Improving medication knowledge among older adults with heart failure: a patient-centered approach to instruction design.
OBJECTIVE
We investigated whether patient-centered instructions for chronic heart failure medications increase comprehension and memory for medication information in older adults diagnosed with chronic heart failure.


METHODS
Patient-centered instructions for familiar and unfamiliar medications were compared with instructions for the same medications from a chain pharmacy (standard pharmacy instructions). Thirty-two adults (age, M = 63.8) read and answered questions about each instruction, recalled medication information (free recall), and then answered questions from memory (cued recall).


RESULTS
Patient-centered instructions were better recalled and understood more quickly than the standard instructions. Instructions for the familiar medications also were better recalled. Patient-centered instructions were understood more accurately for the unfamiliar medications, but standard instructions were understood more accurately for the familiar medications. However, the recall measures showed that the advantage of the standard format for familiar medications was short lived.


CONCLUSIONS
The findings suggest that the patient-centered format may improve printed medication instructions available in many pharmacies, which should help older adults to better understand how to take their medications.
Morrow
Daniel G
DG
Institute of Aviation, Aviation Human Factors Division, Willard Airport-One Airport Road, Q5, MC-394, Savoy, IL 61874, USA. dgm@uiuc.edu
Weiner
Michael
M
Young
James
J
Steinley
Douglas
D
Deer
Melissa
M
Murray
Michael D
MD
D000368:Aged; D000369:Aged, 80 and over; D002317:Cardiovascular Agents / Q000627:therapeutic use*; D002908:Chronic Disease; D004348:Drug Labeling; D011307:Drug Prescriptions; D005260:Female; D006333:Heart Failure / Q000188:drug therapy*; D006801:Humans; D007802:Language; D008297:Male; D011939:Mental Recall; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods*; D018802:Patient-Centered Care / Q000379:methods*; D012044:Regression Analysis
D002317:Cardiovascular Agents