Stacy Cooper Bailey|Urmimala Sarkar|Alice Hm Chen|Dean Schillinger|Michael S. Wolf
Evaluation of Language Concordant, Patient-Centered Drug Label Instructions
Northwestern University|San Francisco General Hospital|San Francisco General Hospital|San Francisco General Hospital|Northwestern University
despite federal laws requiring language access healthcare settings us pharmacies unable provide prescription rx medication instructions limited english proficient lep patients native languageto evaluate efficacy health literacyinformed multilingual rx instructions concordantrx instructions improve rx understanding regimen dosing regimen consolidation comparison standard languageconcordant rx instructionsrandomized experimental evaluationtwo hundred two lep adults speaking five nonenglish languages chinese korean russian spanish vietnamese recruited nine clinics community organizations san francisco chicagosubjects randomized review rx bottles either concordantrx standard instructionsproper demonstration common prescription label instructions single multidrug medication regimens regimen consolidation assessed determining many times per day subjects would take medicine multidrug regimensubjects receiving concordantrx instructions demonstrated significantly greater rx understanding regimen dosing regimen consolidation comparison receiving standard instructions incidence rate ratio irr 125 95 confidence interval ci 106148 p 0007 rx understanding irr 119 95 ci 103139 p 002 regimen dosing irr 076 95 ci 064090 p 0001 regimen consolidation cases instruction type sole independent predictor outcomes multivariate models controlling relevant covariatesthere need standardized multilingual rx instructions implemented pharmacy practices promote safe medication use among lep patients concordantrx instructions represent important step towards achieving goal