Effect of Standardized, Patient-Centered Label Instructions to Improve Comprehension of Prescription Drug Use

被引：88

作者：

Wolf, Michael S. ^{[1
,2
,3
]}

Davis, Terry C. ^{[4
,5
]}

Curtis, Laura M. ^{[1
]}

Webb, Jennifer A. ^{[1
,2
]}

Bailey, Stacy Cooper ^{[1
,2
]}

Shrank, William H. ^{[6
]}

Lindquist, Lee ^{[1
,2
]}

Ruo, Bernice ^{[1
,2
]}

Bocchini, Mary V. ^{[4
,5
]}

Parker, Ruth M. ^{[7
]}

Wood, Alastair J. J. ^{[8
,9
]}

机构：

[1] Northwestern Univ, Div Gen Internal Med, Feinberg Sch Med, Chicago, IL 60611 USA

[2] Northwestern Univ, Hlth Literacy & Learning Program, Feinberg Sch Med, Chicago, IL 60611 USA

[3] Northwestern Univ, Dept Learning Sci, Sch Educ & Social Policy, Chicago, IL 60611 USA

[4] Louisiana State Univ, Hlth Sci Ctr Shreveport, Dept Med, Shreveport, LA 71105 USA

[5] Louisiana State Univ, Hlth Sci Ctr Shreveport, Dept Pediat, Shreveport, LA 71105 USA

[6] Harvard Univ, Sch Med, Brigham & Womens Hosp, Div Pharmacoepidemiol & Pharmacoecon,Dept Med, Boston, MA USA

[7] Emory Univ, Sch Med, Atlanta, GA USA

[8] Symphony Capital LLC, New York, NY USA

[9] Weill Cornell Med Sch, New York, NY USA

来源：

MEDICAL CARE | 2011年 / 49卷 / 01期

基金：

美国医疗保健研究与质量局;

关键词：

prescription; medication; comprehension; patient; labels; safety; health literacy; LITERACY; ADULTS; OLDER; VARIABILITY; INFORMATION; ADHERENCE; QUALITY; MEMORY; ICONS; YOUNG;

D O I：

10.1097/MLR.0b013e3181f38174

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: To evaluate the effectiveness of standardized, patient-centered label (PCL) instructions to improve comprehension of prescription drug use compared with typical instructions. Methods: A total of 500 adult patients recruited from 2 academic and 2 community primary care clinics in Chicago, IL and Shreveport, LA were assigned to receive as follows: (1) standard prescription instructions written as times per day (once, twice 3 times per day) (usual care), (2) PCL instructions that specify explicit timing with standard intervals (morning, noon, evening, bedtime) (PCL), or (3) PCL instructions with a graphic aid to visually depict dose and timing of the medication (PCL + Graphic). The outcome was correct interpretation of label instructions. Results: Instructions with the PCL format were more likely to be correctly interpreted compared with standard instructions (adjusted relative risk [RR] : 1.33, 95% confidence interval [CI] : 1.25-1.41). Inclusion of the graphic aid (PCL + Graphic) decreased rates of correct interpretation compared with PCL instructions alone (RR: 0.93; 95% CI: 0.89-0.97). Patients with low literacy were better able to interpret PCL instructions (low literacy: RR: 1.39; 95% CI: 1.14 -1.68; P = 0.001). Conclusion: The PCL approach could improve patients' understanding and use of their medication regimen.

引用

页码：96 / 100

页数：5

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