Thai Patients' Drug Safety Knowledge and Perceptions Relating to Different Forms of Written Medicine Information: A Comparative Study
- PMID: 35517042
- PMCID: PMC9064070
- DOI: 10.2147/PPA.S361447
Thai Patients' Drug Safety Knowledge and Perceptions Relating to Different Forms of Written Medicine Information: A Comparative Study
Abstract
Purpose: The aim of the study was to evaluate the medication safety knowledge, quality of the written medicine information (WMI), and perceptions of taking the medicines in patients receiving package inserts (PIs) in comparison with patient information leaflets (PILs).
Methods: A cross-sectional, comparative study was conducted from December 2020 to May 2021 at two university hospitals in Thailand. Outpatients who visited the pharmacy departments and were prescribed one of the three medicines: atorvastatin, celecoxib, or metformin were randomly selected by a permuted block randomization. The medication safety knowledge was measured using a set of validated and closed questions. The quality of the WMI was measured by the Consumer Information Rating Form (CIRF). Satisfaction with information and perceptions of the benefits and risks of medications were rated by the participants using a visual analog scale (0 to 10).
Results: Of the 1150 invited patients, 750 completed the questionnaires (65.2%). A higher proportion of respondents with high level of medication safety knowledge was found in those reading the PILs than the PIs (44.5% and 20.8%, respectively). The type of leaflet received was a significant predictor of the high knowledge level (p < 0.001). The mean CIRF scores were significantly higher among those reading the PILs than the PIs (p < 0.001). Patients reading the PILs were also more satisfied with the information and had more positive perceptions of the benefits from taking medicines and intention to adhere than those reading the PIs. Patients' perceptions of risks after reading both leaflets were moderate (median score = 5.0), with the PIL group having slightly more concern about risks than the PI group.
Conclusion: The PILs showed superior effectiveness to the PIs in enhancing knowledge about medication safety, providing greater satisfaction with the information, and positive perceptions of benefit and intention to comply with the medications. PILs should be provided more frequently to patients receiving medicines than PIs.
Keywords: consumer testing; medication safety knowledge; package inserts; patient information leaflets; perceptions of benefits and risks.
© 2022 Wongtaweepkij et al.
Conflict of interest statement
The authors report no conflicts of interest in this work.
Similar articles
-
Evaluation of Medicine Information Leaflets for Omeprazole, Safety Knowledge, and Perceptions of Taking the Medication in Thailand.Patient Prefer Adherence. 2023 Mar 27;17:883-893. doi: 10.2147/PPA.S397557. eCollection 2023. Patient Prefer Adherence. 2023. PMID: 37009429 Free PMC article.
-
Development and psychometric validation for evaluating written medicine information in Thailand: The Consumer Information Rating Form.BMJ Open. 2021 Oct 1;11(10):e053740. doi: 10.1136/bmjopen-2021-053740. BMJ Open. 2021. PMID: 34598992 Free PMC article.
-
Patients' Experiences and Perspectives of Receiving Written Medicine Information About Medicines: A Qualitative Study.Patient Prefer Adherence. 2021 Mar 9;15:569-580. doi: 10.2147/PPA.S298563. eCollection 2021. Patient Prefer Adherence. 2021. PMID: 33727802 Free PMC article.
-
Factors that Facilitate and Hinder the Comprehension of Patient Information Leaflets (PILs): A Brief Scoping Review.Front Pharmacol. 2021 Nov 10;12:740334. doi: 10.3389/fphar.2021.740334. eCollection 2021. Front Pharmacol. 2021. PMID: 34858174 Free PMC article.
-
[Drug information for patients (Package Leaflets), and user testing in EU].Yakugaku Zasshi. 2015;135(2):277-84. doi: 10.1248/yakushi.14-00232-2. Yakugaku Zasshi. 2015. PMID: 25747226 Review. Japanese.
Cited by
-
Knowledge, attitudes and practices among patients with end-stage kidney disease towards hyperkalaemia management in Shenzhen, China: a cross-sectional study.BMJ Open. 2025 Mar 22;15(3):e092619. doi: 10.1136/bmjopen-2024-092619. BMJ Open. 2025. PMID: 40122543 Free PMC article.
-
Comparative assessment of medication knowledge among ambulatory patients: A cross-sectional study in Nigeria.Explor Res Clin Soc Pharm. 2023 Dec 3;13:100388. doi: 10.1016/j.rcsop.2023.100388. eCollection 2024 Mar. Explor Res Clin Soc Pharm. 2023. PMID: 38188471 Free PMC article.
-
Exploring Healthcare Professionals' Practices and Attitudes towards Monitoring and Reporting of Severe Adverse Drug Reactions.Healthcare (Basel). 2022 Jun 10;10(6):1077. doi: 10.3390/healthcare10061077. Healthcare (Basel). 2022. PMID: 35742128 Free PMC article.
-
Patients' Experiences and Preferences for Medicine Information: An International Comparison Between Malaysia, Thailand, Uganda, and England.Patient Prefer Adherence. 2024 Jan 23;18:239-248. doi: 10.2147/PPA.S444891. eCollection 2024. Patient Prefer Adherence. 2024. PMID: 38283625 Free PMC article.
-
Evaluation of Medicine Information Leaflets for Omeprazole, Safety Knowledge, and Perceptions of Taking the Medication in Thailand.Patient Prefer Adherence. 2023 Mar 27;17:883-893. doi: 10.2147/PPA.S397557. eCollection 2023. Patient Prefer Adherence. 2023. PMID: 37009429 Free PMC article.
References
-
- Gallagher R, Warwick M, Chenoweth L, Stein-Parbury J, Milton-Wildey K. Medication knowledge, adherence and predictors among people with heart failure and chronic obstructive pulmonary disease. J Nurs Healthc Chronic Illn. 2011;3(1):30–40. doi:10.1111/j.1752-9824.2010.01077.x - DOI
LinkOut - more resources
Full Text Sources
Research Materials
Miscellaneous