PIL was designed according to established good design guidelines, modified during a multi-stage iterative testing process and piloted in a South African Xhosa population. The PIL was made available in both English and Kiswahili. Sixty Tanzanian participants who were not taking ARVs were interviewed. They were asked to read the PIL in the language of their choice and were then asked a series of two-part questions; the first part required participants to locate the information in the PIL, after which they were asked to explain the information in their own words. Acceptability was assessed through close-ended questions and open-ended feedback. The influence of selected patient characteristics on comprehension of the PIL was investigated using one-way ANOVA and t-tests for independent samples with a significance level set at 0.05. Main outcome measure Comprehension of the written information in an overall percentage understanding. Results The overall average percentage comprehension of the PIL was 95%. The target set by the EC guideline that at least 80% of participants correctly locate and understand the information was achieved for 19 of the 20 questions. Five of the six instructions illustrated by pictograms were correctly understood by all participants. The only patient characteristics significantly associated with comprehension were educational level and self-reported ease of reading the PIL. Acceptability of the PIL was high and positive comments were associated with simplicity, good design, easy readability and user-friendliness, the latter enhanced by the inclusion of pictograms. Conclusion The PIL designed for this study was shown to be effective in communicating information about ARVs. Patient characteristics must be taken into account when developing written information, and the final document must be tested for comprehension in the target population.
- Full Text:
- Date Issued: 2007
Written medicines information for South African HIV/AIDS patients: does it enhance understanding of co-trimoxazole therapy?
- Mansoor, Leila E, Dowse, Roslind
- Authors: Mansoor, Leila E , Dowse, Roslind
- Date: 2007
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156860 , vital:40059 , https://0-doi.org.wam.seals.ac.za/10.1093/her/cyl039
- Description: Written information to promote patient education is being increasingly recognized as an integral part of quality health care. The main objective of this study was to evaluate the effect of distributing a patient information leaflet (PIL) on knowledge acquisition and recall. Two different PILs were designed for co-trimoxazole tablets: a simple, shorter PIL that incorporated pictograms and text and a text-only PIL that was longer and more complex. Human immunodeficiency virus-positive participants on chronic co-trimoxazole therapy were enrolled from five local primary health care clinics in Grahamstown, South Africa, and were randomly allocated to a Control Group (no PIL), Group A (text-only PIL) or Group B (simple PIL with pictograms).
- Full Text:
- Date Issued: 2007
- Authors: Mansoor, Leila E , Dowse, Roslind
- Date: 2007
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156860 , vital:40059 , https://0-doi.org.wam.seals.ac.za/10.1093/her/cyl039
- Description: Written information to promote patient education is being increasingly recognized as an integral part of quality health care. The main objective of this study was to evaluate the effect of distributing a patient information leaflet (PIL) on knowledge acquisition and recall. Two different PILs were designed for co-trimoxazole tablets: a simple, shorter PIL that incorporated pictograms and text and a text-only PIL that was longer and more complex. Human immunodeficiency virus-positive participants on chronic co-trimoxazole therapy were enrolled from five local primary health care clinics in Grahamstown, South Africa, and were randomly allocated to a Control Group (no PIL), Group A (text-only PIL) or Group B (simple PIL with pictograms).
- Full Text:
- Date Issued: 2007
Cognitive pharmaceutical services and the community pharmacist: are South African patients receiving them and are they willing to pay?
- Hill, Peter W, Dowse, Roslind
- Authors: Hill, Peter W , Dowse, Roslind
- Date: 2006
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156829 , vital:40054 , DOI 10.1211/ijpp.15.2.0007
- Description: The objectives of this study were to ascertain the opinions of randomly selected South African medical aid members regarding the provision by community pharmacists of patient counselling and information; member satisfaction with pharmacist services; their rating of pharmacist accessibility; and if pharmacists should be reimbursed for providing cognitive pharmaceutical services. Setting A South African private healthcare insurance company.
- Full Text:
- Date Issued: 2006
- Authors: Hill, Peter W , Dowse, Roslind
- Date: 2006
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156829 , vital:40054 , DOI 10.1211/ijpp.15.2.0007
- Description: The objectives of this study were to ascertain the opinions of randomly selected South African medical aid members regarding the provision by community pharmacists of patient counselling and information; member satisfaction with pharmacist services; their rating of pharmacist accessibility; and if pharmacists should be reimbursed for providing cognitive pharmaceutical services. Setting A South African private healthcare insurance company.
- Full Text:
- Date Issued: 2006
Comprehension and acceptability of a patient information leaflet (PIL) for antiretroviral therapy:
- Mwingira, Betty, Dowse, Roslind
- Authors: Mwingira, Betty , Dowse, Roslind
- Date: 2006
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156902 , vital:40065 , https://doi.org/10.4102/hsag.v11i3.236
- Description: The patient information leaflet (PIL) is recognised as playing a key role in informing patients about their medicines. The objectives of this research were to evaluate the readability and understanding of a PIL for the first-line ARV (antiretroviral) regimen available in the South African public health sector, and investigate its acceptability in the target Xhosa population. The study took place between August 2003 and July 2004. A PIL was designed for the antiretroviral regimen of stavudine, lamivudine and efavirenz, using established usability guidelines. South African legal requirements concerning PILs were incorporated and the PILs were available in both English and isiXhosa.
- Full Text:
- Date Issued: 2006
- Authors: Mwingira, Betty , Dowse, Roslind
- Date: 2006
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156902 , vital:40065 , https://doi.org/10.4102/hsag.v11i3.236
- Description: The patient information leaflet (PIL) is recognised as playing a key role in informing patients about their medicines. The objectives of this research were to evaluate the readability and understanding of a PIL for the first-line ARV (antiretroviral) regimen available in the South African public health sector, and investigate its acceptability in the target Xhosa population. The study took place between August 2003 and July 2004. A PIL was designed for the antiretroviral regimen of stavudine, lamivudine and efavirenz, using established usability guidelines. South African legal requirements concerning PILs were incorporated and the PILs were available in both English and isiXhosa.
- Full Text:
- Date Issued: 2006
Medicines information and adherence in HIV/AIDS patients
- Mansoor, Leila E, Dowse, Roslind
- Authors: Mansoor, Leila E , Dowse, Roslind
- Date: 2006
- Language: English
- Type: Article
- Identifier: vital:6395 , http://hdl.handle.net/10962/d1006319
- Description: Background: Providing written medicines information is being legislated in an increasing number of countries worldwide, with the patient information leaflet (PIL) being the most widely used method for conveying health information. The impact of providing such information on adherence to therapy is reportedly unpredictable. Therapy for human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) and related opportunistic infections usually involves polytherapy and complex regimens, both of which are risk factors for non-adherence. The objective of this study was to assess the impact of medicines information on adherence to chronic co-trimoxazole therapy in low-literate HIV/AIDS patients. Methods: Two different PILs were designed for co-trimoxazole tablets and were available in both English and isiXhosa. Participants were randomly allocated to a control group (receiving no PIL), group A (receiving a 'complex PIL') and group B (receiving a 'simple PIL' incorporating pictograms). At the first interview, demographic data were collected and the time, date and day that the participant would take his/her first tablet of the month's course was also documented. In a follow-up interview adherence to therapy was assessed using two methods; self-report and tablet count. Results: The medicines information materials incorporating simple text and pictograms resulted in significantly improved adherence to therapy in the short term, whereas a non-significant increase in adherence was associated with the availability of the more complex information. This was shown by both the self-reported assessment as well as the tablet count. Conclusion: This research suggests that appropriately designed written material can have a positive impact in improving adherence and, together with verbal consultation, are essential for enabling patients to make appropriate decisions about their medicine taking.
- Full Text:
- Date Issued: 2006
- Authors: Mansoor, Leila E , Dowse, Roslind
- Date: 2006
- Language: English
- Type: Article
- Identifier: vital:6395 , http://hdl.handle.net/10962/d1006319
- Description: Background: Providing written medicines information is being legislated in an increasing number of countries worldwide, with the patient information leaflet (PIL) being the most widely used method for conveying health information. The impact of providing such information on adherence to therapy is reportedly unpredictable. Therapy for human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) and related opportunistic infections usually involves polytherapy and complex regimens, both of which are risk factors for non-adherence. The objective of this study was to assess the impact of medicines information on adherence to chronic co-trimoxazole therapy in low-literate HIV/AIDS patients. Methods: Two different PILs were designed for co-trimoxazole tablets and were available in both English and isiXhosa. Participants were randomly allocated to a control group (receiving no PIL), group A (receiving a 'complex PIL') and group B (receiving a 'simple PIL' incorporating pictograms). At the first interview, demographic data were collected and the time, date and day that the participant would take his/her first tablet of the month's course was also documented. In a follow-up interview adherence to therapy was assessed using two methods; self-report and tablet count. Results: The medicines information materials incorporating simple text and pictograms resulted in significantly improved adherence to therapy in the short term, whereas a non-significant increase in adherence was associated with the availability of the more complex information. This was shown by both the self-reported assessment as well as the tablet count. Conclusion: This research suggests that appropriately designed written material can have a positive impact in improving adherence and, together with verbal consultation, are essential for enabling patients to make appropriate decisions about their medicine taking.
- Full Text:
- Date Issued: 2006
Medicine labels incorporating pictograms: do they influence understanding and adherence?
- Dowse, Roslind, Ehlers, Martina S
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2005
- Language: English
- Type: Article
- Identifier: vital:6359 , http://hdl.handle.net/10962/d1006051
- Description: The objective was to determine the influence of medicine labels incorporating pictograms on the understanding of instructions and on adherence. Eighty-seven Xhosa participants attending an outpatient clinic who had been prescribed a short course of antibiotics were randomly allocated to either a control group (41 participants given text-only labels), or an experimental group (46 participants given text + pictogram labels). All participants had a maximum of 10 years of formal schooling. Follow-up home visits were conducted after 3–5 days to assess understanding of instructions and to evaluate adherence. A high adherence of greater than 90% was found for 54% of the experimental group, compared with only 2% of the control group. Average percentages for understanding in the control and experimental groups were 70 and 95%, respectively, and average adherence was 72 and 90%, respectively. The presence of pictograms was found to contribute positively to both understanding of instructions and adherence.
- Full Text:
- Date Issued: 2005
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2005
- Language: English
- Type: Article
- Identifier: vital:6359 , http://hdl.handle.net/10962/d1006051
- Description: The objective was to determine the influence of medicine labels incorporating pictograms on the understanding of instructions and on adherence. Eighty-seven Xhosa participants attending an outpatient clinic who had been prescribed a short course of antibiotics were randomly allocated to either a control group (41 participants given text-only labels), or an experimental group (46 participants given text + pictogram labels). All participants had a maximum of 10 years of formal schooling. Follow-up home visits were conducted after 3–5 days to assess understanding of instructions and to evaluate adherence. A high adherence of greater than 90% was found for 54% of the experimental group, compared with only 2% of the control group. Average percentages for understanding in the control and experimental groups were 70 and 95%, respectively, and average adherence was 72 and 90%, respectively. The presence of pictograms was found to contribute positively to both understanding of instructions and adherence.
- Full Text:
- Date Issued: 2005
Design and evaluation of a new pharmaceutical pictogram sequence to convey medicine usage
- Mansoor, Leila E, Dowse, Roslind
- Authors: Mansoor, Leila E , Dowse, Roslind
- Date: 2004
- Language: English
- Type: Article
- Identifier: vital:6402 , http://hdl.handle.net/10962/d1006338
- Description: Pictorials may be used to augment textual instructions in the depiction of safety and warning information on medicines. The objective of this study was to design, develop and evaluate a simple and culturally appropriate pictogram sequence for using nystatin suspension, and to assess its understandability in low-literate Xhosa participants. A new pharmaceutical pictogram sequence was designed through focus group discussions and evaluated in a 2-phase process. The results of Phase 1 (30 participants) identified various problems associated with the new pictogram sequence. It was modified accordingly and re-evaluated in Phase 2 with 20 participants. All participants belonged to the Xhosa group, had between 0 and 7 years of formal schooling and had English as their second language. Acceptance of the new pictogram sequence was based on international standards (ANSI and ISO criterion) for evaluating the comprehensibility of pictograms. In Phase 1, the new pictogram sequence was correctly interpreted by 66.7% of the participants and this complied with the ISO criterion of 67% correct. In Phase 2, 95% of the participants were able to correctly interpret the new pictogram sequence. This result complied with the ANSI criterion of 85% correct, therefore, this new pictogram sequence was considered to be acceptable. This study has illustrated the success of using a consultative approach in the design of new pictograms.
- Full Text:
- Date Issued: 2004
- Authors: Mansoor, Leila E , Dowse, Roslind
- Date: 2004
- Language: English
- Type: Article
- Identifier: vital:6402 , http://hdl.handle.net/10962/d1006338
- Description: Pictorials may be used to augment textual instructions in the depiction of safety and warning information on medicines. The objective of this study was to design, develop and evaluate a simple and culturally appropriate pictogram sequence for using nystatin suspension, and to assess its understandability in low-literate Xhosa participants. A new pharmaceutical pictogram sequence was designed through focus group discussions and evaluated in a 2-phase process. The results of Phase 1 (30 participants) identified various problems associated with the new pictogram sequence. It was modified accordingly and re-evaluated in Phase 2 with 20 participants. All participants belonged to the Xhosa group, had between 0 and 7 years of formal schooling and had English as their second language. Acceptance of the new pictogram sequence was based on international standards (ANSI and ISO criterion) for evaluating the comprehensibility of pictograms. In Phase 1, the new pictogram sequence was correctly interpreted by 66.7% of the participants and this complied with the ISO criterion of 67% correct. In Phase 2, 95% of the participants were able to correctly interpret the new pictogram sequence. This result complied with the ANSI criterion of 85% correct, therefore, this new pictogram sequence was considered to be acceptable. This study has illustrated the success of using a consultative approach in the design of new pictograms.
- Full Text:
- Date Issued: 2004
Pictograms for conveying medicine instructions: comprehension in various South African language groups
- Dowse, Roslind, Ehlers, Martina S
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2004
- Language: English
- Type: Article
- Identifier: vital:6354 , http://hdl.handle.net/10962/d1006038
- Description: The comprehension of medicine instructions is essential for the safe and effective use of medicines. In cases where low literacy constitutes a possible barrier to understanding written medicine information fully, the inclusion of pictograms may facilitate comprehension. Twenty-three internationally available pictograms and 23 corresponding locally developed images were evaluated in 304 low-literate respondents from eight different South African language groups. Demographic data were collected and an English literacy test was administered to those respondents who had stated that they could read English. Interviewees were shown the 46 pictograms in random order and were asked for their interpretation. Preference for either the international or local version was assessed. Correct interpretation of individual pictograms ranged from 14% to 97%. Images which had been developed locally were more successful in eliciting correct interpretations than those obtained from an international source (USP pictograms). Only 2 of the 23 USP pictograms achieved the 85% criterion of the American National Standards Institute compared with 12 of 23 locally developed counterparts. Local pictograms were preferred over the American ones in all cases. Standard of education had a significant influence on interpretation, whereas no significant differences in interpretation could be attributed to cultural diversity between the African language groups. Almost all respondents (98%) reacted positively to the idea of having pictograms on their medicine labels. The success of the local pictograms highlighted the value of a rigorous and consultative design and test process. Results from one African language group can reliably be extrapolated to other groups in South Africa.
- Full Text:
- Date Issued: 2004
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2004
- Language: English
- Type: Article
- Identifier: vital:6354 , http://hdl.handle.net/10962/d1006038
- Description: The comprehension of medicine instructions is essential for the safe and effective use of medicines. In cases where low literacy constitutes a possible barrier to understanding written medicine information fully, the inclusion of pictograms may facilitate comprehension. Twenty-three internationally available pictograms and 23 corresponding locally developed images were evaluated in 304 low-literate respondents from eight different South African language groups. Demographic data were collected and an English literacy test was administered to those respondents who had stated that they could read English. Interviewees were shown the 46 pictograms in random order and were asked for their interpretation. Preference for either the international or local version was assessed. Correct interpretation of individual pictograms ranged from 14% to 97%. Images which had been developed locally were more successful in eliciting correct interpretations than those obtained from an international source (USP pictograms). Only 2 of the 23 USP pictograms achieved the 85% criterion of the American National Standards Institute compared with 12 of 23 locally developed counterparts. Local pictograms were preferred over the American ones in all cases. Standard of education had a significant influence on interpretation, whereas no significant differences in interpretation could be attributed to cultural diversity between the African language groups. Almost all respondents (98%) reacted positively to the idea of having pictograms on their medicine labels. The success of the local pictograms highlighted the value of a rigorous and consultative design and test process. Results from one African language group can reliably be extrapolated to other groups in South Africa.
- Full Text:
- Date Issued: 2004
Using visuals to communicate medicine information to patients with low literacy:
- Authors: Dowse, Roslind
- Date: 2004
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156958 , vital:40073 , https://journals.sagepub.com/doi/pdf/10.1177/104515950401500106
- Description: The patient was adamant that she had taken her medicine as instructed, pointing to the visual (Visual 1) illustrating the instructions to endorse this. Via an interpreter, she communicated that she took her tablet three times during the day and once at night (which was correct), but only on those days when the sun was shining (not on cloudy days) and the moon was visible (depending on both cloud cover and phases of the moon).
- Full Text:
- Date Issued: 2004
- Authors: Dowse, Roslind
- Date: 2004
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156958 , vital:40073 , https://journals.sagepub.com/doi/pdf/10.1177/104515950401500106
- Description: The patient was adamant that she had taken her medicine as instructed, pointing to the visual (Visual 1) illustrating the instructions to endorse this. Via an interpreter, she communicated that she took her tablet three times during the day and once at night (which was correct), but only on those days when the sun was shining (not on cloudy days) and the moon was visible (depending on both cloud cover and phases of the moon).
- Full Text:
- Date Issued: 2004
Effect of pictograms on readability of patient information materials:
- Mansoor, Leila E, Dowse, Roslind
- Authors: Mansoor, Leila E , Dowse, Roslind
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157003 , vital:40078 , https://0-doi.org.wam.seals.ac.za/10.1345/aph.1C449
- Description: To design, develop, and evaluate a simple, understandable medicine label and patient information leaflet (PIL) for nystatin suspension, and to assess the effect of incorporating pictograms on understanding in low-literate participants.
- Full Text:
- Date Issued: 2003
- Authors: Mansoor, Leila E , Dowse, Roslind
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157003 , vital:40078 , https://0-doi.org.wam.seals.ac.za/10.1345/aph.1C449
- Description: To design, develop, and evaluate a simple, understandable medicine label and patient information leaflet (PIL) for nystatin suspension, and to assess the effect of incorporating pictograms on understanding in low-literate participants.
- Full Text:
- Date Issued: 2003
Pharmaceutical Pictograms: Part 1: Communicating Medicine Information to the Low-literate Patient
- Dowse, Roslind, Ehlers, Martina S
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157026 , vital:40080
- Description: To assess the influence of formal education on the interpretation of pharmaceutical pictograms.
- Full Text:
- Date Issued: 2003
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157026 , vital:40080
- Description: To assess the influence of formal education on the interpretation of pharmaceutical pictograms.
- Full Text:
- Date Issued: 2003
Pharmaceutical Pictograms: part 2: weird and wonderful interpretations
- Dowse, Roslind, Ehlers, Martina S
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157037 , vital:40081
- Description: To assess the influence of formal education on the interpretation of pharmaceutical pictograms.
- Full Text:
- Date Issued: 2003
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157037 , vital:40081
- Description: To assess the influence of formal education on the interpretation of pharmaceutical pictograms.
- Full Text:
- Date Issued: 2003
The influence of education on the interpretation of pharmaceutical pictograms for communicating medicine instructions:
- Dowse, Roslind, Ehlers, Martina S
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157014 , vital:40079 , DOI 10.1211/002235702810
- Description: To assess the influence of formal education on the interpretation of pharmaceutical pictograms.
- Full Text:
- Date Issued: 2003
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157014 , vital:40079 , DOI 10.1211/002235702810
- Description: To assess the influence of formal education on the interpretation of pharmaceutical pictograms.
- Full Text:
- Date Issued: 2003
The evaluation of pharmaceutical pictograms in a low-literate South African population
- Dowse, Roslind, Ehlers, Martina S
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2001
- Language: English
- Type: Article
- Identifier: vital:6362 , http://hdl.handle.net/10962/d1006058
- Description: An inability to read and understand written medication instructions may be a major contributory factor to non-compliance in certain patient populations, particularly in countries with a high illiteracy rate such as South Africa. Twenty three pictograms from the USP-DI and a corresponding set of 23 locally developed, culturally sensitive pictograms for conveying medication instructions were evaluated in 46 Xhosa respondents who had attended school for a maximum of 7 years. Respondents were tested for their interpretation of all 46 pictograms at the first interview and again 3 weeks later. The correct meaning of each pictogram was explained at the end of the first interview. Preference for either the Local or USP pictograms was determined. At the follow-up interview, 20 of the Local pictograms complied with the ANSI criterion of ≥85% comprehension, compared with 11 of the USP pictograms. Respondents indicated an overwhelming preference for the Local pictograms.
- Full Text:
- Date Issued: 2001
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2001
- Language: English
- Type: Article
- Identifier: vital:6362 , http://hdl.handle.net/10962/d1006058
- Description: An inability to read and understand written medication instructions may be a major contributory factor to non-compliance in certain patient populations, particularly in countries with a high illiteracy rate such as South Africa. Twenty three pictograms from the USP-DI and a corresponding set of 23 locally developed, culturally sensitive pictograms for conveying medication instructions were evaluated in 46 Xhosa respondents who had attended school for a maximum of 7 years. Respondents were tested for their interpretation of all 46 pictograms at the first interview and again 3 weeks later. The correct meaning of each pictogram was explained at the end of the first interview. Preference for either the Local or USP pictograms was determined. At the follow-up interview, 20 of the Local pictograms complied with the ANSI criterion of ≥85% comprehension, compared with 11 of the USP pictograms. Respondents indicated an overwhelming preference for the Local pictograms.
- Full Text:
- Date Issued: 2001
In vitro release of amoxycillin from lipophilic suppositories
- Webster, Jessica A, Dowse, Roslind, Walker, Roderick B
- Authors: Webster, Jessica A , Dowse, Roslind , Walker, Roderick B
- Date: 1998
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/184377 , vital:44213 , xlink:href="https://doi.org/10.3109/03639049809085636"
- Description: The in vitro release characteristics of amoxycillin from different lipophilic suppository bases were investigated using the USP rotating basket method. Suppositories containing 250 mg amoxycillin were prepared in theobroma oil and in the semisynthetic bases Witepsol W35, Suppocire A32, Novata BD, and Novata 299. Both freshly prepared and 1-month-old suppositories were tested. Analysis of amoxycillin was performed using a validated high-performance liquid chromatographic (HPLC) technique. Release profiles differed significantly between bases, with the greatest amount of amoxycillin being released from both newly made and 1-month-old Novata BD bases (87.57 ± 8.18 and 99.66 ± 6.63%, respectively), and the lowest amount released from the newly manufactured theobroma suppositories (8.82 ± 0.75%) and the 1-month-old Suppocire A32 suppositories (7.78 ± 0.27%).
- Full Text:
- Date Issued: 1998
- Authors: Webster, Jessica A , Dowse, Roslind , Walker, Roderick B
- Date: 1998
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/184377 , vital:44213 , xlink:href="https://doi.org/10.3109/03639049809085636"
- Description: The in vitro release characteristics of amoxycillin from different lipophilic suppository bases were investigated using the USP rotating basket method. Suppositories containing 250 mg amoxycillin were prepared in theobroma oil and in the semisynthetic bases Witepsol W35, Suppocire A32, Novata BD, and Novata 299. Both freshly prepared and 1-month-old suppositories were tested. Analysis of amoxycillin was performed using a validated high-performance liquid chromatographic (HPLC) technique. Release profiles differed significantly between bases, with the greatest amount of amoxycillin being released from both newly made and 1-month-old Novata BD bases (87.57 ± 8.18 and 99.66 ± 6.63%, respectively), and the lowest amount released from the newly manufactured theobroma suppositories (8.82 ± 0.75%) and the 1-month-old Suppocire A32 suppositories (7.78 ± 0.27%).
- Full Text:
- Date Issued: 1998
Pictograms in pharmacy:
- Dowse, Roslind, Ehlers, Martina S
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 1998
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157048 , vital:40082 , https://0-doi.org.wam.seals.ac.za/10.1111/j.2042-7174.1998.tb00924.x
- Description: This review examines the use of pictograms in health care. Well designed pictograms are simple, clear, graphic symbols able to convey their intended meaning to all patients, including those who are illiterate, elderly or visually impaired. Although some research on the effectiveness of pictograms has not supported the hypothesis that pictograms are beneficial for the acquisition and comprehension of information, most studies investigating health‐related applications of pictograms have shown them to be of benefit in the comprehension and recall of instructions on prescription and over‐the‐counter medicines. However, the success of pictograms as a communication aid in pharmacy depends first on a rigorous design process, followed by well‐designed, randomised, controlled trials using an appropriate method of evaluation. The final stage is to investigate the optimal way of using pictograms in practice and to assess their effect on behavioural outcomes, such as compliance.
- Full Text:
- Date Issued: 1998
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 1998
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157048 , vital:40082 , https://0-doi.org.wam.seals.ac.za/10.1111/j.2042-7174.1998.tb00924.x
- Description: This review examines the use of pictograms in health care. Well designed pictograms are simple, clear, graphic symbols able to convey their intended meaning to all patients, including those who are illiterate, elderly or visually impaired. Although some research on the effectiveness of pictograms has not supported the hypothesis that pictograms are beneficial for the acquisition and comprehension of information, most studies investigating health‐related applications of pictograms have shown them to be of benefit in the comprehension and recall of instructions on prescription and over‐the‐counter medicines. However, the success of pictograms as a communication aid in pharmacy depends first on a rigorous design process, followed by well‐designed, randomised, controlled trials using an appropriate method of evaluation. The final stage is to investigate the optimal way of using pictograms in practice and to assess their effect on behavioural outcomes, such as compliance.
- Full Text:
- Date Issued: 1998
Suppositories: An underutilized dosage form
- Webster, Jessica A, Dowse, Roslind, Walker, Roderick B
- Authors: Webster, Jessica A , Dowse, Roslind , Walker, Roderick B
- Date: 1996
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/184697 , vital:44264 , xlink:href="https://hdl.handle.net/10520/AJA16836707_911"
- Description: The rectal route is useful for the delivery of both local acting and systemic drugs. In certain cases suppositories are the best form of therapy, or else they are an effective alternative when oral therapy is not possible. However; doctors rarely prescribe them and patients are often reluctant to use them. Understanding how suppositories work, and their numerous uses, can overcome the aversion to this particular dosage form. Pharmacists are in an ideal position to educate doctors, other health care providers, and patients, on the benefits of using suppositories and their correct use, and to offer advice on any problems associated with their use.
- Full Text:
- Date Issued: 1996
- Authors: Webster, Jessica A , Dowse, Roslind , Walker, Roderick B
- Date: 1996
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/184697 , vital:44264 , xlink:href="https://hdl.handle.net/10520/AJA16836707_911"
- Description: The rectal route is useful for the delivery of both local acting and systemic drugs. In certain cases suppositories are the best form of therapy, or else they are an effective alternative when oral therapy is not possible. However; doctors rarely prescribe them and patients are often reluctant to use them. Understanding how suppositories work, and their numerous uses, can overcome the aversion to this particular dosage form. Pharmacists are in an ideal position to educate doctors, other health care providers, and patients, on the benefits of using suppositories and their correct use, and to offer advice on any problems associated with their use.
- Full Text:
- Date Issued: 1996
Outpatient compliance with theophylline and phenytoin therapy:
- Dowse, Roslind, Futter, William T
- Authors: Dowse, Roslind , Futter, William T
- Date: 1991
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157059 , vital:40083 , https://europepmc.org/article/med/1745939
- Description: Poor compliance with prescribed medication is a significant problem in chronic disease states and is often responsible for the apparent failure of therapy. The determinants and extent of non-compliance are commonly incorrectly perceived by doctors. During routine therapeutic drug monitoring of epileptic and asthmatic outpatients at a local day hospital, non-compliance was identified as a significant problem. A compliance study was conducted on 80 epileptic and asthmatic patients to determine the nature and extent of this problem. Non-compliance was measured using four different methods, which were then compared using chi 2 tests.
- Full Text:
- Date Issued: 1991
- Authors: Dowse, Roslind , Futter, William T
- Date: 1991
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157059 , vital:40083 , https://europepmc.org/article/med/1745939
- Description: Poor compliance with prescribed medication is a significant problem in chronic disease states and is often responsible for the apparent failure of therapy. The determinants and extent of non-compliance are commonly incorrectly perceived by doctors. During routine therapeutic drug monitoring of epileptic and asthmatic outpatients at a local day hospital, non-compliance was identified as a significant problem. A compliance study was conducted on 80 epileptic and asthmatic patients to determine the nature and extent of this problem. Non-compliance was measured using four different methods, which were then compared using chi 2 tests.
- Full Text:
- Date Issued: 1991
Pharmacokinetics of phenylpropanolamine in humans after a single dose study
- Dowse, Roslind, Haigh, John M, Kanfer, Isadore
- Authors: Dowse, Roslind , Haigh, John M , Kanfer, Isadore
- Date: 1987
- Language: English
- Type: Article
- Identifier: vital:6363 , http://hdl.handle.net/10962/d1006059
- Description: The pharmacokinetics of phenylpropanolamine have been studied in healthy human volunteers following the oral administration of an aqueous solution of the drug (50 mg/200 ml). Blood and urine samples collected throughout the trial were assayed using HPLC with UV detection. The drug was shown to be rapidly absorbed with a mean tmax of 1.47 ± 0.49 h and a mean elimination half-life of 4.0 ± 0.5 h. Phenylpropanolamine is predominantly excreted via the kidney with a mean renal clearance of 0.646 ± 0.089 liter/kg/h and 90.2 ± 1.7% excreted unchanged in the urine. The data were not well described using conventional one or two body compartment models. However, the incorporation of a discontinuous absorption phase into the models resulted in an improved overall fit with better characterisation of the absorption phase.
- Full Text:
- Date Issued: 1987
- Authors: Dowse, Roslind , Haigh, John M , Kanfer, Isadore
- Date: 1987
- Language: English
- Type: Article
- Identifier: vital:6363 , http://hdl.handle.net/10962/d1006059
- Description: The pharmacokinetics of phenylpropanolamine have been studied in healthy human volunteers following the oral administration of an aqueous solution of the drug (50 mg/200 ml). Blood and urine samples collected throughout the trial were assayed using HPLC with UV detection. The drug was shown to be rapidly absorbed with a mean tmax of 1.47 ± 0.49 h and a mean elimination half-life of 4.0 ± 0.5 h. Phenylpropanolamine is predominantly excreted via the kidney with a mean renal clearance of 0.646 ± 0.089 liter/kg/h and 90.2 ± 1.7% excreted unchanged in the urine. The data were not well described using conventional one or two body compartment models. However, the incorporation of a discontinuous absorption phase into the models resulted in an improved overall fit with better characterisation of the absorption phase.
- Full Text:
- Date Issued: 1987