Pham Jade A, Pierce William, Muhlbaier Lawrence
United States Public Health Service, Silver Spring, MD, USA.
Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
SAGE Open Med. 2013 Jun 25;1:2050312113490420. doi: 10.1177/2050312113490420. eCollection 2013.
To evaluate whether medication counseling with emphasis on auxiliary labels improves recall of auxiliary label information and adherence to medication schedules.
A prospective, randomized study of an educational intervention in community pharmacies near Baltimore, Maryland. Fifty literate, English-speaking adults receiving one of the 18 commonly dispensed antibiotics were randomized to receive a counseling session or no counseling. Five to seven days after medication pickup, a structured phone interview was conducted to capture data on recall of auxiliary labels and adherence.
A total of 39 subjects completed the phone interview (78%). The rate of correct recall was high: 77% correct recall for all three labels. Among those with incorrect recall, 7 out of 9 subjects received no counseling (p = 0.11). The auxiliary labels incorrectly recalled were all related to dietary restrictions.
The findings from this study suggest that medication counseling emphasizing auxiliary label information may lead to improved recall and adherence to antibiotics. Additional studies are required to confirm the preliminary findings and determine whether they correspond to improved adherence. Information most commonly misunderstood were related to dietary restrictions. Additional research focusing on counseling related to dietary restrictions is recommended.
评估强调辅助标签的用药咨询是否能提高对辅助标签信息的记忆以及对用药计划的依从性。
在马里兰州巴尔的摩附近的社区药房进行一项关于教育干预的前瞻性随机研究。50名接受18种常用抗生素之一治疗的有读写能力、说英语的成年人被随机分为接受咨询或不接受咨询两组。取药后5至7天，进行结构化电话访谈以收集关于辅助标签记忆和依从性的数据。
共有39名受试者完成了电话访谈（78%）。正确记忆率很高：所有三个标签的正确记忆率为77%。在记忆错误的受试者中，9人中有7人未接受咨询（p = 0.11）。错误记忆的辅助标签均与饮食限制有关。
本研究结果表明，强调辅助标签信息的用药咨询可能会提高对抗生素的记忆和依从性。需要进一步研究以证实初步发现，并确定它们是否与依从性提高相对应。最常被误解的信息与饮食限制有关。建议开展更多针对与饮食限制相关咨询的研究。
