Abstract
BackgroundDispensed prescription medicine labels (prescription labels) are important information sources supporting safe and appropriate medicines use.ObjectiveTo develop and user test patient‐centred prescription label formats.MethodsFive stages: developing 12 labels for four fictitious medicines of varying dosage forms; diagnostic user testing of labels (Round 1) with 40 consumers (each testing three labels); iterative label revision, and development of Round 2 labels (n = 7); user testing of labels (Round 2) with 20 consumers (each testing four labels); labelling recommendations. Evaluated labels stated the active ingredient and brand name, using various design features (eg upper case and bold). Dosing was expressed differently across labels: frequency of doses/day, approximate times of day (eg morning), explicit times (eg 7 to 9 AM), and/or explicit dosing interval. Participants’ ability to find and understand medicines information and plan a dosing schedule were assessed.ResultsParticipants demonstrated satisfactory ability to find and understand the dosage for all label formats. Excluding active ingredient and dosing schedule, 14/19 labels (8/12 in Round 1; 6/7 in Round 2) met industry standard on performance. Participants’ ability to correctly identify the active ingredient varied, with clear medicine name sign‐posting enabling all participants evaluating these labels to find and understand the active ingredient. When planning a dosing schedule, doses were correctly spaced if the label stated a dosing interval, or frequency of doses/day. Two‐thirds planned appropriate dosing schedules using a dosing table.ConclusionsEffective prescription label formatting and sign‐posting of active ingredient improved communication of information on labels, potentially supporting safe medicines use.Patient and Public InvolvementConsumers actively contributed to the development of dispensed prescription medicine labels. Feedback from consumers following the first round was incorporated in revisions of the labels for the next round. Patient and public involvement in this study was critical to the development of readable and understandable dispensed prescription medicine labels.
Highlights
Labels are fundamental sources of written information for prescription medicines, for the directions for use.[1]
Written instructions can be misinterpreted by people,6-9 where pharmacists believe reading and/or understanding prescription labels to be challenging for patients.[10]
This study aimed to develop and user test prescription labels, focusing primarily on instructions for use and active ingredient information presentation, to inform a national dispensed prescription medicine label standard
Summary
Labels are fundamental sources of written information for prescription medicines, for the directions for use.[1]. The content of dispensed prescription medicine labels ( referred to as prescription labels) varies according to prescriber instructions, which can impact safe and appropriate use of medicines.[2,3] Pharmacists are responsible for interpreting and transcribing this information onto labels in a way to ensure understanding by medicine users. Written instructions are sometimes supported by verbal counselling,[4] counselling is not always provided when prescription medicines are supplied,[4,5] and medicine users rely on the label as the source of information. Written instructions can be misinterpreted by people,6-9 where pharmacists believe reading and/or understanding prescription labels to be challenging for patients.[10]. Participants’ ability to find and understand medicines information and plan a dosing schedule were assessed. Participants’ ability to correctly identify the active ingredient varied, with clear medicine name sign-p osting enabling all participants evaluating these labels to find and understand the active ingredient.
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More From: Health expectations : an international journal of public participation in health care and health policy
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