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Drug Intelligence and Clinical Pharmacy. 1984 Sep; 18(9):730-5.The distribution of the patient package insert (PPI) by pharmacists is at best controversial. Although most health professionals agree that the patient has the right to receive information about drugs, they disagree on the best way to provide that information. Since the oral contraceptive (OC) PPI has been in routine use for approximately 10 years, a large data base exists that can be used to determine not only patient acceptance of the PPI, but also knowledge, feelings, and behavior secondary to the PPI. In this study, 50 women of childbearing age completed a questionnaire, and it was learned that 84% had taken or were currently taking OCs, and 90% of those received a PPI; however, only 61% of these women read all of it. The women performed poorly on the knowledge exam (mean +or- SD, 44.5 +or- 21.2, range 0-83%); those who read all of the PPI or who were white had higher scores (P0.02 and P0.001). 38% of the women thought that the PPI information was inadeqaute, suggesting that it needs to be rewritten and/or supplemented with information from pharmacists. After reading the PPI, 12% contacted their pharmacist for additional information. Pharmacists are in a unique position to provide OC information that enables women to make informed judgments regarding benefit: risk ratios on a personal basis. (author's)
[Unpublished] . 17,  p.The Social Marketing Project (SMP) of Bangladesh developed an illustrated Maya (a regular dose oral contraceptive) packet insert of instructions for use and information on potential side effects and what to do about them. Later, the pictures were further clarified by adding a simple text for women who could read and also for those illiterate women who would be interested to have it read by someone else if they had difficulty in understanding the message. The desired material was prepared during 1980 and printed in early 1981. SMP has considered printing it on a large scale, but first wants to determine if this pamphlet is really useful to the Maya consumers. PIACT International agreed to fund a project in Bangladesh to evaluate this pamphlet. Objectives of the evaluation were to learn if the pamphlet is understood by Maya consumers and to compare knowledge of proper use of Maya, its side effects, and what to do about them between the consumers who received and those who did not receive the pamphlet along with the Maya pill packet. 4 markets from the district of Dacca were chosen: Manikogonj, Tongi, Joydebpur, and Norsingdi. From each market, a number of pharmacies were chosen. The selected pharmacies in each market were divided into 2 groups: 1 group of pharmacies was provided a number of pamphlets depending on their Maya sales of the preceding month; pharmacies in the other group were supplied only the forms to record the addresses of the illiterate Maya consumers during a 1-month period. 200 illiterate Maya consumers were randomly selected and interviewed from each of the study and control groups. A majority of the pamphlet recipients understood the messages in the pamphlets. The illustrated support material was more effective than the text material in communicating messages. Clarification of the pictures by adding simple text was found to be useful. The recipients of the pamphlet possessed better knowledge than the nonrecipients of the pamphlet with regard to proper use of Maya, its side effects, and what to do about the side effects. The SMP should use the illustrative support material of Maya as an insert in the Maya packet. In the future, the SMP should use only the pamphlet as an insert in the Maya packet. Some additional information should be added, such as the irregularity of menses due to the use of Maya and the benefits of the use of Maya for other than birth control.