PT  - JOURNAL ARTICLE
AU  - Kelly Ebels
AU  - Dunia Faulx
AU  - Emily Gerth-Guyette
AU  - Peninah Murunga
AU  - Samarendra Mahapatro
AU  - Manoja Kumar Das
AU  - Amy Sarah Ginsburg
TI  - Optimising adherence to childhood pneumonia treatment: the design and development of patient instructions and a job aid for amoxicillin dispersible tablets
AID  - 10.1136/archdischild-2015-308543
DP  - 2016 Jan 01
TA  - Archives of Disease in Childhood
PG  - 57--62
VI  - 101
IP  - 1
4099  - http://adc.bmj.com/content/101/1/57.short
4100  - http://adc.bmj.com/content/101/1/57.full
SO  - Arch Dis Child2016 Jan 01; 101
AB  - Introduction Pneumonia is the leading cause of death from infection in children worldwide. Despite global treatment recommendations that call for children with pneumonia to receive amoxicillin dispersible tablets, only one-third of children with pneumonia receive any antibiotics and many do not complete the full course of treatment. Poor adherence to antibiotics may be driven in part by a lack of user-friendly treatment instructions.Objective In order to optimise childhood pneumonia treatment adherence at the community level, we developed a user-friendly product presentation for caregivers and a job aid for healthcare providers (HCPs). This paper aims to document the development process and offers a model for future health communication tools.Methods We employed an iterative design process that included document review, key stakeholder interviews, engagement with a graphic designer and pre-testing design concepts among target users in India and Kenya. The consolidated criteria for reporting qualitative research were used in the description of results.Results Though resources for pneumonia treatment are available in some countries, their content is incomplete and inconsistent with global recommendations. Document review and stakeholder interviews provided the information necessary to convey to caregivers and recommendations for how to present this information. Target users in India and Kenya confirmed the need to support better treatment adherence, recommended specific modifications to design concepts and suggested the development of a companion job aid. There was a consensus among caregivers and HCPs that these tools would be helpful and improve adherence behaviours.Conclusions The development of user-friendly instructions for medications for use in low-resource settings is a critically important but time-intensive and resource-intensive process that should involve engagement with target audiences.