Suchergebnisse

À partir d'une perspective poststructuraliste et féministe, les auteures explorent, dans le contexte du discours dominant de l'obésité, les constructions discursives de la santé de 20 jeunes femmes vivant en situation de handicap visuel. Dans un premier temps, elles utilisent l'écriture évocatrice afin de rapporter les résultats de l'analyse thématique. Cette dernière leur permet de mettre en scène deux résultats émergents: la santé est principalement construite en termes corporels et en tant que responsabilité individuelle liée à l'adoption de pratiques sanitaires. Dans un second temps, les récits des jeunes femmes sont examinés par l'entremise d'une analyse poststructuraliste du discours. À partir de celle-ci, les auteures notent les positions multiples et fluides que les jeunes femmes adoptent en tant que « sujets » : à certains moments en tant que sujets « néolibéraux », reproduisant sans les remettre en question les éléments de certains discours dominants de la santé et de l'obésité, mais à d'autres moments en tant que sujets « poststructuralistes », capables d'apporter un regard critique sur les discours dominants et ainsi de reconstruire la notion de santé autrement et de manière moins oppressive.

Piotr Merks,1,2,* Damian Åšwieczkowski,3,* Marcin Balcerzak,4 Ewelina Drelich,4 Katarzyna BiaÅ'oszewska,5 Natalia Cwalina,3 Jerzy Krysinski,1 MiÅ'osz Jaguszewski,3 Annie Pouliot,6 Regis Vaillancourt6 1Department of Pharmaceutical Technology, Collegium Medicum in Bydgoszcz, Nicolaus University in Torun, Bydgoszcz-Torun, Poland; 2Piktorex Sp. z.o.o., Warsaw, Poland; 3First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland; 4Farenta Polska, Warsaw, Poland; 5Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland; 6Children's Hospital of Eastern Ontario, Ottawa, ON, Canada *These authors contributed equally to this work Introduction: The search for new ways to optimize the use of medications by patients has led the pharmaceutical community to promote the idea of introducing pictograms into routine practice. The main intention of pictograms is to ease patient adherence and to reduce potential risks or errors associated with the use of medications. Purpose: To evaluate a series of pharmaceutical pictograms for patient comprehension. Patients and methods: The study was conducted in community pharmacies within a European Union country that belongs to the professional research network. Structured interviews were used to evaluate the pictograms for patient comprehension. This consisted of an assessment of the following: the transparency and translucency of the pictograms, health literacy, and pictogram recall. Participants were also given the opportunity to provide feedback on how to improve the pictograms. The primary endpoint was pictogram comprehension. Secondary outcomes included recall of the pictograms and pictogram translucency. Results: The study included 68 patients with whom face-to-face interviews were performed. Low transparency results (≤25%) and extensive patient feedback in initial interviews led to the withdrawal of certain pictograms (n=15) from the evaluation. Among the pictograms included in the final stage of our research, 22 pictograms (62.8%) obtained an acceptable transparency level ≥66%. All pictograms passed the short-term recall test with positive results. Conclusion: A majority of the designed and modified pictograms reached satisfactory guessability scores. Feedback from patients enabled modification of the pictograms and proved that patients have an important voice in the discussion regarding the design of additional pictograms. Keywords: pharmaceutical pictograms, elderly population, health literacy, community pharmacy, Poland