Identifying over-the-counter information to prioritize for the purpose of reducing adverse drug reactions in older adults: A national survey of pharmacists

Martin, Beth A.; Breslow, Robert M.; Sims, A L; Harben, Alyssa; Bix, Laura; Becker, Mark W.

doi:10.1016/j.japh.2021.08.019

Cited by 2 publications

(3 citation statements)

References 42 publications

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“…Information prioritized as critical to the safe and effective use of these products was selected based on a survey of pharmacists conducted by Martin et al Specifically, active ingredient (AI) and drug-disease or drug-drug contraindication warnings (DD) were moved to the FOP and highlighted in the relevant treatments. 29 Participants who were interested contacted the research team via a phone number on the flier to verify eligibility and schedule the research. To be eligible to participate they had to: manage their own medication, be aged 65+, be legally sighted, and have consumed at least 1 OTC medication in the past year.…”

Section: Being Able To Determine What Otc Medication Is Appropriatementioning

confidence: 99%

“…We test four OTC label formats (See Figure 1) which form a factorial combination of 2 (front of pack/standard label) × 2 (highlighting/no highlighting). Information prioritized as critical to the safe and effective use of these products was selected based on a survey of pharmacists conducted by Martin et al Specifically, active ingredient (AI) and drug‐disease or drug‐drug contraindication warnings (DD) were moved to the FOP and highlighted in the relevant treatments 29 …”

Section: Introductionmentioning

confidence: 99%

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A novel strategy to optimize critical information on over the counter labels for older adults

Becker

Kashy

Harben

et al. 2023

Health Science Reports

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Background and Aims Labels designed to communicate critical information are paramount for the safe and effective use of over‐the‐counter medications; in recognition of this, the content and formatting of over the counter (OTC) labels sold in interstate commerce has been regulated for decades. Yet, available studies suggest that consumers frequently rely on limited information during decision making, failing to access the information required in the Drug Facts Label. This is particularly important for older consumers, who are at greater risk for adverse reactions to medicines. In two experiments we objectively evaluate how novel label designs that employ highlighting and a warning label placed on the package's front impact older consumers' attention to, and use of, critical information. Methods In Experiment 1, 68 OTC patients (65+) engaged with a computer‐based task answering yes/no scenario‐based questions about a drug's appropriateness. In Experiment 2, 63 OTC patients (65+) conducted a forced‐choice task where one of two drugs presented on a computer screen was appropriate for a provided scenario while the other was not. Both tasks required participants to access and use critical label information (i.e., warnings or active ingredients) to respond correctly. Dependent variables analyzed were the proportion of correct responses and time to correct response. Results Highlighting or placing critical information on the front of the package significantly improved response accuracy and time to correct response in Experiment 1 as compared to responses utilizing the standard label. For Experiment 2, participants were faster and more accurate when critical information was highlighted. Conclusions Results provide direct measures of the efficacy of novel labeling strategies. This information is relevant for regulations which dictate label design in ways that enhance ease and safety of use of medications for older adults.

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Section: Being Able To Determine What Otc Medication Is Appropriatementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A novel strategy to optimize critical information on over the counter labels for older adults

Becker

Kashy

Harben

et al. 2023

Health Science Reports

Self Cite

View full text Add to dashboard Cite

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“…A national survey of 318 US pharmacists revealed that uses and purpose, active ingredient, warning, and directions for use were the most important sections of the drug facts label in reducing misuse at the time of purchase or use by older adults. The most important warnings in the warning section, according to pharmacists, were "Do not use" and "Ask a doctor or pharmacist" [57].…”

Section: Improving Otc Medications Labels and Leafletsmentioning

confidence: 99%

Elevating Safe Use of Over-The-Counter Medications in Older Adults: A Narrative Review of Pharmacy Involved Interventions and Recommendations for Improvement

Lehnbom,

Berbakov,

Hoffins

et al. 2023

Drugs Aging

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Over-the-counter (OTC) medications are products that have been made easily accessible to allow patients to treat common ailments without a prescription and cost a doctor's visit. These medications are generally considered safe, however, there is still a potential for these medications to lead to adverse health outcomes. Older adults (ages 50+) are especially susceptible to these adverse health outcomes, due to age-related physiological changes, a higher prevalence of comorbidities, and prescription medication use. Many OTC medications are sold in pharmacies, which provides pharmacists and technicians with the opportunity to help guide safe selection and use for these medications. Therefore, community pharmacies are the ideal setting for OTC medication safety interventions. This narrative review summarizes the findings of pharmacy-involved interventions that promote safe OTC medication use for older adults.

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Identifying over-the-counter information to prioritize for the purpose of reducing adverse drug reactions in older adults: A national survey of pharmacists

Cited by 2 publications

References 42 publications

A novel strategy to optimize critical information on over the counter labels for older adults

A novel strategy to optimize critical information on over the counter labels for older adults

Elevating Safe Use of Over-The-Counter Medications in Older Adults: A Narrative Review of Pharmacy Involved Interventions and Recommendations for Improvement

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