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Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety

BACKGROUND: Pharmaceutical pictograms have been designed to help communicate medication instructions to patients. Pictograms used within a patient counseling service can significantly improve medication compliance and adherence. The study aimed to assess the improvement of adherence to therapy with...

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Autores principales: Merks, Piotr, Świeczkowski, Damian, Balcerzak, Marcin, Religioni, Urszula, Drelich, Ewelina, Krysiński, Jerzy, Hering, Dagmara, Jaguszewski, Miłosz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Via Medica 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747827/
https://www.ncbi.nlm.nih.gov/pubmed/33634843
http://dx.doi.org/10.5603/CJ.a2021.0022
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author Merks, Piotr
Świeczkowski, Damian
Balcerzak, Marcin
Religioni, Urszula
Drelich, Ewelina
Krysiński, Jerzy
Hering, Dagmara
Jaguszewski, Miłosz
author_facet Merks, Piotr
Świeczkowski, Damian
Balcerzak, Marcin
Religioni, Urszula
Drelich, Ewelina
Krysiński, Jerzy
Hering, Dagmara
Jaguszewski, Miłosz
author_sort Merks, Piotr
collection PubMed
description BACKGROUND: Pharmaceutical pictograms have been designed to help communicate medication instructions to patients. Pictograms used within a patient counseling service can significantly improve medication compliance and adherence. The study aimed to assess the improvement of adherence to therapy with the use of pictogram intervention in comparison to standard pharmacy practice in community pharmacies. METHODS: Pictograms informing about the proper way of using metoprolol prolonged release tablets were designed to be used on the packages of the drug in community pharmacies. Pharmacies belonging to a pharmacy practice-based research network were randomly assigned to a group using pictograms when dispensing the drug or one following their normal practice. At the first visit, all patients answered a structured questionnaire about their medication behavior in the preceding 7 days. The same questions were asked 4 weeks later to follow-up treatment adherence change and compare patients from pictogram group and standard practice group. Descriptive statistics was used to analyze the data, and the McNemar test was used to compare categorical data at baseline and follow-up. RESULTS: Of a total of 253 patients screened, 117 and 104 patients completed the study in the standard practice and pictogram groups, respectively. The use of pictograms significantly improved medication adherence in the following areas: not omitting doses (p < 0.0001), not crushing tablets (p = 0.004), number of tablets/day (p = 0.49), and time of use (p = 0.001), compared to the standard practice group. CONCLUSIONS: Our results suggest that pictograms are effective in conveying messages about the proper way of using medications, and they increase treatment adherence, in comparison to standard dispensing practice.
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spelling pubmed-87478272022-01-11 Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety Merks, Piotr Świeczkowski, Damian Balcerzak, Marcin Religioni, Urszula Drelich, Ewelina Krysiński, Jerzy Hering, Dagmara Jaguszewski, Miłosz Cardiol J Clinical Cardiology BACKGROUND: Pharmaceutical pictograms have been designed to help communicate medication instructions to patients. Pictograms used within a patient counseling service can significantly improve medication compliance and adherence. The study aimed to assess the improvement of adherence to therapy with the use of pictogram intervention in comparison to standard pharmacy practice in community pharmacies. METHODS: Pictograms informing about the proper way of using metoprolol prolonged release tablets were designed to be used on the packages of the drug in community pharmacies. Pharmacies belonging to a pharmacy practice-based research network were randomly assigned to a group using pictograms when dispensing the drug or one following their normal practice. At the first visit, all patients answered a structured questionnaire about their medication behavior in the preceding 7 days. The same questions were asked 4 weeks later to follow-up treatment adherence change and compare patients from pictogram group and standard practice group. Descriptive statistics was used to analyze the data, and the McNemar test was used to compare categorical data at baseline and follow-up. RESULTS: Of a total of 253 patients screened, 117 and 104 patients completed the study in the standard practice and pictogram groups, respectively. The use of pictograms significantly improved medication adherence in the following areas: not omitting doses (p < 0.0001), not crushing tablets (p = 0.004), number of tablets/day (p = 0.49), and time of use (p = 0.001), compared to the standard practice group. CONCLUSIONS: Our results suggest that pictograms are effective in conveying messages about the proper way of using medications, and they increase treatment adherence, in comparison to standard dispensing practice. Via Medica 2021-02-16 /pmc/articles/PMC8747827/ /pubmed/33634843 http://dx.doi.org/10.5603/CJ.a2021.0022 Text en Copyright © 2021 Via Medica https://creativecommons.org/licenses/by-nc-nd/4.0/This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
spellingShingle Clinical Cardiology
Merks, Piotr
Świeczkowski, Damian
Balcerzak, Marcin
Religioni, Urszula
Drelich, Ewelina
Krysiński, Jerzy
Hering, Dagmara
Jaguszewski, Miłosz
Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety
title Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety
title_full Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety
title_fullStr Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety
title_full_unstemmed Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety
title_short Patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety
title_sort patient counselling service with the use of pictograms as the example of pharmacist intervention to improving compliance and medicine safety
topic Clinical Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747827/
https://www.ncbi.nlm.nih.gov/pubmed/33634843
http://dx.doi.org/10.5603/CJ.a2021.0022
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