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Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication

Amelia Huw Morgan, Delyth James Orcid Logo

Patient Education and Counseling, Volume: 132, Start page: 108589

Swansea University Author: Delyth James Orcid Logo

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DOI (Published version): 10.1016/j.pec.2024.108589

Abstract

ObjectivesTo examine how embedding an illustrator in the process of co-producing resources to support shared decision-making (SDM) can enhance communication between patients and healthcare professionals (HCPs).MethodsThree case studies were identified involving high-risk medications where the utilit...

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Published in: Patient Education and Counseling
ISSN: 0738-3991
Published: Elsevier BV 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa69682
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last_indexed 2025-07-16T05:01:00Z
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spelling 2025-07-15T12:13:43.7515423 v2 69682 2025-06-11 Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication dc24cdd4d09d96fa49a0f213d1060cf9 0000-0001-7434-7064 Delyth James Delyth James true false 2025-06-11 MEDS ObjectivesTo examine how embedding an illustrator in the process of co-producing resources to support shared decision-making (SDM) can enhance communication between patients and healthcare professionals (HCPs).MethodsThree case studies were identified involving high-risk medications where the utility of effective visual communication resources is key to SDM due to the risk of information being misinterpreted leading to potential serious adverse effects. An iterative approach was adopted to the phases of co-production, where the Illustrator acted as a conduit between patients and specialist knowledge of the clinical team. The expertise of the Illustrator was harnessed to balance the use of visual and written information, working with the HCPs in co-creating the messaging.ResultsCase Study 1 relates to the urgent administration of hydrocortisone injection for adrenal crisis in adults and children. Case Study 2 relates to self-management of the need to adjust oral corticosteroid dosing during periods of adrenal insufficiency to prevent adrenal crisis. Case Study 3 focused on women with reproductive potential prescribed or considering sodium valproate for the management of epilepsy. The benefits of involving an Illustrator were evident across all case studies, invoking supportive, empowering and empathic visual communication throughout, leading to removal of some text by the clinical team.ConclusionsHarnessing the expertise of Illustrators as part of a multi-disciplinary team with patients was seen as an enabler for authentic co-production to support an empathic approach to SDM in these three case studies. Further evaluation is needed to assess the impact of the use of visual communication resources of this nature in healthcare, and the impact on patient behaviours and clinical outcomes. Journal Article Patient Education and Counseling 132 108589 Elsevier BV 0738-3991 Shared decision-making; Illustrator; Coproduction; Empathy; Visual communication; Patient preference; Patient perspectives; Healthcare professional; High-risk medicines 1 3 2025 2025-03-01 10.1016/j.pec.2024.108589 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee Welsh Government (Grant no. MA/EM/0137/23) 2025-07-15T12:13:43.7515423 2025-06-11T14:33:47.1309563 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Pharmacy Amelia Huw Morgan 1 Delyth James 0000-0001-7434-7064 2 69682__34769__7cc69bbaba8b4ccca03b344f07ec3bac.pdf 69682.VoR.pdf 2025-07-15T12:11:46.2565997 Output 1076118 application/pdf Version of Record true © 2024. This is an open access article under the CC BY license. true eng http://creativecommons.org/licenses/by/4.0/
title Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication
spellingShingle Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication
Delyth James
title_short Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication
title_full Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication
title_fullStr Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication
title_full_unstemmed Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication
title_sort Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication
author_id_str_mv dc24cdd4d09d96fa49a0f213d1060cf9
author_id_fullname_str_mv dc24cdd4d09d96fa49a0f213d1060cf9_***_Delyth James
author Delyth James
author2 Amelia Huw Morgan
Delyth James
format Journal article
container_title Patient Education and Counseling
container_volume 132
container_start_page 108589
publishDate 2025
institution Swansea University
issn 0738-3991
doi_str_mv 10.1016/j.pec.2024.108589
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Pharmacy{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Pharmacy
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description ObjectivesTo examine how embedding an illustrator in the process of co-producing resources to support shared decision-making (SDM) can enhance communication between patients and healthcare professionals (HCPs).MethodsThree case studies were identified involving high-risk medications where the utility of effective visual communication resources is key to SDM due to the risk of information being misinterpreted leading to potential serious adverse effects. An iterative approach was adopted to the phases of co-production, where the Illustrator acted as a conduit between patients and specialist knowledge of the clinical team. The expertise of the Illustrator was harnessed to balance the use of visual and written information, working with the HCPs in co-creating the messaging.ResultsCase Study 1 relates to the urgent administration of hydrocortisone injection for adrenal crisis in adults and children. Case Study 2 relates to self-management of the need to adjust oral corticosteroid dosing during periods of adrenal insufficiency to prevent adrenal crisis. Case Study 3 focused on women with reproductive potential prescribed or considering sodium valproate for the management of epilepsy. The benefits of involving an Illustrator were evident across all case studies, invoking supportive, empowering and empathic visual communication throughout, leading to removal of some text by the clinical team.ConclusionsHarnessing the expertise of Illustrators as part of a multi-disciplinary team with patients was seen as an enabler for authentic co-production to support an empathic approach to SDM in these three case studies. Further evaluation is needed to assess the impact of the use of visual communication resources of this nature in healthcare, and the impact on patient behaviours and clinical outcomes.
published_date 2025-03-01T05:28:51Z
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