Design, development, and evaluation of visual aids for communicating prescription drug instructions to nonliterate patients in rural Cameroon
Abstract
In this study, culturally sensitive visual aids designed to help convey drug information to nonliterate female adults who had a prescription for a solid oral dosage form of antibiotic medications were developed and evaluated. The researchers conceptualized the educational messages while a local artist produced the visual aids. Seventy-eight female ambulatory patients were evaluated for comprehension and compliance with antibiotic prescription instructions. The study was conducted in three health centers in Cameroon, West Africa and followed a pre-test, post-test, and follow-up format for three groups: two experimental, and one control. All participants were randomly assigned to either experimental or control groups, 26 patients to each group. Subjects in the experimental groups received visual aids alone or visual aids plus an Advanced Organizer. A comparison of the three groups showed that subjects in the experimental groups scored significantly higher than the control group in both the comprehension and compliance measures.
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Social learning theory (Ngoh and Shepherd, 1997) leveraged observational learning to promote responsible antibiotic use.
“Similarly, social learning theory (Ngoh and Shepherd, 1997) leveraged observational learning to promote responsible antibiotic use.”
From Public-targeted interventions addressing antimicrobial resistance and antibiotic use in Sub-Saharan Africa: a scoping review (2025) · cites this paper as Ngoh and Shepherd, 1997
Research by Appiah et al (2021) and Ngoh and Shepherd (1997) demonstrates the value of culturally sensitive communication strategies, such as storytelling, visual aids and picture drawing.
“Research by Appiah et al (2021) and Ngoh and Shepherd (1997) demonstrates the value of culturally sensitive communication strategies, such as storytelling, visual aids and picture drawing.”
From Public-targeted interventions addressing antimicrobial resistance and antibiotic use in Sub-Saharan Africa: a scoping review (2025) · cites this paper as Ngoh and Shepherd (1997)
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- Authors
- Ngoh, L. N., & Shepherd, M. D.
- Affiliations
- Ferris State University (US)
- The University of Texas at Austin (US)
- Corresponding author
- Ngoh, Lucy N.
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 1997-03
- Volume
- 30
- Issue
- 3
- Pages
- 257-270
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W1988790779
- Cited by
- 117
- References
- 68
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 7 · 2014: 8 · 2013: 10 · 2012: 8
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- visual aids, culturally sensitive health education, medication adherence, medication comprehension, advance organizers, rural Cameroon, female patients, oral dosage forms
- MeSH terms
- Adolescent, Adult, Anti-Bacterial Agents, Audiovisual Aids, Cameroon, Educational Measurement, Educational Status, Female, Humans, Middle Aged, Patient Education as Topic, Pregnancy, Drug Prescriptions, Rural Health, Program Evaluation, Program Development
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