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Reading and Understanding a Medicine Leaflet by Adolescent Consumers and It s Determina nts Siriporn Burapadaja Busabong Jamreondararasame Jaratbhan Sanguansermsri Faculty of Pharmacy Chiang Mai University. PROBLEM STATEMENT. Importance to study. There is an increase of medication
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Reading and Understanding a • Medicine Leaflet by AdolescentConsumers and Its Determinants • Siriporn Burapadaja • Busabong Jamreondararasame • Jaratbhan Sanguansermsri • Faculty of Pharmacy Chiang Mai University
Importance to study • There is an increase of medication • There are still problems of inappropriate medication • A problem is that consumers have little information • A leaflet is an official source of information • Reading and understanding a leaflet is a way to obtain information
Advantages of reading and understanding of a leaflet • Increasing compliance • Increasing awareness of possible adverse actions • Improving knowledge • Preventing drug-related problems
Study questions • Do consumers read and understand a leaflet? • What are the factorsaffecting the consumer’s reading and understanding a leaflet ?
To determine if consumers read and understand leaflets about medicines, and the factors • affecting a consumer’s reading and understanding of a leaflet
Phase A Leaflet Content • Design: Cross-sectional design • Population: “Dangerous medicines” • Community pharmacy • Sampling: Purposive sampling (n=154) • Analysis: Content analysis
WHO Guideline of the Information for a Leaflet • Medicine name Precaution • Composition Contraindication • Indication Adverse effect • Dosage Specific warning • Property Storage condition • Duration of treatment
Phase B Consumer’s reading • Design: Cross-sectional design • Population: University freshmen • Sampling: Systematicsampling • (n=348) • Tool: A questionnaire • Analysis: Path analysis
Theory: Social Cognitive • Variables: Attitude • Belief • Personal influence • Availability • Access • Content barrier • Self-efficacy • Reading a leaflet
Phase C Consumer’sunderstanding • Design: A two-group experiment • An original leaflet: • A leaflet was selected from the sample based on • -separating from its label • -having one composition • -having at least 9 topics
A new leaflet was developed by using • the same content but different design • Criteria for easily understood leaflet: • Using simple words • Emphasizing critical words • Separating sentence into items • Putting content in order
A 24-item Test • A test for content understanding • This test covered the leaflet content • It had 24 items • Each item had three choices • A correct choice was given a score • The total possible score was 24
OriginalNew Group 2 Group 1 A 24-item test of understanding
Phase A • Presence of topic • Topic% leaflet • Dosage 99.3 • Name 97.4 • Indication 96.7 • Composition 59.7 • Specific warning 43.5
Topic % leaflet • Precaution 40.2 • Property 39.6 • Duration 33.1 • Contraindication 29.9 • Adverse effect 25.3 • Storage condition 20.8
1 Almost all leaflets containedless information than that suggested by WHO • 2 There were technical terms that might be difficult to understand • 3 A separate leaflet would have moreinformation
Phase B • 1 Percentage of reading
2 Factors affecting the reading • 2.1Directfactors • Access to a leaflet Self-efficacy to read a leaflet • 2.2 Indirect factors (via self-efficacy) • Content difficult to understand • Access to a leaflet
Phase C Understanding level and a relevantfactor Group 1 Group 2
Most consumers seldom read a leaflet • regularly when buying or taking a medicine because of little access to it and low self-efficacy to read difficult content • The consumer’s understanding of a leaflet was unsatisfactory because of content difficult to understand
There were shortages of leaflet • Little access to a leaflet • Content difficult to understand • Insufficient information • These shortages should be improved in order that consumers could read and understand a leaflet
Reasons to improve the leaflets • To empower consumers in caring for their medication and health • To provide more access to information on medication • To create a supportive leaflet • To guarantee health care provision
SUGGESTIONS • A leaflet should be separate from its label • A leaflet should be understandable by passing a test of understanding • Like a label, a leaflet should have a standard information for consumers
Thank you • for your attention