Medicine labels incorporating pictograms: do they influence understanding and adherence?

Dowse, R. and Ehlers, M. (2005) Medicine labels incorporating pictograms: do they influence understanding and adherence? Patient Education and Counseling, 58 (1). pp. 63-70. ISSN 0738-3991



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The objective was to determine the influence of medicine labels incorporating pictograms on the understanding of instructions and on adherence. Eighty-seven Xhosa participants attending an outpatient clinic who had been prescribed a short course of antibiotics were randomly allocated to either a control group (41 participants given text-only labels), or an experimental group (46 participants given text + pictogram labels). All participants had a maximum of 10 years of formal schooling. Follow-up home visits were conducted after 3–5 days to assess understanding of instructions and to evaluate adherence. A high adherence of greater than 90% was found for 54% of the experimental group, compared with only 2% of the control group. Average percentages for understanding in the control and experimental groups were 70 and 95%, respectively, and average adherence was 72 and 90%, respectively. The presence of pictograms was found to contribute positively to both understanding of instructions and adherence.

Item Type:Article
Uncontrolled Keywords:medicine labels; pictograms; adherence; low literacy; understanding of instructions; drug labeling; patient compliance; patient education
Subjects:Y Unknown > Subjects to be assigned
Divisions:Faculty > Faculty of Pharmacy
ID Code:576
Deposited On:29 Mar 2007
Last Modified:06 Jan 2012 16:18
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