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Ferreira-Alfaya FJ, Zarzuelo-Romero MJ, Cura Y. Comprehension of US Pharmacopeia and South African pictograms by sub-Saharan migrants who newly arrived in Europe. Res Social Adm Pharm 2024; 20:54-62. [PMID: 37690930 DOI: 10.1016/j.sapharm.2023.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 09/02/2023] [Accepted: 09/04/2023] [Indexed: 09/12/2023]
Abstract
BACKGROUND Patient understanding of health information is crucial for successful pharmaceutical care. Pharmaceutical pictograms enable communication of medication instructions to patients who may not share a common language or are illiterate. However, cultural factors can impact the accurate interpretation of these visual aids. OBJECTIVES This study aimed to assess and compare the comprehensibility of two sets of pictograms from different cultural backgrounds among sub-Saharan migrants recently arrived in Europe. METHODS In June 2022, a cross-sectional survey was conducted at the Migrant Temporary Stay Center in Melilla, Spain. Participants were randomly assigned to interpret 10 pictograms from either the U.S. Pharmacopeia or South African counterparts, with a minimum of 50 participants per group. Following the International Organization for Standardization's testing comprehensibility criterion, pictograms achieving a 66.7% correct interpretation rate were considered acceptable. Health literacy was measured using a culturally validated sub-Saharan version of the European Health Literacy Survey Questionnaire (HLS-EU-Q16). Data analysis included Fisher's exact test or chi-square test (for qualitative variables) and the Mann-Whitney test (for quantitative variables). RESULTS A total of 106 participants were included (51 in the U.S. pharmacopeia group and 55 in the South African group). None of the assessed pictograms met the comprehensibility criterion, and both groups exhibited high nonresponse rates. The South African pictograms were better understood than the American ones for all intended messages, with a statistically significant difference in overall comprehension (p = 0.002). Additionally, the participants' country of birth was a statistically significant factor for comprehension (p = 0.019). CONCLUSIONS Our findings indicate that evaluated pharmaceutical pictograms cannot be validly used in newly arrived sub-Saharan immigrants in Europe. However, the significantly better comprehension of South African pictograms compared to North American ones highlights the importance of cultural alignment between pictograms and their prospective users for effective comprehensibility.
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Affiliation(s)
| | | | - Yasmin Cura
- Department of Pharmacy and Pharmaceutical Technology, Faculty of Pharmacy, University of Granada, Spain
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He M, Li K, Tan X, Zhang L, Su C, Luo K, Luo X, Liu C, Zhao M, Zhan X, Wang Q, Cen J, Lv J, Weng B, Feng Z, Ren L, Yang G, Wang F. Association of burnout with depression in pharmacists: A network analysis. Front Psychiatry 2023; 14:1145606. [PMID: 37032929 PMCID: PMC10076651 DOI: 10.3389/fpsyt.2023.1145606] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 03/06/2023] [Indexed: 04/11/2023] Open
Abstract
Background Burnout and depression have overlapping symptoms, but the extent of overlap remains unclear, and the complex relationship between burnout and depression in pharmacists is rarely explored. Methods We investigated burnout and depression in 1,322 frontline pharmacists, and explored the complex relationship between burnout and depression in those pharmacists using network analysis. Results Network analysis showed that there were 5 communities. A partial overlap was found between burnout and depressive symptoms in pharmacists. The nodes MBI-6 (I have become more callous toward work since I took this job), D18 (My life is meaningless), and D10 (I get tired for no reason) had the highest expected influence value. D1 (I feel down-hearted and blue) and D14 (I have no hope for the future) were bridge symptoms connected with emotional exhaustion and reduced professional efficacy, respectively. Conclusion A partial overlap exists between burnout and depressive symptoms in pharmacists, mainly in the connection between the emotional exhaustion and reduced professional efficacy and the depressive symptoms. Potential core targets identified in this study may inform future prevention and intervention.
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Affiliation(s)
- Mu He
- Chongqing Medical and Pharmaceutical College, Chongqing, China
| | - Kuiliang Li
- Department of Medical Psychology, Army Medical University, Chongqing, China
| | - Xuejiao Tan
- Department of Medical English, College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Lei Zhang
- Department of Medical English, College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Chang Su
- School of Educational Science, Chongqing Normal University, Chongqing, China
| | - Keyong Luo
- Department of Psychiatry, The 980th Hospital of PLA Joint Logistics Support Force, Shijiazhuang, China
| | - Xi Luo
- Department of Medical Psychology, Army Medical University, Chongqing, China
| | - Chang Liu
- BrainPark, Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, VIC, Australia
| | - Mengxue Zhao
- Department of Medical English, College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Xiaoqing Zhan
- Department of Medical Psychology, Army Medical University, Chongqing, China
| | - Qian Wang
- Department of Pharmacy, The Southwest Hospital of Army Medical University, Chongqing, China
| | - Jing Cen
- Department of Pharmacy, The Southwest Hospital of Army Medical University, Chongqing, China
| | - Jun Lv
- Department of Pharmacy, The Southwest Hospital of Army Medical University, Chongqing, China
| | - Bangbi Weng
- Department of Pharmacy, The Southwest Hospital of Army Medical University, Chongqing, China
| | - Zhengzhi Feng
- Department of Medical English, College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Lei Ren
- Department of Psychology, Fourth Military Medical University, Xi’an, China
| | - Guoyu Yang
- Department of Medical Psychology, Army Medical University, Chongqing, China
- Department of Developmental Psychology for Armyman, Army Medical University, Chongqing, China
| | - Feifei Wang
- Department of Medical Psychology, Army Medical University, Chongqing, China
- Department of Developmental Psychology for Armyman, Army Medical University, Chongqing, China
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Chui MA, Pohjanoksa-Mäntylä M, Snyder ME. Improving medication safety in varied health systems. Res Social Adm Pharm 2020; 15:811-812. [PMID: 31262427 DOI: 10.1016/j.sapharm.2019.04.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Accepted: 04/16/2019] [Indexed: 01/07/2023]
Affiliation(s)
- Michelle A Chui
- Social & Administrative Sciences Division, Sonderegger Research Center for Improved Medication Outcomes, University of Wisconsin - Madison School of Pharmacy, Madison, USA.
| | - Marika Pohjanoksa-Mäntylä
- Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Finland.
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