Comprehension of Spanish Language Prescription Medication Instructions – UROP Spring Symposium 2024

Comprehension of Spanish Language Prescription Medication Instructions

Nicole Nunez Turcios

Pronouns: she/her

Research Mentor(s): Beatriz Manzor Mitrzyk
Research Mentor School/College/Department: Clinical Pharmacy / Pharmacy
Program:
Authors: Nicole Nunez, Beatriz Manzor Mitrzyk
Session: Session 3: 11:00 am – 11: 50 am
Poster: 2

Abstract

Background: Findings from pilot studies indicate that Spanish language medication instructions continue to be written using unclear, complex (historical), despite availability of best practice recommendations. Objectives: To evaluate Latine adults’ comprehension of Spanish language instructions written using historical and best practices wording; and to assess if participants receive historical or best practices wording of medication instructions. Methods: We conducted a national, cross-sectional, retrospective study of Latine adults (>18 years) with NELP using Qualtrics XM survey management services. We adapted methods by Davis 2006 et al., to assess comprehension of medication instructions in an online survey. Participants verbalized comprehension of medication instructions for two different regimens written in historical and best practice wording. Two researchers independently rated responses as either correct (to indicate comprehension) or incorrect (to indicate low comprehension). To assess if participants have received instructions with historical or best practices wording in the past year, we asked participants which label wording was similar to instructions they have received in the past. Results: This study is ongoing. We expect to recruit 750 US Latine adults with NELP. Based on previous findings, we estimate that 50% of responses for the historical wording of two tablets once daily will score as accurate and 30% will score as accurate for two tablets twice daily. For the best practices wording, we expect 80% of responses with wording of two tablets once daily will score as accurate and 70% will score as accurate for two tablets twice daily. Analysis of survey data revealed that 70% of Latine individuals with NELP receive instructions with unclear, complex wording. Conclusion: Latine adults with NELP showed a better comprehension with best practices compared with historical wording, yet historical wording continues to be commonly used. Future analysis will assess comprehension based on level of personal health literacy.

Biomedical Sciences, Interdisciplinary

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