노인 인구에 있어 환자용 의약품 안전사용 설명서의 활용성 평가
Performance-based User Testing of a Patient Drug Leaflet in the Elderly
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objective: This study aimed to explore the readability and comprehensibility of the drug information on a patient leaflet for the senior by employing performance-based user-testing. Methods: We included 36 elderly (65 years old or older) as the senior group (intervention group) and 36 adults (40~59 years old) as the adult group (control). We developed a questionnaire to test if participants could access to drug information. After completing a questionnaire, the participant was interviewed about their understanding over the patient leaflet. We performed t-test, χ 2-test or Fisher's exact test to examine differences between two groups in primary outcomes. Results: The senior were less likely able to find information (78%) than the adult (91%); they were much less likely able to understand information (42%) than the adult (69%). While we found differences between the ability of finding and understanding drug information in both groups, the senior group had greater difficulties in understanding all kinds of drug information. They had significant difficulties to remember information after reading the patient leaflet and frequently failed to find proper information even though they were allowed to access freely to the leaflet during interviewing. Conclusion: To secure safe and effective use of drugs for the senior, it is necessary to develop drug leaflets for the senior.
Abstract
Objective: This study aimed to explore the readability and comprehensibility of the drug information on a patient leaflet for the senior by employing performance-based user-testing. Methods: We included 36 elderly (65 years old or older) as the senior group (intervention group) and 36 adults (40~59 years old) as the adult group (control). We developed a questionnaire to test if participants could access to drug information. After completing a questionnaire, the participant was interviewed about their understanding over the patient leaflet. We performed t-test, χ 2-test or Fisher's exact test to examine differences between two groups in primary outcomes. Results: The senior were less likely able to find information (78%) than the adult (91%); they were much less likely able to understand information (42%) than the adult (69%). While we found differences between the ability of finding and understanding drug information in both groups, the senior group had greater difficulties in understanding all kinds of drug information. They had significant difficulties to remember information after reading the patient leaflet and frequently failed to find proper information even though they were allowed to access freely to the leaflet during interviewing. Conclusion: To secure safe and effective use of drugs for the senior, it is necessary to develop drug leaflets for the senior.
참고문헌 (21)
- Holt GA, "OTC labels: can consumers read and understand them?", Am Pharm, NS30(11), pp.51~54 (1990)
- Bradley C, "The future for self medication", BMJ, 312(7034), pp.835~837 (1996)
- Ahlers-Schmidt CR, "Health literacy", pp.2013~2011 (2013), Nova Science Publishers
- Osborne H, "Health literacy from A to Z: Practical ways to communicate your health message", pp.1~8 (2013), Jones & Bartlett Learning
- U.S. Department of Health and Human Services OoDPaHP, "National action plan to improve health literacy", U.S. Department of Health and Human Services OoDPaHP, ~ (2010)
- Bazaldua OV, "Pharmacotherapy: A pathophysiologic approach", pp.5~6 (2011), McGraw-Hill Education, LLC
- Pawaskar MD, "Switching from prescription to over-the counter medications: a consumer and managed care perspective", Manag Care Interface, 20(1), pp.42~47 (2007)
- Bradley CP, "Increasing the number of drugs available over the counter: arguments for and against", Brit J Gen Pract, 45(399), pp.553~556 (1995)
- Roumie CL, "Over-the-counter analgesics in older adults: a call for improved labelling and consumer education", Drugs Aging, 21(8), pp.485~498 (2004)
- Weiss BD, "Communicating with patients who have limited literacy skills: Report of the National Work Group on Literacy and Health", J Fam Pract, 46, pp.168~176 (1998)
- Coulter A, "Where are the patients in decision making about their own care?", WHO European Ministerial Conference on Health Systems (2008)
- Haynes RB, "Interventions for enhancing medication adherence", Cochrane Database of Systematic Reviews, 2 (2008)[DOI]
- Changes in utilization of and public perception about OTC medications before and after convenience stores selling, "Lee SY", Korea Institute for Health and Social Affairs, ~ (2013)
- 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)
- Developing educational materials for safe use of medicines among adolescents and the elderly, "Park H-K", Korea Institute for Pharmaceutical Policy Affairs, Ministry of Food and Drug Safety, ~ (2013)
- 김수현, "노인의기능적의료정보이해능력이지각된건강상태에미치는영향", Journal of Korean Academy of Nursing, 38(2), pp.195~203 (2008), 한국간호과학회
- 박지연, "농촌 지역 노인의 기능적 의료정보 이해능력 실태와 영향요인", 지역사회간호학회지, 22(1), pp.75~85 (2011), 한국지역사회간호학회
- Weiss BD, "Quick assessment of literacy in primary care: the newest vital sign", Ann Fam Med, 3(6), pp.514~522 (2005)
- Wolf MS, "Health literacy and functional health status among older adults", Arch Intern Med, 165(17), pp.1946~1952 (2005)
- Gazmararian JA, "Health literacy and knowledge of chronic disease", Patient Educ Couns, 51(3), pp.267~275 (2003)
- 이인향, "일반의약품 설명서의 이해도와 적정 사용가능성 평가", 약 학 회 지, 56(5), pp.333~345 (2012), 대한약학회