Effect of Standardized, Patient-Centered Label Instructions to Improve Comprehension of Prescription Drug Use
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,...
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| Veröffentlicht in: | Medical care 2011-01, Vol.49 (1), p.96-100 |
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| creator | Wolf, Michael S. Davis, Terry C. Curtis, Laura M. Webb, Jennifer A. Bailey, Stacy Cooper Shrank, William H. Lindquist, Lee Ruo, Bernice Bocchini, Mary V. Parker, Ruth M. Wood, Alastair J. J. |
| description | 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. |
| doi_str_mv | 10.1097/MLR.0b013e3181f38174 |
| format | Article |
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J.</creator><creatorcontrib>Wolf, Michael S. ; Davis, Terry C. ; Curtis, Laura M. ; Webb, Jennifer A. ; Bailey, Stacy Cooper ; Shrank, William H. ; Lindquist, Lee ; Ruo, Bernice ; Bocchini, Mary V. ; Parker, Ruth M. ; Wood, Alastair J. J.</creatorcontrib><description>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.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/MLR.0b013e3181f38174</identifier><identifier>PMID: 21150800</identifier><identifier>CODEN: MELAAD</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Adult ; Adults ; Aged ; Audiovisual Aids ; Brief Reports ; Cognition & reasoning ; Comparative analysis ; Cross-Sectional Studies ; Descriptive labeling ; Dosage ; Drug Labeling - methods ; Drug prescriptions ; Drug use ; Female ; Graphics ; Health literacy ; Humans ; Literacy ; Male ; Medical education ; Medications ; Middle Aged ; Pills ; Prescription drugs ; Prescription Drugs - administration & dosage ; Reading instruction ; Socioeconomic Factors ; Standardization</subject><ispartof>Medical care, 2011-01, Vol.49 (1), p.96-100</ispartof><rights>Copyright © 2010 Lippincott Williams & Wilkins</rights><rights>2011 Lippincott Williams & Wilkins, Inc.</rights><rights>Copyright Lippincott Williams & Wilkins Jan 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5013-271aefd5848f14447f9f17b3447dcd84dacf963c3c192fe4d7ef9bffd9a78463</citedby><cites>FETCH-LOGICAL-c5013-271aefd5848f14447f9f17b3447dcd84dacf963c3c192fe4d7ef9bffd9a78463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25767040$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25767040$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,776,780,799,881,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21150800$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolf, Michael S.</creatorcontrib><creatorcontrib>Davis, Terry C.</creatorcontrib><creatorcontrib>Curtis, Laura M.</creatorcontrib><creatorcontrib>Webb, Jennifer A.</creatorcontrib><creatorcontrib>Bailey, Stacy Cooper</creatorcontrib><creatorcontrib>Shrank, William H.</creatorcontrib><creatorcontrib>Lindquist, Lee</creatorcontrib><creatorcontrib>Ruo, Bernice</creatorcontrib><creatorcontrib>Bocchini, Mary V.</creatorcontrib><creatorcontrib>Parker, Ruth M.</creatorcontrib><creatorcontrib>Wood, Alastair J. J.</creatorcontrib><title>Effect of Standardized, Patient-Centered Label Instructions to Improve Comprehension of Prescription Drug Use</title><title>Medical care</title><addtitle>Med Care</addtitle><description>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.</description><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Audiovisual Aids</subject><subject>Brief Reports</subject><subject>Cognition & reasoning</subject><subject>Comparative analysis</subject><subject>Cross-Sectional Studies</subject><subject>Descriptive labeling</subject><subject>Dosage</subject><subject>Drug Labeling - methods</subject><subject>Drug prescriptions</subject><subject>Drug use</subject><subject>Female</subject><subject>Graphics</subject><subject>Health literacy</subject><subject>Humans</subject><subject>Literacy</subject><subject>Male</subject><subject>Medical education</subject><subject>Medications</subject><subject>Middle Aged</subject><subject>Pills</subject><subject>Prescription drugs</subject><subject>Prescription Drugs - administration & dosage</subject><subject>Reading instruction</subject><subject>Socioeconomic Factors</subject><subject>Standardization</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUdFu1DAQtBCIHoU_ABTxwgsp69iOnZdK6Chw0iEqKM-WY697OXLxYSet4OtxdKWFWrJ3rZ0ZezSEPKdwQqGRbz-vv55AC5Qho4p6pqjkD8iCCiZL2nD1kCwAKlFKkM0ReZLSFoBKJqrH5KiiVIACWJDdmfdoxyL44ttoBmei636je1Ocm7HDYSyX-cCIrlibFvtiNaQxTnbswpCKMRSr3T6GKyyWITe4wSHlyax2HjHZ2O1nZPE-TpfF94RPySNv-oTPbuoxufhwdrH8VK6_fFwt361LK7KhspLUoHdCceUp51z6xlPZstw56xR3xvqmZpZZ2lQeuZPom9Z71xipeM2OyelBdj-1O3Q2W4im1_vY7Uz8pYPp9P-Todvoy3ClmeJCNioLvL4RiOHnhGnUuy5Z7HszYJiSVlXFapAwP_XqHnIbpjhkczOoYcCFyCB-ANkYUorob79CQc9h6hymvh9mpr3818Yt6W96d7rXoc8hpR_9dI1Rb9D040ZDXqIWUFZAKdB8K_OmLNNeHGjbNIZ4JytkLYED-wOIPbba</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Wolf, Michael S.</creator><creator>Davis, Terry C.</creator><creator>Curtis, Laura M.</creator><creator>Webb, Jennifer A.</creator><creator>Bailey, Stacy Cooper</creator><creator>Shrank, William H.</creator><creator>Lindquist, Lee</creator><creator>Ruo, Bernice</creator><creator>Bocchini, Mary V.</creator><creator>Parker, Ruth M.</creator><creator>Wood, Alastair J. J.</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110101</creationdate><title>Effect of Standardized, Patient-Centered Label Instructions to Improve Comprehension of Prescription Drug Use</title><author>Wolf, Michael S. ; Davis, Terry C. ; Curtis, Laura M. ; Webb, Jennifer A. ; Bailey, Stacy Cooper ; Shrank, William H. ; Lindquist, Lee ; Ruo, Bernice ; Bocchini, Mary V. ; Parker, Ruth M. ; Wood, Alastair J. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5013-271aefd5848f14447f9f17b3447dcd84dacf963c3c192fe4d7ef9bffd9a78463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>Audiovisual Aids</topic><topic>Brief Reports</topic><topic>Cognition & reasoning</topic><topic>Comparative analysis</topic><topic>Cross-Sectional Studies</topic><topic>Descriptive labeling</topic><topic>Dosage</topic><topic>Drug Labeling - methods</topic><topic>Drug prescriptions</topic><topic>Drug use</topic><topic>Female</topic><topic>Graphics</topic><topic>Health literacy</topic><topic>Humans</topic><topic>Literacy</topic><topic>Male</topic><topic>Medical education</topic><topic>Medications</topic><topic>Middle Aged</topic><topic>Pills</topic><topic>Prescription drugs</topic><topic>Prescription Drugs - administration & dosage</topic><topic>Reading instruction</topic><topic>Socioeconomic Factors</topic><topic>Standardization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wolf, Michael S.</creatorcontrib><creatorcontrib>Davis, Terry C.</creatorcontrib><creatorcontrib>Curtis, Laura M.</creatorcontrib><creatorcontrib>Webb, Jennifer A.</creatorcontrib><creatorcontrib>Bailey, Stacy Cooper</creatorcontrib><creatorcontrib>Shrank, William H.</creatorcontrib><creatorcontrib>Lindquist, Lee</creatorcontrib><creatorcontrib>Ruo, Bernice</creatorcontrib><creatorcontrib>Bocchini, Mary V.</creatorcontrib><creatorcontrib>Parker, Ruth M.</creatorcontrib><creatorcontrib>Wood, Alastair J. J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wolf, Michael S.</au><au>Davis, Terry C.</au><au>Curtis, Laura M.</au><au>Webb, Jennifer A.</au><au>Bailey, Stacy Cooper</au><au>Shrank, William H.</au><au>Lindquist, Lee</au><au>Ruo, Bernice</au><au>Bocchini, Mary V.</au><au>Parker, Ruth M.</au><au>Wood, Alastair J. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Standardized, Patient-Centered Label Instructions to Improve Comprehension of Prescription Drug Use</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>2011-01-01</date><risdate>2011</risdate><volume>49</volume><issue>1</issue><spage>96</spage><epage>100</epage><pages>96-100</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><coden>MELAAD</coden><abstract>Objective: To evaluate the effectiveness of standardized, patient-centered label (PCL) instructions to improve comprehension of prescription drug use compared with typical instructions. 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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.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>21150800</pmid><doi>10.1097/MLR.0b013e3181f38174</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Adults Aged Audiovisual Aids Brief Reports Cognition & reasoning Comparative analysis Cross-Sectional Studies Descriptive labeling Dosage Drug Labeling - methods Drug prescriptions Drug use Female Graphics Health literacy Humans Literacy Male Medical education Medications Middle Aged Pills Prescription drugs Prescription Drugs - administration & dosage Reading instruction Socioeconomic Factors Standardization |
| title | Effect of Standardized, Patient-Centered Label Instructions to Improve Comprehension of Prescription Drug Use |
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