I agree with Ms. Anson. Considering culture/understanding ethnicity will
help us understand others' interpretations of graphics. We live in a
multi-cultural society. We need to accept that "one size does not fit
all"; one presentation will rarely be interpreted universally. Thus,
strategic targeting of visuals, cultural awareness, focus testing, and
hopefully teach-back orientation.  Here's a graphic challenge for all.

What graphic(s) would depict the following.

3x daily without food. 

Graphics for:	Morning
			Mid-afternoon
			Bedtime

3x daily with food.

Graphics for:	Breakfast
			Lunch
			Dinner

We used a rising sun with a rooster to depict "morning" and several
focus participants thought it meant, "breakfast with chicken". 

I will be very interested to hear your response and grateful.

Thanks,
Marcia

___________________
Marcia L. Trenter
Special Assistant to the Office Director
Office of Training and Communications
Center for Drug Evaluation and Research
U.S. Food and Drug Administration
Rm 2436, Bldg. 51
10903 New Hampshire Avenue
Silver Spring, MD 20993-0002
301-796-3172
Fax 301-847-8718
E-mail marcia.trenter at fda.hhs.gov
______________________


-----Original Message-----
From: healthliteracy-bounces at nifl.gov
[mailto:healthliteracy-bounces at nifl.gov] On Behalf Of Laurie Anson
Sent: Wednesday, February 27, 2008 5:03 PM
To: The Health and Literacy Discussion List
Subject: [HealthLiteracy 1794] pill card

To the List -

As an RN, I recall having heard of the use of pill cards similar to  
the one shown. As I remember, there were some difficulties with the  
symbols used (sunrise, sunset, moon) across cultural lines. I think  
the use of pill cards is an excellent idea, as long as great care is  
taken to explain the symbols to the client. For instance, if there is  
no "sunset" to compare to "sunrise", then there might be some  
confusion about the significance of that particular symbol.


Laurie Anson
ansons at epix.net



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