régis vaillancourt, bpharm, pharmd, fcshp the children’s hospital of eastern ontario pictograms...
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Régis Vaillancourt, BPharm, PharmD, FCSHP
The Children’s Hospital of Eastern Ontario
Pictograms for
Labeling Medications
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“A Picture is Worth a Thousand Words”
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Overview
• Background
• Story board concept
• Culture specific pictograms
• Next step
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Background
• Patient comprehension of medication is a key factor affecting patient health outcomes
• Literacy level and lack of common language between patient and healthcare provider are barriers to patient comprehension
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Background
• Studies have shown that using pictographic instructions to supplement written and oral instructions increases patient comprehension 1,2
• Pictograms have been shown to increase short-term and long-term (after 4 weeks) memory of complex medical instructions in patients who had less than fifth grade reading skills
3,4
1 Houts P.E. et al, using pictographs to enhance recall of spoken medical instructions II. Patient education and Counselling, 2001;43:231-242
2 Ngoh L.N, Shepherd M.D., Design, development and evaluation of visual aids for communicating prescription drug evaluations to nonliterate patients in rural Cameroon, Patient education and Counselling 1997;245-261
3 Houts P.E. et al, Using pictographs to enhance recall of spoken medical instructions. Patient education and Counselling, 1998;35:83-8844 Houts P.e. et al, using pictographs to enhance recall of spoken medical instructions II. Patient education and Counselling, 2001;43:231-
242
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The Storyboard Concept
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Culture Target countriesArabic Egypt
Asian (Pacific) Singapore, Indonesia, Taiwan
Western Finland, United Kingdom, Australia
African Ghana
Latin American Ecuador
South Asian India
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Take with Water
Indonesia
Taiwan
Singapore
Serbia
United Kingdom
Australia
Egypt
Hungary
Finland
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Take with Food
IndonesiaTaiwan
Finland
Egypt
SingaporeSerbia
Hungary
United Kingdom
Australia
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Do not drink alcohol
Indonesia
Serbia
Taiwan
Singapore
Hungary
Finland
United Kingdom
Egypt
Australia
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Frequency - Morning
Indonesia
Singapore
Serbia
Finland
Australia
Hungary
United Kingdom
Egypt
Taiwan
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Frequency - Noon
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Frequency - Evening
Indonesia
Hungary
Taiwan
Singapore
Serbia
Finland
United Kingdom
Australia
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Frequency – Night
Taiwan Taiwan
Gabon
Pakistan
Benin
Singapore
Hungary
United Kingdom
Australia
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So What Now?
• Multicultural Community Advisory Committee– Aim: increase availability of pictograms to label
medications for CHEO’s patients and parents who would benefit from it.
• Presentation – October 10, 2006– Proposal for Culture specific Focus groups
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• Live website to access pictograms – French interface: http://www.vigilance.ca/
picto/picto-fr.htm– Enlish interface: http://www.vigilance.ca/picto
/picto-en.htm– http://ca.geocities.com/[email protected]/
WebSite/index.htm
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Questions/Comments?