Interpretation of Pharmaceutical Pictograms by Pharmacy and Non-Pharmacy University Students

Suleiman Ibrahim  Sharif; Manar  Abdulla; Amal  Yousif; Duaa  Mohamed

doi:10.4236/pp.2014.58092

Suleiman Ibrahim Sharif^*, Manar Abdulla, Amal Yousif, Duaa Mohamed

Abstract: Background: The present study was undertaken to evaluate the correct interpretation by university students of internationally available pictograms and to assess the ability of the pictograms to convey the intended messages. Aim: To compare the ability of pharmacy and non-pharmacy students to comprehend pharmaceutical pictograms. Method: Twenty eight internationally available (United States Pharmacopoeial Convention Inc. USP) pictograms were used throughout this study, which was conducted with 300 pharmacy and non-pharmacy students. Questionnaires included relevant questions, and participants were instructed to study the pictograms and write their interpretations. The American National Standards Institute requirement of 85% correctness criterion was used for correct interpretation. Differences between responses of the two groups were calculated using SPSS version 18 and p < 0.05 was considered significant. Results: The majority of pharmacy (98%) and non-pharmacy (86%) students stated that pictograms should be included in medicine leaflet and they were helpful for all patients. Out of the 28 pictograms 7 (25%) and 2 (7.1%) of them achieved the ANSI requirement of 85% correctness criterion by pharmacy and non-pharmacy students respectively. Conclusion: Interventions to increase public awareness of the usefulness of pharmaceutical pictograms are needed.

Keywords: Pictograms, Pharmaceutical, Interpretation, Pharmacy, Non-Pharmacy, Students

Cite this paper: Sharif, S. , Abdulla, M. , Yousif, A. and Mohamed, D. (2014) Interpretation of Pharmaceutical Pictograms by Pharmacy and Non-Pharmacy University Students. Pharmacology & Pharmacy, 5, 821-827. doi: 10.4236/pp.2014.58092.

References

[1] Hameen-Anttila, K., Kemppainen, K., Enlund, H., Patricia, J.B. and Marja, A. (2004) Do Pictograms Improve Children’s Understanding of Medicine Leaflet Information? Patient Education and Counseling, 55, 371-378.
http://dx.doi.org/10.1016/j.pec.2003.04.006

[2] (2000) United States Pharmacopoeia Dispensing Information. Vol. II, 20th Edition, Micromedex, Inc., Eaglewood, 1617-1626.

[3] Chan, A. and Chan, K. (2013) Effects of Prospective Factors and Sign Design Features on Guess Ability of Pharmaceutical Pictograms. Patient Education and Counseling, 90, 268-275. http://dx.doi.org/10.1016/j.pec.2012.10.009

[4] Dowse, R. and Ehlers, M.S. (1998) Pictograms in Pharmacy. International Journal of Pharmacy Practice, 6, 109-118.
http://dx.doi.org/10.1111/j.2042-7174.1998.tb00924.x

[5] Bansolta, A. (2013) Awareness of Pictograms among the Undergraduate Pharmacy Students in a Pharmacy College in Karnataka, India: A Preliminary Study. International Journal of Pharmacy Teaching & Practices, 4, 442-446.

[6] Yadav, S., Khatri, S., Gehlaut, R., Mishra, N. and Mittal, P. (2012) Pharmaceutical Pictogram in Rational Use of Drug and Development of Pharmaceutical Care Services: A Mini Review. International Journal of Research in Pharmaceutical and Biomedical Sciences, 3, 215-221.

[7] Joshi, Y. and Kothiyal, P. (2011) A Pilot Study to Evaluate Pharmaceutical Pictograms in a Multispecialty Hospital at Dehradun. Journal of Young Pharmacist, 3, 163-166.
http://dx.doi.org/10.4103/0975-1483.80306

[8] Sharif, S., Al Sahi, A., Mohammed, E., Omar, R. and Abduelkarem, A. (2008) Interpretation of Medication Pictograms by University Students in UAE. International Journal of Excellence in Healthcare Management, 2, 1-11.

[9] Dowse, R. and Mansoor, L.E. (2004) Design and Evaluation of a New Pharmaceutical Pictograms Sequence to Convey Medicine Usage. Ergonomics SA, 2, 29-41.

[10] Chaung, M., Lin, C., Wang, Y. and Cham, T. (2010) Development of Pictographs Depicting Medication Use Instruction for Low-Literacy Medical Clinic Ambulatory Patients. Journal of Managed Care Pharmacy, 6, 337-345.

[11] Mishra, N., Khatri, S., Gehlaut, R., Mittal, P. and Yadav, S. (2011) Awareness and Understanding of Pharmaceutical Pictograms in Non-Pharmacy Students: A Case Study. Journal of Applied Pharmaceutical Sciences, 10, 207-210.

[12] American National Standards Institute (1991) Accredited Standards on Safety Colours and Safety Signs, Symbols, Labels, and Tags. National Electrical Manufactures Association, Washington DC, 1-5.

[13] Hill, L.H. (2006) Using Visual Concept Mapping to Communicate Medication Information to Patients with Low Health Literacy; a Preliminary Study. In: Canas, A.J. and Novak, J.D., Eds., Proceedings of the Second International Conference on Concept Mapping.
http://cmc.ihmc.us/cmc2006Papers/cmc2006-p48.pdf

[14] Katz, M.G., Kripalani, S. and Weiss, B.D. (2006) Use of Pictorial Aids in Medication Instructions: A Review of the Literature. American Journal of Health System Pharmacists, 63, 2391-2397.
http://dx.doi.org/10.2146/ajhp060162

[15] Houts, P.S., Doak, L.G. and Loscalzo, M.J. (2006) The Role of Pictures in Improving Health Communication: A Review of Research on Attention, Comprehension, Recall and Adherence. Patient Education and Counseling, 62, 173-190.
http://dx.doi.org/10.1016/j.pec.2005.05.004

[16] Dowse, R. and Ehlers, M.S. (2001) The Evaluation of Pharmaceutical Pictograms in Low-Literate South African Population. Patient Education and Counseling, 45, 87-99.
http://dx.doi.org/10.1016/S0738-3991(00)00197-X

[17] Khatri, S., Gehlaut, R., Mishra, N., Mitta, P. and Yadav, S. (2011) Comparative Analysis of Awareness and Understanding of Pictograms in Pharmacy and Non-Pharmacy Students. Pharmacology Online, 3, 886-891.