Automated pictographic illustration of discharge instructions with Glyph: impact on patient recall and satisfaction

Hill, Brent; Perri-Moore, Seneca; Kuang, Jinqiu; Bray, Bruce E.; Ngo, Long; Doig, Alexa K.; Zeng‐Treitler, Qing

doi:10.1093/jamia/ocw019

Cited by 36 publications

(38 citation statements)

References 40 publications

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“… 30 In one study, patients provided with pictorial information in their discharge instructions could immediately recall 35% more information than their non-picture counterparts. 35 In another study, the use of pictorial health information benefited individuals with lower health literacy in both adherence to and compliance of medication. 20 The effects of pictorial superiority have been examined in many health information contexts and show promise for improving patients’ conceptual processing, attention, comprehension and recall of health information no matter their health literacy level.…”

Section: Introductionmentioning

confidence: 99%

Does pictorial health information improve health behaviours and other outcomes? A systematic review protocol

et al. 2018

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IntroductionMost health information is verbal or written, yet words alone may not be the most effective way to communicate health information. Lower health literacy is prevalent in the US and is linked to limited understanding of one’s medical condition and treatment. Pictures increase comprehension, recall, adherence and attention in health settings. This is called pictorial superiority. No systematic review has examined the impact of pictorial health information among patients and consumers, including those with lower health literacy.Methods and analysisThis systematic review and meta-analysis will assess the characteristics and effectiveness of pictorial health information on patient and consumer health behaviours and outcomes, as well as differentially among individuals of lower literacy/lower health literacy. We will conduct a systematic search across selected databases, as well as grey literature, from inception until June 2018. We will include randomised controlled trials in all languages with all types of participants that assess the effect of pictorial health information on patients’ and consumers’ health behaviours and outcomes. Two independent reviewers will conduct the primary screening of articles and data extraction for the selected articles with a third individual available to resolve conflicts. We will assess the quality of all included studies using the Cochrane risk of bias tool. We will combine all selected studies and do a test of heterogeneity. If there is sufficient homogeneity, we will pool studies into a meta-analysis. Independent of the heterogeneity of included studies, we will also conduct a narrative synthesis.Ethics and disseminationNo ethics approval is required. The results will be published in a peer-reviewed journal and presented at relevant conferences.PROSPERO registration numberCRD42018084743.

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Section: Introductionmentioning

confidence: 99%

Does pictorial health information improve health behaviours and other outcomes? A systematic review protocol

et al. 2018

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“…[28,37] Pictures have been shown to improve comprehension of health information when closely linked with text or spoken words, and this relationship may be enhanced for individuals with lower health literacy. [38][39][40][41][42] The Picture Option Grid was designed for use with all patients diagnosed with early-stage breast cancer during the surgical consultation, but particularly for patients with lower health literacy and lower SES. Both interventions are paper-based with a sixth grade readability level.…”

Section: Interventionsmentioning

confidence: 99%

Implementation and Sustainability Factors of Two Early-Stage Breast Cancer Conversation Aids in Diverse Practices

Schubbe

Yen

Saunders

et al. 2020

Preprint

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BackgroundConversation aids can facilitate shared decision making and improve patient-centered outcomes. However, there are few examples of sustained use of conversation aids in routine care due to numerous barriers at clinical and organizational levels. We explored strategies that will promote the sustained use of two early-stage breast cancer conversation aids. We examined any differences in experiences and opinions between the two conversation aids and across socioeconomic strata. MethodsWe nested this study within a randomized controlled trial evaluating two early-stage breast cancer surgery treatment conversation aids, one text-based and one picture-based, across four health systems with socioeconomically diverse patient populations. We conducted semi-structured interviews with a sample of patient participants, purposively sampled across conversation aid assignment and socioeconomic status (SES), and collected observations and field-notes. We also interviewed trial surgeons and other stakeholders. We conducted a framework analysis of all interviews, notes, and observations with two independent coders using the NOrmalization MeAsure Development through Normalization Process Theory. We also conducted an inductive analysis. We conducted additional sub-analyses based on which conversation aid was used/received and patient SES. ResultsWe conducted 73 semi-structured interviews with 43 patients, 16 surgeons, and 14 stakeholders like nurses, cancer center directors, and electronic health record (EHR) experts. Patients and surgeons felt the conversation aids should be used in breast cancer care in the future and were open to various methods of giving and receiving the conversation aid (EHR, email, patient portal, before consultation). Patients of higher SES were more likely to note the conversation aids influenced their treatment discussion, while patients of lower SES noted more influence on their decision making. Intervention surgeons reported using the conversation aids did not lengthen their typical consultation time. Most intervention surgeons felt using the conversation aids was similar to their usual care after using it a few times, and most patients felt it appeared part of their normal routine. ConclusionsKey factors that will help guide the future sustained implementation of the conversation aids include adapting to existing clinical workflows, flexibility of use, patient characteristics and communication preferences.Trial registrationNCT03136367 at ClinicalTrials.gov

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“…The patient and their caregivers must be able to understand the discharge instructions so that they can recall aftercare instructions and recognise that the information they require for their post-discharge care can be found in their instructions. Providing patients with an information booklet or automated pictographic illustration of discharge instructions have been proven valuable [18][19][20]. There are several reasons for supporting oral information or education: the older person's visual clarity and auditory acuity decreases, making it difficult for them to receive information and poor lighting, noise levels and room temperatures can inhibit the learning process.…”

Section: Preparation For Dischargementioning

confidence: 99%

Orthogeriatric Nursing in the Emergency and Perioperative In-Patient Setting

Jensen

Hertz

Mauthner

2018

Perspectives in Nursing Management and Care for Older Adults

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Automated pictographic illustration of discharge instructions with Glyph: impact on patient recall and satisfaction

Cited by 36 publications

References 40 publications

Does pictorial health information improve health behaviours and other outcomes? A systematic review protocol

Does pictorial health information improve health behaviours and other outcomes? A systematic review protocol

Implementation and Sustainability Factors of Two Early-Stage Breast Cancer Conversation Aids in Diverse Practices

Orthogeriatric Nursing in the Emergency and Perioperative In-Patient Setting

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