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Cubas-Rolim E, Yung FR, Marques LA, Souza BV, Gripp MR, Ribeiro L, Oliveira CLA, Gasperi C, Fagundes MC, Mendonça DL. Illustrated Prescription – History of evolution at the School of Patients DF. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Issue
There are challenges in PHC associated with low functional literacy in health. The Illustrated Prescription was developed aiming to reduce drug error and increase access to self-care, allowing better understanding and adherence to treatment; facilitate the safe use of medications; strengthen the support network.
Description of the Problem
In April 2016, systematization and preparation of pictorial prescriptions began in the service of origin, one of the researches with the highest participation of multiprofessional residents of pharmacy and medical interns. Optimization and complement of recipe was performed. Several models were systematized in the orientation of users in face-to-face care of prescription reviews. The proposed model has (1) written component, schedule of medicines and strategy organizing medicines according to time of administration and (2) strategy for organizing primary packaging of medicinal products using coloured elastic bands.
Results
The evolution of Illustrated Prescription components resulted in the progressive organization and understanding in the indication of schedules and drugs. There was development, improvement and validation of it as a self-care tool, especially for patients with CNDs. There was a social impact with media dissemination (6 TV stations and 2 radio stations) and national and international congresses; totaling 5 show-forums and 4 congress with participation of the service. Cash prizes were invested in the infrastructure of the FHS workplaces.
Lessons
The evolution of Illustrated Prescription allowed progressive gain of organization and clarity for patients with difficulty reading, which directed efforts to avoid drug errors, especially prescription.
Key messages
Illustrated Prescription allowed us to invest more time guiding the patient in accessible and understandable language. Illustrated Prescription is useful for empowering and training it in self-care, promoting, mainly, autonomy and citizenship.
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Affiliation(s)
- E Cubas-Rolim
- Secretaria De Saude - Distrito Federal, Brasilia, Brazil
- Universidade De Brasilia, Brasilia, Brazil
- Universidade Euro-Americana, Brasilia, Brazil
| | - F R Yung
- Universidade De Brasilia, Brasilia, Brazil
| | | | - B V Souza
- Universidade De Brasilia, Brasilia, Brazil
| | - M R Gripp
- Universidade De Brasilia, Brasilia, Brazil
| | - L Ribeiro
- Universidade De Brasilia, Brasilia, Brazil
| | | | - C Gasperi
- Universidade De Brasilia, Brasilia, Brazil
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Cubas-Rolim E, Yung FR, Marques LA, Souza BV, Gripp MR, Ribeiro L, Oliveira CLA, Gasperi C, Fagundes MC, Mendonça DL. Primary care professional validation of visual model of prescription – Illustrated prescription. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Issue
Chronic diseases such as hypertension and diabetes have great global impact on morbidity, mortality and costs. Incorrect use of medicines is especially worrisome for vulnerable populations with low health literacy, and visual models of prescription can bring benefit. The objective of this study was to validate the visual model of prescription Illustrated Prescription to obtain an adapted prescription with greater clarity, correction and cost-efficiency especially for risk users in a vulnerable peripheral region of the capital of Brazil served free of charge by the Unified Health System.
Description of the Problem
We conducted a content validation by primary health care nurses, pharmacists and physicians (PHC) by Delphi technique, applied in two phases from November to December 2018, through a questionnaire that evaluated clarity, relevance and feasibility of performing Illustrated Prescription, with field for comments. We used a 4-point Likert scale, Cronbach Alpha for reliability and Content Validation Index (CVI) with agreement above 0.8 indicating validation. Project approved by the Ethics Committee - FEPECS.
Results
Round-1: 29 out of 32 items were validated, with Cronbach's alpha .9812. Round-2: Included 4 new items, guidelines for indicating whole tablet, adjustment of the font size and color column size of elastic alloys, all items being validated and Cronbach's alpha of 0.9876.
Lessons
Validation ensures clarity and correction of the Illustrated Prescription, being extremely important for dissemination of the visual model for prescribing. It allows future evaluation of increased drug adherence and risk reduction related to incorrect use of medications especially for illiterate or visually impaired users.
Key messages
Illustrated Prescription is a validated tool that opens up the possibility of greater safety and efficient use of chronic medications, especially for vulnerable users with chronic diseases. Validation ensures clarity and correction of the Illustrated Prescription, being extremely important for dissemination of the visual model for prescribing.
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Affiliation(s)
- E Cubas-Rolim
- Secretaria De Saude - Distrito Federal, Brasilia, Brazil
- Universidade De Brasilia, Brasilia, Brazil
- Universidade Euro-Americana, Brasilia, Brazil
| | - F R Yung
- Universidade De Brasilia, Brasilia, Brazil
| | | | - B V Souza
- Universidade De Brasilia, Brasilia, Brazil
| | - M R Gripp
- Universidade De Brasilia, Brasilia, Brazil
| | - L Ribeiro
- Universidade De Brasilia, Brasilia, Brazil
| | | | - C Gasperi
- Universidade De Brasilia, Brasilia, Brazil
| | | | | |
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