Chayanid Teerawongpairoj, Chanita Tantipoj, Kawin Sipiyaruk
The design and evaluation of gamified online role-play as a telehealth training strategy in dental education: an explanatory sequential mixed-methods study
Scientific reports
background health literacy increasingly viewed patient safety issue may contribute medication errors objective examine patients abilities understand demonstrate instructions found container labels common prescription medications design crosssectional study using inperson structured interviews setting 3 primary care clinics serving mostly indigent populations shreveport louisiana jackson michigan chicago illinois patients 395 englishspeaking adults waiting see providers measurement correct understanding instructions 5 container labels demonstration 1 labels dosage instructions results correct understanding 5 labels ranged 671 911 patients reading sixthgrade level low literacy less able understand 5 label instructions although 707 patients low literacy correctly stated instructions take two tablets mouth twice daily 347 could demonstrate number pills taken daily potential confounding variables controlled low adjusted relative risk 232 95 ci 126 428 marginal adjusted relative risk 194 ci 114 327 literacy significantly associated misunderstanding taking greater number prescription medications also statistically significantly associated misunderstanding adjusted relative risk 298 ci 140 634 5 medications limitations study sample high risk poor health literacy outcomes participants women spoke english authors examine association misunderstanding medication error evaluate patients actual prescription drugtaking behaviors conclusions lower literacy greater number prescription medications independently associated misunderstanding instructions prescription medication labels