Evaluation of designed pharmaceutical pictograms among the Malaysian population

Background: Poor medication adherence to treatment regimen and medication errors among patients are the main concerns for pharmacists. One creative way to make medical information easier to understand, improve health literacy, and be more memorable for patients is through simple, culturally relevant...

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Main Authors: Anil Tumkur, Pravinkumar Ingle, Quinnie Ling Sze Ning, Nurul Asikin Bustamin, Tee Kai Heng, Chai Tze Leen, Ketan Hatware
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213398425002040
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author Anil Tumkur
Pravinkumar Ingle
Quinnie Ling Sze Ning
Nurul Asikin Bustamin
Tee Kai Heng
Chai Tze Leen
Ketan Hatware
author_facet Anil Tumkur
Pravinkumar Ingle
Quinnie Ling Sze Ning
Nurul Asikin Bustamin
Tee Kai Heng
Chai Tze Leen
Ketan Hatware
author_sort Anil Tumkur
collection DOAJ
description Background: Poor medication adherence to treatment regimen and medication errors among patients are the main concerns for pharmacists. One creative way to make medical information easier to understand, improve health literacy, and be more memorable for patients is through simple, culturally relevant, and context-specific pharmaceutical pictograms. Objectives: This study evaluated the understanding of the population in the four regions of Malaysia regarding 22 designed Malaysian pictograms. Materials and methods: A cross-sectional study was conducted in 800 participants from the four different regions, with 200 participants from each region, using a convenience sampling method. Their interpretations of pictograms were classified and recorded. The correct recognition rate was used to determine whether each pictogram had met the ISO criterion of ≥66.7 % or the ANSI criterion of ≥85 %. Results: Seventeen pictograms met the ISO criteria of >67 %, while seven pictograms met the ANSI criteria of >85 % before the explanation was provided. After the explanation, all pictograms met the ISO criteria, but only two pictograms did not meet the ANSI criteria. There was a significant difference in interpretation performance before and after the explanations were given. Conclusion: The pictograms are suitable for introduction and can effectively convey medication-related information when used alongside verbal explanations and simple texts. This can improve communication and facilitate health education.
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spelling doaj-art-0bf72344a8544475b13f15bf1c095bcf2025-08-20T02:47:24ZengElsevierClinical Epidemiology and Global Health2213-39842025-07-013410211510.1016/j.cegh.2025.102115Evaluation of designed pharmaceutical pictograms among the Malaysian populationAnil Tumkur0Pravinkumar Ingle1Quinnie Ling Sze Ning2Nurul Asikin Bustamin3Tee Kai Heng4Chai Tze Leen5Ketan Hatware6SDM College of Pharmaceutical Sciences, Shri Dharmasthala Manjunatheshwara University, Dharwad, Karnataka, IndiaDepartment of Pharmacy Practice, School of Pharmacy, IMU University, Kuala Lumpur, Malaysia; Corresponding author. Department of Pharmacy Practice, School of Pharmacy, IMU University, Kuala Lumpur, Malaysia.School of Pharmacy, IMU University, Kuala Lumpur, MalaysiaSchool of Pharmacy, IMU University, Kuala Lumpur, MalaysiaSchool of Pharmacy, IMU University, Kuala Lumpur, MalaysiaSchool of Pharmacy, IMU University, Kuala Lumpur, MalaysiaDepartment of Life Sciences, School of Pharmacy, IMU University, Kuala Lumpur, MalaysiaBackground: Poor medication adherence to treatment regimen and medication errors among patients are the main concerns for pharmacists. One creative way to make medical information easier to understand, improve health literacy, and be more memorable for patients is through simple, culturally relevant, and context-specific pharmaceutical pictograms. Objectives: This study evaluated the understanding of the population in the four regions of Malaysia regarding 22 designed Malaysian pictograms. Materials and methods: A cross-sectional study was conducted in 800 participants from the four different regions, with 200 participants from each region, using a convenience sampling method. Their interpretations of pictograms were classified and recorded. The correct recognition rate was used to determine whether each pictogram had met the ISO criterion of ≥66.7 % or the ANSI criterion of ≥85 %. Results: Seventeen pictograms met the ISO criteria of >67 %, while seven pictograms met the ANSI criteria of >85 % before the explanation was provided. After the explanation, all pictograms met the ISO criteria, but only two pictograms did not meet the ANSI criteria. There was a significant difference in interpretation performance before and after the explanations were given. Conclusion: The pictograms are suitable for introduction and can effectively convey medication-related information when used alongside verbal explanations and simple texts. This can improve communication and facilitate health education.http://www.sciencedirect.com/science/article/pii/S2213398425002040CommunicationComprehensionHealth educationPharmacistsPharmaceutical pictograms
spellingShingle Anil Tumkur
Pravinkumar Ingle
Quinnie Ling Sze Ning
Nurul Asikin Bustamin
Tee Kai Heng
Chai Tze Leen
Ketan Hatware
Evaluation of designed pharmaceutical pictograms among the Malaysian population
Clinical Epidemiology and Global Health
Communication
Comprehension
Health education
Pharmacists
Pharmaceutical pictograms
title Evaluation of designed pharmaceutical pictograms among the Malaysian population
title_full Evaluation of designed pharmaceutical pictograms among the Malaysian population
title_fullStr Evaluation of designed pharmaceutical pictograms among the Malaysian population
title_full_unstemmed Evaluation of designed pharmaceutical pictograms among the Malaysian population
title_short Evaluation of designed pharmaceutical pictograms among the Malaysian population
title_sort evaluation of designed pharmaceutical pictograms among the malaysian population
topic Communication
Comprehension
Health education
Pharmacists
Pharmaceutical pictograms
url http://www.sciencedirect.com/science/article/pii/S2213398425002040
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