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Consumer Opinions on Existing and Proposed Australian Over-the-Counter Medicine Labeling Strategies in Comparison With the Standardized US Drug Facts Label

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Abstract

Background

With common over-the-counter (OTC) medication use, OTC labels as medicine information sources must be of high quality and usability. Standardized OTC labeling has been proposed in Australia using the Medicine Information Box (MIB), modeled on the US Drug Facts label. However, limited research has explored consumer opinions on existing nonstandardized Australian OTC, US Drug Facts, and proposed MIB labels. Therefore, this study aimed to explore consumer opinions on all 3 groups of OTC labels.

Methods

Three focus groups (N = 21 participants) were conducted in Sydney, Australia. Participants were shown existing Australian OTC labels, US Drug Facts labels, and mock MIB formats based on the Australian Therapeutic Goods Administration proposal. Discussions were audio recorded, transcribed verbatim, and thematically analyzed.

Results

Participants expressed varying opinions regarding existing nonstandardized Australian OTC labels’ content and design, from acknowledgment of positive aspects (clear headings, relevant content) to decreased perceived readability (suboptimal color use, font size) and content discrepancies. Participants identified key Drug Facts and MIB label characteristics that contributed to perceived usability and format clarity (good headings, black-and-white format). Many preferred the Drug Facts label because of its greater perceived clarity and usability. Missing content (inactive ingredients, further contact details) were identified and consequently became opportunities for MIB improvement.

Conclusions

Most participants seemed to prefer the US Drug Facts label, partly because of its perceived completeness. These findings suggest further improvements for the proposed MIB as a step toward Australian OTC label standardization.

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References

  1. Harris Interactive Inc. Attitudes and beliefs about the use of over-the-counter medicines: a dose of reality; a national survey of consumers and health professionals. http://www.bemedwise.org/survey/final_survey.pdf. Published 2002. Accessed December 7, 2015.

  2. Blom AT, Rens JA. Information about over-the-counter medication: the role of the pharmacy. Patient Educ Couns. 1989;14:181–189.

    Article  CAS  Google Scholar 

  3. Nabors LA, Lehmkuhl HD, Parkins IS, Drury AM. Reading about over-the-counter medications. Issues Compr Pediatr Nurs. 2004;27:297–305.

    Article  Google Scholar 

  4. Evans SW, John DN, Bloor MJ, Luscombe DK. Use of non-prescription advice offered to the public by community pharmacists. Int J Pharm Pract. 1997;5:16–25.

    Article  Google Scholar 

  5. Tong V, Raynor DK, Aslani P. Design and comprehensibility of over-the-counter product labels and leaflets: a narrative review. Int J Clin Pharm. 2014;36:865–872.

    Article  Google Scholar 

  6. Over-the-counter human drugs; labeling requirements. Federal Register. 1999;64:13254–13303. http://www.gpo.gov/fdsys/pkg/FR-1999-03-17/pdf/99-6296.pdf. Accessed December 7, 2015.

    Google Scholar 

  7. Aikin KJ. Consumer comprehension and preference for variations in the proposed over-the-counter drug labeling format: final report. Bethesda, MD: Center for Drug Evaluation and Research, US Food and Drug Administration; 1998.

    Google Scholar 

  8. Mendat CC, Watson AM, Mayhorn CB, Wogalter MS. Age differences in search time for two over-the-counter (OTC) drug label formats. Proc Hum Fact Ergon Soc Annu Meet. 2005;49:200–203.

    Article  Google Scholar 

  9. Shaver EF, Wogalter MS. A comparison of older vs. newer over-the-counter (OTC) nonprescription drug labels on search time accuracy. Proc Hum Fact Ergon Soc Annu Meet. 2003;47:826–830.

    Article  Google Scholar 

  10. Lalor D. Medicines labelling. Aust Prescr. 2011;34:136–138.

    Article  Google Scholar 

  11. Aslani P. Consumer medicine information conundrums. Aust Prescr. 2007;30:122–124.

    Article  Google Scholar 

  12. Australian Government Department of Health and Ageing Therapeutic Goods Administration. Australian regulatory guideline for over-the-counter medicines. Appendix 3: Guidelines on presentation aspects of OTC applications Version 1.0, October 2012. Australian Capital Territory: Therapeutic Goods Administration, 2012.

    Google Scholar 

  13. Therapeutic Goods Order No. 69: General requirements for labels for medicines, Australia. http://www.comlaw.gov.au/Details/F2014C00926. Published July 14, 2014. Accessed December 7, 2015.

  14. NPS Medicinewise. Naming, packaging and labelling of medicines: briefing prepared for the Department of Health and Ageing; quantitative and qualitative evidence and anecdotal information on the problems associated with confusing naming, packaging and labelling in Australia, November 2010. 2010.

  15. Australian Government Department of Health and Ageing Therapeutic Goods Administration. TGA medicine labelling and packaging review: consultation paper version 1.0, May 2012. Australian Capital Territory: Therapeutic Goods Administration, 2012. 55 p. Report No.: R12/759506.

    Google Scholar 

  16. Tong V, Raynor DK, Aslani P. ‘It’s all there in black and white’—or is it? Consumer perspectives on the proposed Australian Medicine Information Box over-the-counter label format [published online July 31, 2015]. Health Expect. doi: https://doi.org/10.1111/hex.12389.

    Article  Google Scholar 

  17. Krueger RA, Casey MA. Focus Groups: A Practical Guide for Applied Research. Thousand Oaks, CA: Sage Publications; 2009.

    Google Scholar 

  18. Green J, Thorogood N. Qualitative Methods for Health Research. 3rd ed. London: Sage Publications; 2014.

    Google Scholar 

  19. Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook. 2nd ed. Thousand Oaks, CA: Sage Publications; 1994.

    Google Scholar 

  20. Australian Government Department of Health and Ageing Therapeutic Goods Administration. Guideline for the labelling of medicines: Draft—Version 1.0, August 2014. Australian Capital Territory: Therapeutic Goods Administration, 2014. 39 p. Report No.: R14/643926.

    Google Scholar 

  21. Calamusa A, Di Marzio A, Cristofani R, et al. Factors that influence Italian consumers’ understanding of over-the-counter medicines and risk perception. Patient Educ Couns. 2012;87:395–401.

    Article  Google Scholar 

  22. Smith F, Newbould J. Perspectives of community groups on the reclassification of medicines from prescription to non-prescription. Int J Health Promot Educ. 2002;40:21–30.

    Article  Google Scholar 

  23. Kumar A, Rawlings RD, Beaman DC. The mystery ingredients: sweeteners, flavorings, dyes, and preservatives in analgesic/antipyretic, antihistamine/decongestant, cough and cold, antidiarrheal, and liquid theophylline preparations. Pediatrics. 1993;91:927–933.

    CAS  PubMed  Google Scholar 

  24. Hibbert D, Bissell P, Ward PR. Consumerism and professional work in the community pharmacy. Sociology of Health & Illness. 2002;24:46–65.

    Article  Google Scholar 

  25. Department for Transport. Over-the-counter medicines and the potential for unwanted sleepiness (No. 24). http://webarchive.nationalarchives.gov.uk/20070206175455/http://www.dft.gov.uk/pdf/pgr/roadsafety/research/rsrr/theme3/overthecountermedicinesandth4772. Accessed December 7, 2015.

  26. Joshi MP, Vaidya RX, De Sousa E, Mangaonkar S. Assessment of over-the-counter medicine labels in India for patient information. Pharma Times. 2012;44:20–21.

    Google Scholar 

  27. European Commission. Guideline on the readability of the labelling and package leaflet of medicinal products for human use. Revision 1, 12 January 2009. Brussels: European Commission. http://ec.europa.eu/health/files/eudralex/vol-2/c/2009_01_12_readability_guideline_final_en.pdf. Published 2009. Accessed December 7, 2015.

  28. Wogalter MS, Vigilante WJ Jr.. Effects of label format on knowledge acquisition and perceived readability by younger and older adults. Ergonomics. 2003;46:327–344.

    Article  Google Scholar 

  29. Communication Research Institute of Australia. Labelling Code of Practice: Designing Usable Non-prescription Medicine Labels for Consumers. Canberra: Communication Research Press; 2004.

    Google Scholar 

  30. Trivedi H, Trivedi A, Hannan MF. Readability and comprehensibility of over-the-counter medication labels. Ren Fail. 2014;36:473–477.

    Article  Google Scholar 

  31. Yin HS, Parker RM, Wolf MS, et al. Health literacy assessment of labeling of pediatric nonprescription medications: examination of characteristics that may impair parent understanding. Acad Pediatr. 2012;12:288–296.

    Article  Google Scholar 

  32. National Council on Patient Information and Education. Uses and attitudes about taking over-the-counter medicines: findings of a 2003 national opinion survey conducted for the National Council on Patient Information and Education: executive summary. http://bemedwise.org/survey/summary_survey_findings.pdf. Accessed December 7, 2015.

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Correspondence to Vivien Tong BPharm(Hons), GradCertPharmPrac.

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Tong, V., Raynor, D.K., Hamrosi, K.K. et al. Consumer Opinions on Existing and Proposed Australian Over-the-Counter Medicine Labeling Strategies in Comparison With the Standardized US Drug Facts Label. Ther Innov Regul Sci 50, 427–435 (2016). https://doi.org/10.1177/2168479016628301

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