Acceptance of ambulatory blood pressure monitoring in a semi-rural population in South Africa:
- Authors: Chiwanza, Farisai , Irwin, Yoland , Dowse, Roslind
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157072 , vital:40084 , DOI: https://doi.org/10.4102/hsag.v25i0.1336
- Description: Ambulatory blood pressure monitoring is a valuable tool that helps in providing an insight into the diagnosis and management of hypertension; however, no evidence exists of its acceptance in the diverse South African population. We assessed the acceptance of an ambulatory blood pressure monitor in patients attending public sector primary health care (PHC) clinics. Five PHC clinics in the Makana subdistrict in the Eastern Cape.
- Full Text:
- Date Issued: 2020
An illustrated booklet for reinforcing community health worker knowledge of tuberculosis and facilitating patient counselling:
- Authors: Okeyo, Ida L A , Dowse, Roslind
- Date: 2018
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156629 , vital:40032 , https://phcfm.org/index.php/phcfm/article/view/1687/2559
- Description: Community health workers (CHWs) have facilitated the move to decentralize tuberculosis (TB) management, but lack access to information appropriate both for personal use and in patient interaction and education. To explore the impact of a pictorial-based TB booklet on reinforcing CHW knowledge and facilitating patient counselling.
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- Date Issued: 2018
An illustrated booklet for reinforcing community health worker knowledge of tuberculosis and facilitating patient counselling:
- Authors: Okeyo, Ida L A , Dowse, Roslind
- Date: 2018
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156585 , vital:40028 , https://phcfm.org/index.php/phcfm/article/view/1687/2559
- Description: Community health workers (CHWs) have facilitated the move to decentralize tuberculosis (TB) management, but lack access to information appropriate both for personal use and in patient interaction and education. To explore the impact of a pictorial-based TB booklet on reinforcing CHW knowledge and facilitating patient counselling.
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- Date Issued: 2018
An illustrated leaflet containing antiretroviral information targeted for low-literate readers: development and evaluation
- Authors: Dowse, Roslind , Ramela, Thato , Browne, Sara H
- Date: 2011
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156731 , vital:40043 , https://doi.org/10.1016/j.pec.2011.01.013
- Description: To apply a dual visual/textual modal approach in developing and evaluating a medicine information leaflet with pictograms suitable for low-literate HIV/AIDS patients. To identify and recommend best practices in this type of information design.
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- Date Issued: 2011
Applicability of the REALM health literacy test to an English second-language South African population:
- Authors: Dowse, Roslind , Lecoko, Motlalepule L E , Ehlers, Martina S
- Date: 2010
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156798 , vital:40051 , https://doi.org/10.1007/s11096-010-9392-y
- Description: Objective and setting. To investigate health literacy in an English second language population using the REALM test, to evaluate its appropriateness and to compare health literacy between four different education categories. Setting Primary healthcare clinics and participant homes in Grahamstown, South Africa.
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- Date Issued: 2010
Cognitive pharmaceutical services and the community pharmacist: are South African patients receiving them and are they willing to pay?
- Authors: Hill, Peter W , Dowse, Roslind
- Date: 2006
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156829 , vital:40054 , DOI 10.1211/ijpp.15.2.0007
- Description: The objectives of this study were to ascertain the opinions of randomly selected South African medical aid members regarding the provision by community pharmacists of patient counselling and information; member satisfaction with pharmacist services; their rating of pharmacist accessibility; and if pharmacists should be reimbursed for providing cognitive pharmaceutical services. Setting A South African private healthcare insurance company.
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- Date Issued: 2006
Community care worker perceptions of their roles in tuberculosis care and their information needs:
- Authors: Okeyo, Ida L A , Dowse, Roslind
- Date: 2016
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156596 , vital:40029 , DOI: 10.4102/hsag.v21i0.962
- Description: Community care workers (CCWs) inhabit a central role in the management of tuberculosis (TB) patients in South Africa. CCWs attend training courses, but training is not standardised at either the national or provincial level. To explore perceptions of CCWs of their role in TB care and TB information needs.
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- Date Issued: 2016
Comprehension and acceptability of a patient information leaflet (PIL) for antiretroviral therapy:
- Authors: Mwingira, Betty , Dowse, Roslind
- Date: 2006
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156902 , vital:40065 , https://doi.org/10.4102/hsag.v11i3.236
- Description: The patient information leaflet (PIL) is recognised as playing a key role in informing patients about their medicines. The objectives of this research were to evaluate the readability and understanding of a PIL for the first-line ARV (antiretroviral) regimen available in the South African public health sector, and investigate its acceptability in the target Xhosa population. The study took place between August 2003 and July 2004. A PIL was designed for the antiretroviral regimen of stavudine, lamivudine and efavirenz, using established usability guidelines. South African legal requirements concerning PILs were incorporated and the PILs were available in both English and isiXhosa.
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- Date Issued: 2006
Designing and reporting pictogram research: problems, pitfalls and lessons learnt
- Authors: Dowse, Roslind
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157083 , vital:40085 , https://doi.org/10.1016/j.sapharm.2020.08.013
- Description: Research describing the design, evaluation or use of pictograms for various health-related applications is receiving increasing attention in the literature. However, recent reviews of this body of literature have commented adversely on the overall quality of the research, highlighting problems with the pictogram design process, as well as calling for improvement in both the methodology and reporting of all aspects of designing, developing, modifying, evaluating and applying pictograms in practice. The heterogeneity in study design, as well as in the interventions and outcomes measured, prevents overall conclusions being drawn about the effectiveness of pictograms on comprehension and medicine-taking behaviour such as adherence and self-care. The reporting of such research should provide adequate detail to enable reproducibility and replicability of the research. This article offers guidance in designing and reporting pictogram-based research, highlighting areas that are often problematic or inadequately addressed.
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- Date Issued: 2020
Developing visual images for communicating information aboutantiretroviral side effects to a low-literate population:
- Authors: Dowse, Roslind , Ramela, Thato , Barford, Kirsty-Lee , Browne, Sara H
- Date: 2011
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156769 , vital:40048 , https://doi.org/10.2989/16085906.2010.530172
- Description: The side effects of antiretroviral (ARV) therapy are linked to altered quality of life and adherence. Poor adherence has also been associated with low health-literacy skills, with an uninformed patient more likely to make ARV-related decisions that compromise the efficacy of the treatment. Low literacy skills disempower patients in interactions with healthcare providers and preclude the use of existing written patient information materials, which are generally written at a high reading level. Visual images or pictograms used as a counselling tool or included in patient information leaflets have been shown to improve patients’ knowledge, particularly in low-literate groups. The objective of this study was to design visuals or pictograms illustrating various ARV side effects and to evaluate them in a low-literate South African Xhosa population. Core images were generated either from a design workshop or from posed photos or images from textbooks. The research team worked closely with a graphic artist. Initial versions of the images were discussed and assessed in group discussions, and then modified and eventually evaluated quantitatively in individual interviews with 40 participants who each had a maximum of 10 years of schooling.
- Full Text:
- Date Issued: 2011
Development and evaluation of pictograms on medication labels for patients with limited literacy skills in a culturally diverse multiethnic population:
- Authors: Kheir, Nadir , Awaisu, Ahmed , Radoui, Amina , El Badawi, Aya , Jean, Linda , Dowse, Roslind
- Date: 2014
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156720 , vital:40041 , https://doi.org/10.1016/j.sapharm.2013.11.003
- Description: Much of the migrant workforce in Qatar is of low literacy level and does not understand Arabic or English, presenting a significant challenge to health care professionals. Medicine labels are typically in Arabic and English and are therefore poorly understood by these migrant workers. To develop pictograms illustrating selected medicine label instructions and to evaluate comprehension of the pictograms or conventional text supported with verbal instructions in foreign workers with low literacy skills.
- Full Text:
- Date Issued: 2014
Development of an item bank of health literacy questions appropriate for limited literacy public sector patients in South Africa:
- Authors: Marimwe, Chipiwa , Dowse, Roslind
- Date: 2017
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156618 , vital:40031 , https://doi.org/10.1080/17538068.2017.1380577
- Description: The majority of current health literacy measures emanate from high-income countries. In South Africa, there is no appropriate measure available for use by the diverse public sector population, many of whom have some literacy limitations. The objective was to develop a bank of questions for this population informed by a broader definition of health literacy, which acknowledges both traditional cognitive skills and explores the influence of the collective social environment on health literacy. Thirty questions for the Item Bank were developed to ensure cultural, contextual and educational appropriateness, and were continuously subjected to critical review by an expert consultant panel. Patients (n = 120) were recruited from a local primary care clinic and individually interviewed with the assistance of an interpreter to collect data on the Item Bank, Multidimensional Screener of Functional Health Literacy (MSFHL) and sociodemographics.
- Full Text:
- Date Issued: 2017
Effect of pictograms on readability of patient information materials:
- Authors: Mansoor, Leila E , Dowse, Roslind
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157003 , vital:40078 , https://0-doi.org.wam.seals.ac.za/10.1345/aph.1C449
- Description: To design, develop, and evaluate a simple, understandable medicine label and patient information leaflet (PIL) for nystatin suspension, and to assess the effect of incorporating pictograms on understanding in low-literate participants.
- Full Text:
- Date Issued: 2003
Health literacy assessment: relexicalising a US test for a South African population
- Authors: Hunt, Sally , Dowse, Roslind , La Rose, Christopher M
- Date: 2009
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/139131 , vital:37708 , DOI: 10.2989/SALALS.2008.26.2.7.571
- Description: The problems of illiteracy in health contexts have been well documented in the literature and include such serious repercussions as medication non-compliance and failure to seek medical help during the course of an illness. The Rapid Estimate of Adult Literacy in Medicine (REALM) is a standardised health literacy test developed in the United States that has been previously administered and researched in South Africa (Lecoko, 2000). It is an objective vocabulary test, designed as a screening instrument to identify the health literacy levels of patients in clinics, which uses item recognition of 66 health-related words. Lecoko found that, in a South African setting, only 8 out of the 66 words in the US-developed test could be deemed acceptable. Therefore, the current study focused on the principled relexicalisation of the REALM, using words gathered from health information and promotional texts in local clinics, hypothesising that this would improve its applicability. After administration to a statistically similar group of respondents, the number of acceptable words on the test increased from eight to 38. Thus it is concluded that principled relexicalisation may be one way of improving the applicability of standardised health literacy tests to local populations and settings. However, the limitations of standardised tests may prove to be a significant barrier overshadowing the value of relexicalisation.
- Full Text:
- Date Issued: 2009
Health literacy test for limited literacy populations (HELT-LL): validation in South Africa
- Authors: Marimwe, Chipiwa , Dowse, Roslind
- Date: 2019
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156652 , vital:40035 , https://doi.org/10.1080/2331205X.2019.1650417
- Description: The majority of health literacy measures emanate from high-income countries and are inappropriate for use in limited literacy individuals who are usually excluded from participation in health literacy studies. There is currently no appropriate health literacy measure for the educationally diverse South African population. This study, which reports the validation of the Health Literacy Test for Limited Literacy individuals (HELT-LL), was conducted in primary health-care clinics with 210 isiXhosa-speaking patients with a maximum of 12 years of schooling. The HELT-LL has varied cognitive demands, assesses functional literacy skills as well as local burden of disease knowledge, and also includes self-reported questions.
- Full Text:
- Date Issued: 2019
In vitro release of amoxycillin from lipophilic suppositories
- Authors: Webster, Jessica A , Dowse, Roslind , Walker, Roderick B
- Date: 1998
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/184377 , vital:44213 , xlink:href="https://doi.org/10.3109/03639049809085636"
- Description: The in vitro release characteristics of amoxycillin from different lipophilic suppository bases were investigated using the USP rotating basket method. Suppositories containing 250 mg amoxycillin were prepared in theobroma oil and in the semisynthetic bases Witepsol W35, Suppocire A32, Novata BD, and Novata 299. Both freshly prepared and 1-month-old suppositories were tested. Analysis of amoxycillin was performed using a validated high-performance liquid chromatographic (HPLC) technique. Release profiles differed significantly between bases, with the greatest amount of amoxycillin being released from both newly made and 1-month-old Novata BD bases (87.57 ± 8.18 and 99.66 ± 6.63%, respectively), and the lowest amount released from the newly manufactured theobroma suppositories (8.82 ± 0.75%) and the 1-month-old Suppocire A32 suppositories (7.78 ± 0.27%).
- Full Text:
- Date Issued: 1998
Outcome of illustrated information leaflet on correct usage of asthma-metered dose inhaler:
- Authors: Wrench, Wendy W , Van Dyk, Lynette , Srinivas, Sunitha C , Dowse, Roslind
- Date: 2019
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156640 , vital:40033 , https://doi.org/10.4102/phcfm.v11i1.2079
- Description: Research globally has shown that metered dose inhaler (MDI) technique is poor, with patient education and regular demonstration critical in maintaining correct use of inhalers. Patient information containing pictorial aids improves understanding of medicine usage; however, manufacturer leaflets illustrating MDI use may not be easily understood by low-literacy asthma patients. To develop and evaluate the outcome of a tailored, simplified leaflet on correct MDI technique in asthma patients with limited literacy skills.
- Full Text:
- Date Issued: 2019
Outpatient compliance with theophylline and phenytoin therapy:
- Authors: Dowse, Roslind , Futter, William T
- Date: 1991
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157059 , vital:40083 , https://europepmc.org/article/med/1745939
- Description: Poor compliance with prescribed medication is a significant problem in chronic disease states and is often responsible for the apparent failure of therapy. The determinants and extent of non-compliance are commonly incorrectly perceived by doctors. During routine therapeutic drug monitoring of epileptic and asthmatic outpatients at a local day hospital, non-compliance was identified as a significant problem. A compliance study was conducted on 80 epileptic and asthmatic patients to determine the nature and extent of this problem. Non-compliance was measured using four different methods, which were then compared using chi 2 tests.
- Full Text:
- Date Issued: 1991
Patient-centred pharmacy: reflections from the patient-academic pharmacist interface
- Authors: Dowse, Roslind
- Date: 2014
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/156709 , vital:40040 , https://0-hdl.handle.net.wam.seals.ac.za/10520/EJC163769
- Description: This month, the Pharmaceutical Society of South Africa (PSSA) pays tribute to a remarkable woman, who is willing to share her experiences with fellow pharmacists. Ros Dowse told her story at the South African Association of Hospital and Institutional Pharmacists and PSSA conferences, and will share it at the Academy conference as well. Ros, we are proud to be part of your "family", and are humbled by your courage and inner strength.
- Full Text:
- Date Issued: 2014
Pharmaceutical Pictograms: Part 1: Communicating Medicine Information to the Low-literate Patient
- Authors: Dowse, Roslind , Ehlers, Martina S
- Date: 2003
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/157026 , vital:40080
- Description: To assess the influence of formal education on the interpretation of pharmaceutical pictograms.
- Full Text:
- Date Issued: 2003