Dg. Morrow et al., ICONS IMPROVE OLDER AND YOUNGER ADULTS COMPREHENSION OF MEDICATION INFORMATION, The journals of gerontology. Series B, Psychological sciences and social sciences, 53(4), 1998, pp. 240-254
We examined whether timeline icons improved older and younger adults'
comprehension of medication information. In Experiment 1, comprehensio
n of instructions with the icon (icon/text format) and without the ico
n (text-only format) was assessed by questions about information that
was (a) implicit in the text but depicted explicitly by the icon (tota
l dose in a 24 hour period), (b) stated and depicted in the icon/text
condition (medication dose and times), and (c) stated but not depicted
by the icon (e.g., side effects). In a separate task, participants al
so recalled medication instructions (with or without the icon) after a
study period. We found that questions about dose and rime information
were answered more quickly and accurately when the icon was present i
n the instructions. Notably, icon benefits were greater for informatio
n that was implicit rather than stated in the text. This finding sugge
sts that icons can improve older and younger adults' comprehension by
reducing the need to draw some inferences. The icon also reduced effec
tive study time (study time per item recalled). In Experiment 2, icon
benefits did not occur for a less integrated version of the timeline i
con that, like the text required participants to integrate dose and ti
me information in order to identify the total daily dose. The integrat
ed version of the icon again improved comprehension, as in Experiment
1, as well as drawing inferences from memory. These findings show that
integrated timeline icons improved comprehension primarily by aiding
the integration of dose and time information. These findings are discu
ssed in terms of a situation model approach to comprehension.