Evidence map›Paper›PMID 32760269›Full record

ArticleFrontiers in pharmacology2020

Development of Comprehensible Prescription Label Instructions: A Study Protocol for a Mixed-Methods Approach.

Ekram Maghroudi, Charlotte M J van Hooijdonk, Liset van Dijk, Gudule Boland, Channah de Haas, Marleen Journée-Gilissen, Janneke van der Velden, Marcia Vervloet, Henk Westerhof, Jany J D J M Rademakers and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Ekram MaghroudiDepartment of Patient Information, Health Base Foundation, Houten, Netherlands.
Charlotte M J van HooijdonkDepartment of Languages, Literature & Communication, Faculty of Humanities, Universiteit Utrecht, Utrecht, Netherlands.
Liset van DijkDepartment of Pharmaceutical Care, Nivel, Netherlands Institute for Health Services Research, Utrecht, Netherlands.
Gudule BolandDepartment of Prevention and Care for the Chronically Ill Programme, Pharos, Dutch Centre of Expertise on Health Disparities, Utrecht, Netherlands.
Channah de HaasDepartment of Patient Information, Health Base Foundation, Houten, Netherlands.
Marleen Journée-GilissenMedicines Information Centre, Royal Dutch Pharmacists Association (KNMP), The Hague, Netherlands.
Janneke van der VeldenDepartment of Prevention and Care for the Chronically Ill Programme, Pharos, Dutch Centre of Expertise on Health Disparities, Utrecht, Netherlands.
Marcia VervloetDepartment of Pharmaceutical Care, Nivel, Netherlands Institute for Health Services Research, Utrecht, Netherlands.
Henk WesterhofDepartment of Computerization of General Practitioner Care, NHG, The Dutch College of General Practitioners, Utrecht, Netherlands.
Jany J D J M RademakersDepartment of Family Medicine, Research School CAPHRI, Maastricht University, Maastricht, Netherlands.
Sander D BorgsteedeDepartment of Clinical Decision Support, Health Base Foundation, Houten, Netherlands.
Dutch Health Care Inspectorate · NLMaastricht University · NLNetherlands Institute for Health Services Research · NLDutch College of General Practitioners · NLRoyal Dutch Pharmacists Association · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients receive information about their medication from different sources, including prescription labels. These labels are physically attached to each package dispensed to patients and contain the most important instructions on how to use the medication correctly. However, many patients experience difficulties in understanding and applying the instructions on these labels correctly, especially patients with limited health literacy. The aim of this study is to investigate the comprehensibility of prescription label instructions among patients with adequate and limited health literacy skills, and to implement improvements in primary health care.

methodsWe used a mixed-methods approach, which consisted of four phases. Phase 1 (desk research) was divided into a systematic literature review on the comprehensibility of prescription label instructions (1a) and a content analysis of the textual elements in Dutch prescription label instructions (1b). In phase 2 (patient studies), semi-structured interviews were conducted to investigate the comprehensibility of seven prescription labels among patients with different health literacy skills (2a), and a quantitative study in which the comprehensibility of six optimized prescription labels was compared among patients with different health literacy skills (2b). Patient studies were conducted in eight Dutch pharmacies. In phase 3 optimized prescription label instructions were implemented in national medication databases which has been supported by a guideline (3a), and education of pharmacy workers (3b). Phase 4 consists of evaluating the optimized prescription label instructions by experiences from patients and pharmacists. ANTICIPATED

resultsThis mixed-methods approach will result in scientific publications of the individual studies, and a guideline on how to compose comprehensible prescription label instructions to be put on medication packages. Optimized prescription label instructions will be implemented in national medication databases. DISCUSSION: This protocol describes a mixed-method research to compose and implement comprehensible prescription label instructions and will lead to knowledge about the comprehensibility of textual elements in these labels, with specific attention for patients with limited health literacy. Implementation of optimized prescription label instructions will lead to a better understanding of them, which may contribute to improved medication adherence. A limitation is that non-textual aspects of prescription labels are not investigated.

Indexed as

comprehensibilityhealth literacyimplementationmixed-methodspatient studiesprescription label instructionssystematic reviewtextual content analysis

Identifiers

PMID32760269
PMCPMC7373784
OpenAlexW3036724245

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.