The evaluation of pharmaceutical pictograms among elderly patients in community pharmacy settings – a multicenter pilot study

Piotr Merks,1,2,* Damian Świeczkowski,3,* Marcin Balcerzak,4 Ewelina Drelich,4 Katarzyna Białoszewska,5 Natalia Cwalina,3 Jerzy Krysinski,1 Miłosz Jaguszewski,3 Annie Pouliot,6 Regis Vaillancourt6 1Department of Pharmaceutical Technology, Collegium Medicum in Bydgoszcz, Nicolaus University in Torun...

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Main Authors: Merks P, Świeczkowski D, Balcerzak M, Drelich E, Białoszewska K, Cwalina N, Krysinski J, Jaguszewski M, Pouliot A, Vaillancourt R
Format: Article
Language:English
Published: Dove Medical Press 2018-02-01
Series:Patient Preference and Adherence
Subjects:
Online Access:https://www.dovepress.com/the-evaluation-of-pharmaceutical-pictograms-among-elderly-patients-in--peer-reviewed-article-PPA
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author Merks P
Świeczkowski D
Balcerzak M
Drelich E
Białoszewska K
Cwalina N
Krysinski J
Jaguszewski M
Pouliot A
Vaillancourt R
author_facet Merks P
Świeczkowski D
Balcerzak M
Drelich E
Białoszewska K
Cwalina N
Krysinski J
Jaguszewski M
Pouliot A
Vaillancourt R
author_sort Merks P
collection DOAJ
description Piotr Merks,1,2,* Damian Świeczkowski,3,* Marcin Balcerzak,4 Ewelina Drelich,4 Katarzyna Białoszewska,5 Natalia Cwalina,3 Jerzy Krysinski,1 Miłosz Jaguszewski,3 Annie Pouliot,6 Regis Vaillancourt6 1Department of Pharmaceutical Technology, Collegium Medicum in Bydgoszcz, Nicolaus University in Torun, Bydgoszcz-Torun, Poland; 2Piktorex Sp. z.o.o., Warsaw, Poland; 3First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland; 4Farenta Polska, Warsaw, Poland; 5Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland; 6Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada *These authors contributed equally to this work Introduction: The search for new ways to optimize the use of medications by patients has led the pharmaceutical community to promote the idea of introducing pictograms into routine practice. The main intention of pictograms is to ease patient adherence and to reduce potential risks or errors associated with the use of medications. Purpose: To evaluate a series of pharmaceutical pictograms for patient comprehension. Patients and methods: The study was conducted in community pharmacies within a European Union country that belongs to the professional research network. Structured interviews were used to evaluate the pictograms for patient comprehension. This consisted of an assessment of the following: the transparency and translucency of the pictograms, health literacy, and pictogram recall. Participants were also given the opportunity to provide feedback on how to improve the pictograms. The primary endpoint was pictogram comprehension. Secondary outcomes included recall of the pictograms and pictogram translucency. Results: The study included 68 patients with whom face-to-face interviews were performed. Low transparency results (≤25%) and extensive patient feedback in initial interviews led to the withdrawal of certain pictograms (n=15) from the evaluation. Among the pictograms included in the final stage of our research, 22 pictograms (62.8%) obtained an acceptable transparency level ≥66%. All pictograms passed the short-term recall test with positive results. Conclusion: A majority of the designed and modified pictograms reached satisfactory guessability scores. Feedback from patients enabled modification of the pictograms and proved that patients have an important voice in the discussion regarding the design of additional pictograms. Keywords: pharmaceutical pictograms, elderly population, health literacy, community pharmacy, Poland
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spelling doaj.art-e6a6714315984bc4a30bb9deff3d941e2022-12-22T01:51:03ZengDove Medical PressPatient Preference and Adherence1177-889X2018-02-01Volume 1225726636785The evaluation of pharmaceutical pictograms among elderly patients in community pharmacy settings – a multicenter pilot studyMerks PŚwieczkowski DBalcerzak MDrelich EBiałoszewska KCwalina NKrysinski JJaguszewski MPouliot AVaillancourt RPiotr Merks,1,2,* Damian Świeczkowski,3,* Marcin Balcerzak,4 Ewelina Drelich,4 Katarzyna Białoszewska,5 Natalia Cwalina,3 Jerzy Krysinski,1 Miłosz Jaguszewski,3 Annie Pouliot,6 Regis Vaillancourt6 1Department of Pharmaceutical Technology, Collegium Medicum in Bydgoszcz, Nicolaus University in Torun, Bydgoszcz-Torun, Poland; 2Piktorex Sp. z.o.o., Warsaw, Poland; 3First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland; 4Farenta Polska, Warsaw, Poland; 5Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland; 6Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada *These authors contributed equally to this work Introduction: The search for new ways to optimize the use of medications by patients has led the pharmaceutical community to promote the idea of introducing pictograms into routine practice. The main intention of pictograms is to ease patient adherence and to reduce potential risks or errors associated with the use of medications. Purpose: To evaluate a series of pharmaceutical pictograms for patient comprehension. Patients and methods: The study was conducted in community pharmacies within a European Union country that belongs to the professional research network. Structured interviews were used to evaluate the pictograms for patient comprehension. This consisted of an assessment of the following: the transparency and translucency of the pictograms, health literacy, and pictogram recall. Participants were also given the opportunity to provide feedback on how to improve the pictograms. The primary endpoint was pictogram comprehension. Secondary outcomes included recall of the pictograms and pictogram translucency. Results: The study included 68 patients with whom face-to-face interviews were performed. Low transparency results (≤25%) and extensive patient feedback in initial interviews led to the withdrawal of certain pictograms (n=15) from the evaluation. Among the pictograms included in the final stage of our research, 22 pictograms (62.8%) obtained an acceptable transparency level ≥66%. All pictograms passed the short-term recall test with positive results. Conclusion: A majority of the designed and modified pictograms reached satisfactory guessability scores. Feedback from patients enabled modification of the pictograms and proved that patients have an important voice in the discussion regarding the design of additional pictograms. Keywords: pharmaceutical pictograms, elderly population, health literacy, community pharmacy, Polandhttps://www.dovepress.com/the-evaluation-of-pharmaceutical-pictograms-among-elderly-patients-in--peer-reviewed-article-PPApharmaceutical pictogramselderly populationhealth literacycommunity pharmacyPoland
spellingShingle Merks P
Świeczkowski D
Balcerzak M
Drelich E
Białoszewska K
Cwalina N
Krysinski J
Jaguszewski M
Pouliot A
Vaillancourt R
The evaluation of pharmaceutical pictograms among elderly patients in community pharmacy settings – a multicenter pilot study
Patient Preference and Adherence
pharmaceutical pictograms
elderly population
health literacy
community pharmacy
Poland
title The evaluation of pharmaceutical pictograms among elderly patients in community pharmacy settings – a multicenter pilot study
title_full The evaluation of pharmaceutical pictograms among elderly patients in community pharmacy settings – a multicenter pilot study
title_fullStr The evaluation of pharmaceutical pictograms among elderly patients in community pharmacy settings – a multicenter pilot study
title_full_unstemmed The evaluation of pharmaceutical pictograms among elderly patients in community pharmacy settings – a multicenter pilot study
title_short The evaluation of pharmaceutical pictograms among elderly patients in community pharmacy settings – a multicenter pilot study
title_sort evaluation of pharmaceutical pictograms among elderly patients in community pharmacy settings ndash a multicenter pilot study
topic pharmaceutical pictograms
elderly population
health literacy
community pharmacy
Poland
url https://www.dovepress.com/the-evaluation-of-pharmaceutical-pictograms-among-elderly-patients-in--peer-reviewed-article-PPA
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