An illustrated booklet for reinforcing community health worker knowledge of tuberculosis and facilitating patient counselling:
- Authors: Okeyo, Ida L A , Dowse, Roslind
- Date: 2018
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156629 , vital:40032 , https://phcfm.org/index.php/phcfm/article/view/1687/2559
- Description: Community health workers (CHWs) have facilitated the move to decentralize tuberculosis (TB) management, but lack access to information appropriate both for personal use and in patient interaction and education. To explore the impact of a pictorial-based TB booklet on reinforcing CHW knowledge and facilitating patient counselling.
- Full Text:
- Date Issued: 2018
Written medicines information for South African HIV/AIDS patients: does it enhance understanding of co-trimoxazole therapy?
- 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?
- 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
An illustrated booklet for reinforcing community health worker knowledge of tuberculosis and facilitating patient counselling:
- Authors: Okeyo, Ida L A , Dowse, Roslind
- Date: 2018
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156585 , vital:40028 , https://phcfm.org/index.php/phcfm/article/view/1687/2559
- Description: Community health workers (CHWs) have facilitated the move to decentralize tuberculosis (TB) management, but lack access to information appropriate both for personal use and in patient interaction and education. To explore the impact of a pictorial-based TB booklet on reinforcing CHW knowledge and facilitating patient counselling.
- Full Text:
- Date Issued: 2018
Reflecting on patient-centred care in pharmacy through an illness narrative:
- Authors: Dowse, Roslind
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156687 , vital:40038 , https://0-doi.org.wam.seals.ac.za/10.1007/s11096-015-0104-5
- Description: Patient-centred care (PCC) is rapidly adopting a central position in discussions on the quality of healthcare, with patient-centredness deemed essential to transforming the healthcare system. PCC speaks to the quality of patient-provider relationships and has been defined as an approach to providing care that is respectful of and responsive to individual patient preferences, needs, and values, while ensuring that patient values guide all clinical decisions. However its place within pharmacy practice is unclear and is as yet undefined, particularly in relation to pharmaceutical care. Through my personal illness narrative, I briefly explore the visibility and evidence of PCC in the pharmacy literature as well as from personal experience of pharmacy care, and find it lacking. I conclude that an integrated, seamless understanding of PCC and the use of shared language within the health professions is essential in successful teamwork with both the patient and with other health professions.
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- Date Issued: 2015
Design and evaluation of a new pharmaceutical pictogram sequence to convey medicine usage
- 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
Phenylpropanolamine hydrochloride
- Authors: Kanfer, Isadore , Haigh, John M , Dowse, Roslind
- Date: 1983
- Language: English
- Type: Article
- Identifier: vital:6385 , http://hdl.handle.net/10962/d1006306
- Description: Phenylpropanolamine hydrochloride belongs to the sympathomimetic amine class of drugs and is structurally related to ephedrine hydrochloride. Its synthesis was first reported in 1910 and the first American patent was registered in 1939. The effects of phenylpropanolamine hydrochloride are largely the result of alpha-adrenergic agonist activity resulting from both direct stimulation of adrenergic receptors and release of neuronal norepinephrine. The principal adverse effect of phenylpropanolamine hydrochloride is dose-related hypertension and ventricular arrhythmia has been described. Phenylpropanolamine hydrochloride is widely used as a decongestant and it has been used as an anorectic agent for over 40 years. A report in 1939 described its effect as an hypertensive agent when administered parenterally.
- Full Text:
- Date Issued: 1983
Acceptance of ambulatory blood pressure monitoring in a semi-rural population in South Africa:
- Authors: Chiwanza, Farisai , Irwin, Yoland , Dowse, Roslind
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157072 , vital:40084 , DOI: https://doi.org/10.4102/hsag.v25i0.1336
- Description: Ambulatory blood pressure monitoring is a valuable tool that helps in providing an insight into the diagnosis and management of hypertension; however, no evidence exists of its acceptance in the diverse South African population. We assessed the acceptance of an ambulatory blood pressure monitor in patients attending public sector primary health care (PHC) clinics. Five PHC clinics in the Makana subdistrict in the Eastern Cape.
- Full Text:
- Date Issued: 2020
Pictograms in pharmacy:
- 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
Designing and reporting pictogram research: problems, pitfalls and lessons learnt
- Authors: Dowse, Roslind
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157083 , vital:40085 , https://doi.org/10.1016/j.sapharm.2020.08.013
- Description: Research describing the design, evaluation or use of pictograms for various health-related applications is receiving increasing attention in the literature. However, recent reviews of this body of literature have commented adversely on the overall quality of the research, highlighting problems with the pictogram design process, as well as calling for improvement in both the methodology and reporting of all aspects of designing, developing, modifying, evaluating and applying pictograms in practice. The heterogeneity in study design, as well as in the interventions and outcomes measured, prevents overall conclusions being drawn about the effectiveness of pictograms on comprehension and medicine-taking behaviour such as adherence and self-care. The reporting of such research should provide adequate detail to enable reproducibility and replicability of the research. This article offers guidance in designing and reporting pictogram-based research, highlighting areas that are often problematic or inadequately addressed.
- Full Text:
- Date Issued: 2020
Comprehension and acceptability of a patient information leaflet (PIL) for antiretroviral therapy:
- 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
Community care worker perceptions of their roles in tuberculosis care and their information needs:
- Authors: Okeyo, Ida L A , Dowse, Roslind
- Date: 2016
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156596 , vital:40029 , DOI: 10.4102/hsag.v21i0.962
- Description: Community care workers (CCWs) inhabit a central role in the management of tuberculosis (TB) patients in South Africa. CCWs attend training courses, but training is not standardised at either the national or provincial level. To explore perceptions of CCWs of their role in TB care and TB information needs.
- Full Text:
- Date Issued: 2016
The evaluation of pharmaceutical pictograms in a low-literate South African population
- 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
Medicine labels incorporating pictograms: do they influence understanding and adherence?
- 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
Health literacy test for limited literacy populations (HELT-LL): validation in South Africa
- Authors: Marimwe, Chipiwa , Dowse, Roslind
- Date: 2019
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156652 , vital:40035 , https://doi.org/10.1080/2331205X.2019.1650417
- Description: The majority of health literacy measures emanate from high-income countries and are inappropriate for use in limited literacy individuals who are usually excluded from participation in health literacy studies. There is currently no appropriate health literacy measure for the educationally diverse South African population. This study, which reports the validation of the Health Literacy Test for Limited Literacy individuals (HELT-LL), was conducted in primary health-care clinics with 210 isiXhosa-speaking patients with a maximum of 12 years of schooling. The HELT-LL has varied cognitive demands, assesses functional literacy skills as well as local burden of disease knowledge, and also includes self-reported questions.
- Full Text:
- Date Issued: 2019
Pictograms for conveying medicine instructions: comprehension in various South African language groups
- 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
Simple, illustrated medicines information improves ARV knowledge and patient self-efficacy in limited literacy South African HIV patients:
- Authors: Dowse, Roslind , Barford, Kirsty-Lee , Browne, Sara H
- Date: 2014
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156698 , vital:40039 , DOI: 10.1080/09540121.2014.931559
- Description: Few studies have investigated antiretroviral (ARV) knowledge and self-efficacy in limited literacy patients. Using a randomized controlled study design, we investigated the influence of a simple pre-tested patient information leaflet (PIL) containing both text and illustrations on HIV- and ARV-related knowledge and on self-efficacy over six months in a limited literacy African population. The recruited patients were randomly allocated to either control (standard care) or intervention group (standard care plus illustrated PIL). HIV and medicines-related knowledge was evaluated with a 22-question test at baseline, one, three, and six months. Self-efficacy was assessed using a modified version of the HIV Treatment Adherence Self-Efficacy Scale.
- Full Text:
- Date Issued: 2014
Development of an item bank of health literacy questions appropriate for limited literacy public sector patients in South Africa:
- Authors: Marimwe, Chipiwa , Dowse, Roslind
- Date: 2017
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156618 , vital:40031 , https://doi.org/10.1080/17538068.2017.1380577
- Description: The majority of current health literacy measures emanate from high-income countries. In South Africa, there is no appropriate measure available for use by the diverse public sector population, many of whom have some literacy limitations. The objective was to develop a bank of questions for this population informed by a broader definition of health literacy, which acknowledges both traditional cognitive skills and explores the influence of the collective social environment on health literacy. Thirty questions for the Item Bank were developed to ensure cultural, contextual and educational appropriateness, and were continuously subjected to critical review by an expert consultant panel. Patients (n = 120) were recruited from a local primary care clinic and individually interviewed with the assistance of an interpreter to collect data on the Item Bank, Multidimensional Screener of Functional Health Literacy (MSFHL) and sociodemographics.
- Full Text:
- Date Issued: 2017
An illustrated leaflet containing antiretroviral information targeted for low-literate readers: development and evaluation
- Authors: Dowse, Roslind , Ramela, Thato , Browne, Sara H
- Date: 2011
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156731 , vital:40043 , https://doi.org/10.1016/j.pec.2011.01.013
- Description: To apply a dual visual/textual modal approach in developing and evaluating a medicine information leaflet with pictograms suitable for low-literate HIV/AIDS patients. To identify and recommend best practices in this type of information design.
- Full Text:
- Date Issued: 2011
Biopharmaceutics of phenylpropanolamine
- Authors: Dowse, Roslind
- Date: 1984
- Subjects: Biopharmaceutics Pharmacokinetics Phenylpropanolamine Pharmacology High performance liquid chromatography
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3818 , http://hdl.handle.net/10962/d1004915
- Description: Phenylpropanolamine (PPA), a sympathomimetic amine, has been widely used over the past 40 years as a decongestant and, in much larger dosages, as an appetite suppressant. Considerable interest has recently been shown in this drug due to its increasing popularity as an over-the-counter anorectic agent. Much controversy exists concerning the unfavourable side-effects of PPA resulting from the higher doses required for appetite suppression and the potential of this drug for abuse. A literature search revealed a paucity of information concerning the determination of PPA in biological fluids and, most noticeably, on the pharmacokinetics of this drug. An original method for determining PPA in serum and urine using high performance liquid chromatography (HPLC) which has increased sensitivity over other published HPLC methods is presented here. The simplicity of the extraction from biological fluids and subsequent determination by HPLC, enables concentrations of PPA to be monitored after a single dose of the drug. This method is therefore readily applicable to bioavailability and pharmacokinetic studies. The dissolution profiles of 4 sustained-release formulations of PPA were determined in a modified USP rotating paddle apparatus and the samples analysed using HPLC. A mathematical equation was applied to these data which are expressed in terms of dissolution parameters. Oral test dosage forms and solutions of PPA were investigated in bioavailability trials using the developed HPLC method to analyse the urine and serum samples. Linear one body compartment kinetics were assumed and the WagnerNelson method used to transform in vivo serum data to absorption plots which were then fitted to the well known Weibull equation. In order to more appropriately characterize the kinetic processes of absorption, distribution and elimination, a more complex model was utilized which involved numerical integration of a series of differential equations. The data were fitted to these models using nonlinear regression techniques. The pharmacokinetics of PPA are shown to exhibit some evidence of nonlinearity. The absorption of the drug appears to be di scontinuous and PPA seems to favour a two body compartment model.
- Full Text:
- Date Issued: 1984