노인용 당뇨치료제 안전사용설명서 개발 및 평가: 수행능력 기반 사용자 평가 활용
Developing and Evaluating a Drug Information Leaflet of Antidiabetics for Senior Citizens; Employing Performance-based User-testing
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Objective: The study purpose was to develop a drug information leaflet for the elderly and to evaluate it with performance-baseduser-testing. Methods: We performed a stratified randomized controlled trial. We recruited 62 elderly patients with age of 65 orabove who were taking antidiabetic medications at the point of participating and excluded those who suffered illiteracy. Werandomly allocated them into the intervention group with a leaflet for the elderly and the control group with a leaflet for the generalpublic. Main outcome measures were to ‘be able to find information’ and to ‘be able to understand information.’ We measuredoutcome variables by employing performance-based user-testing and analyzed data to find any differences between two groupswith t-tests, chi-squared tests or Fisher’s exact tests accordingly. Results: More participants in the intervention group understoodhow to store their medications than those in the control group (intervention group 93% vs. control group 70%; p=0.02). There wereno significant differences in other information items between two groups. Mostly ‘being able to understand information’ was lowerthan ‘being able to find information.’ The gaps between two outcome variables were about 10% in the intervention group and about18% in the control group. The lowest understanding was observed in information relating to drug names and their potential adverseevents. Conclusion: Without providing personalized drug information, it might be hard for the elderly to improve their drugknowledge even with leaflets that were developed specifically for the elderly
Abstract
Objective: The study purpose was to develop a drug information leaflet for the elderly and to evaluate it with performance-baseduser-testing. Methods: We performed a stratified randomized controlled trial. We recruited 62 elderly patients with age of 65 orabove who were taking antidiabetic medications at the point of participating and excluded those who suffered illiteracy. Werandomly allocated them into the intervention group with a leaflet for the elderly and the control group with a leaflet for the generalpublic. Main outcome measures were to ‘be able to find information’ and to ‘be able to understand information.’ We measuredoutcome variables by employing performance-based user-testing and analyzed data to find any differences between two groupswith t-tests, chi-squared tests or Fisher’s exact tests accordingly. Results: More participants in the intervention group understoodhow to store their medications than those in the control group (intervention group 93% vs. control group 70%; p=0.02). There wereno significant differences in other information items between two groups. Mostly ‘being able to understand information’ was lowerthan ‘being able to find information.’ The gaps between two outcome variables were about 10% in the intervention group and about18% in the control group. The lowest understanding was observed in information relating to drug names and their potential adverseevents. Conclusion: Without providing personalized drug information, it might be hard for the elderly to improve their drugknowledge even with leaflets that were developed specifically for the elderly
참고문헌 (21)
- Closing the gap in a generation: Health equity through action on the social determinants of health, "WHO", World Health Organization, ~ (2008)
- National survey in basic literacy of Korean, "National Institute of Korean Language", National Institute of Korean Language, 81~82 (2008)
- 김수현, "노인의기능적의료정보이해능력이지각된건강상태에미치는영향", Journal of Korean Academy of Nursing, 38(2), pp.195~203 (2008), 한국간호과학회
- 이태화, "한국 노인의 건강 문해(Health Literacy)실태와 영향 요인 -인구사회학적 특성을 중심으로-", 한국노년학, 28(4), pp.847~863 (2008), 한국노년학회
- 이선아, "농촌노인의 의료정보문해력과 약물지식 및 약물 오남용 행위", 한국노년학, 30(2), pp.485~497 (2010), 한국노년학회
- 이인향, "일반의약품 설명서의 이해도와 적정 사용가능성 평가", 약 학 회 지, 56(5), pp.333~345 (2012), 대한약학회
- 송유진, "한중미일 일반의약품의 표시기준과 내용분석", Crisisonomy, 6(2), pp.139~162 (2010), 위기관리 이론과 실천
- Kasbekar R, "The pharmacist's role in preventing medication errors in older adults", Consult Pharm, 29(12), pp.838~842 (2014)
- Ministry of Health & Welfare., "White paper for health and welfare 2015", pp.28~ (2016), Ministry of Health & Welfare
- A report on the Korea health panel survey of 2014 II, "Kim N", Korea Institue for Health and Social Affairs, ~ (2016)
- Hall J, "Effectiveness of interventions designed to promote patient involvement to enhance safety : a systematic review", Insight, 35(2), pp.18~ (2010)
- Cho YI, "Effects of health literacy on health status and health service utilization amongst the elderly", Soc Sci Med, 66(8), pp.1809~1816 (2008)
- 손미경, "노인 인구에 있어 환자용 의약품 안전사용 설명서의 활용성 평가", 한국임상약학회지, 26(1), pp.6~12 (2016), 한국임상약학회
- Britten N, "Mediciens and society:Patients, professionals and the dominance of pharmaceuticals", pp.87~105 (2008), Palgrave MacMillan
- Raynor DK, ""User-testing"as a method for testing the fitness-for-purpose of written medicine information", Patient Educ Couns, 83(3), pp.404~410 (2011)
- Knapp P, "Can user testing of a clinical trial patient information sheet make it fit-for-purpose?--a randomized controlled trial", BMC Medicine, 9, pp.89~ (2011)
- Brooke RE, "Balance appointment information leaflets : employing performance-based usertesting to improve understanding", Int J Audiol, 52(3), pp.162~168 (2013)
- "Korea National Health & Nutrition Examination Survey; chronic diseases prevalence 2015" (2017)[URL]
- 김진, "수행능력 기반 사용자 평가를 활용한 노인용 고혈압치료제 안전사용설명서 개발", 한국임상약학회지, 26(3), pp.254~263 (2016), 한국임상약학회
- "Patient leaflet 14 antidiabetics" (2014)[URL]
- Raynor DK, "Medicine information leaflets fail concordance test", BMJ, 322(7301), pp.1541~ (2001)