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Pictograph-based discharge instructions for low-literate older adults after hip replacement surgery: development and
1School of Nursing, University of Massachusetts, Amherst, Amherst, MA 01003, USA. jeungokc@nursing.umass.edu
Pictograph-based discharge instructions improve understanding for patients with low literacy after hip replacement surgery. These visual aids are effective for complex care actions, benefiting diverse patient populations.
Area of Science:
- Health literacy
- Medical illustration
- Patient education
Background:
- Traditional text-based discharge instructions are inadequate for complex care and low-literacy patients.
- Effective communication of post-operative care is crucial for patient recovery and adherence.
- Older adults, particularly after hip replacement, may face challenges with written instructions.
Purpose of the Study:
- To develop and validate pictograph-based discharge instructions for older adults undergoing hip replacement surgery.
- To assess the appropriateness, accuracy, and relevance of visual discharge instructions.
- To evaluate the understandability and engagement of pictograph-based instructions.
Main Methods:
- Creation of low-literacy text and corresponding pictographs depicting discharge care actions.
- Expert review and validation of pictographs for appropriateness, accuracy, and relevance.
- Qualitative assessment of pictograph understandability and engagement by experts.
Main Results:
- Pictographs, using simple line drawings of stick figures, effectively convey action-based discharge instructions.
- Experts found the pictographs to be engaging and easy to comprehend.
- The pictograph approach demonstrated suitability for presenting complex discharge care actions.
Conclusions:
- Pictograph-based discharge instructions are a viable and effective tool for enhancing patient understanding.
- This visual method is particularly beneficial for patients with low literacy, including immigrants and refugees.
- The approach addresses communication challenges in acute care settings for diverse patient groups.
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