Ros Dowse|Kirsty Barford|Sara H. Browne
Simple, illustrated medicines information improves ARV knowledge and patient self-efficacy in limited literacy South African HIV patients
Rhodes University|Rhodes University|University of California, San Diego
abstractfew studies investigated antiretroviral arv knowledge selfefficacy limited literacy patients using randomized controlled study design investigated influence simple pretested patient information leaflet pil containing text illustrations hiv arvrelated knowledge selfefficacy six months limited literacy african population recruited patients randomly allocated either control standard care intervention group standard care plus illustrated pil hiv medicinesrelated knowledge evaluated 22question test baseline one three six months selfefficacy assessed using modified version hiv treatment adherence selfefficacy scale twothirds patients female mean age 390 96 years mean education 73 28 years patients received pil showed significant knowledge increase sixmonth period 620944 improvement subsequent interview whereas control group showed improvement baseline side effect knowledge lowest 5056 increased intervention group 92 similarly medicinerelated knowledge baseline 5767 improved significantly 93 sustained six months cohens values postbaseline ranged 136 218 indicating large intervention effect selfefficacy improved significantly six months intervention control patients baseline patients 3 years education lower knowledge selfefficacy observed postintervention attribute pil mitigating effect limited education knowledge selfefficacy significantly correlated intervention group conclusion lowcost intervention welldesigned pretested simple illustrated pil significantly increased arv knowledge selfefficacy hiv patients limited educationkeywords knowledgeselfefficacylow literacywritten patient informationpictograms acknowledgmentsthanks go professor sarah radloff help statistical analysis mrs susan abraham graphic artist producing pictograms thanks also go participants interpreters participation projectfundingfinancial support study received center aids research university california san diego usa grant number p30ai036214 rhodes university grahamstown south africaadditional informationfundingfunding financial support study received center aids research university california san diego usa grant number p30ai036214 rhodes university grahamstown south africa