The effect of the Original MethOd at pharmacy To ENhAnce Support for Health Improvement in the limited Japanese proficiency patients visiting local community pharmacy: A randomized controlled trial

Patient Educ Couns. 2022 Feb;105(2):366-374. doi: 10.1016/j.pec.2021.05.034. Epub 2021 May 23.


Objectives: With an increase in globalization, the number of non-native-speaking citizens and tourists visiting local pharmacies is rapidly growing worldwide, creating linguistic and sociological problems. The aim of this study is to compare the effect of adding our original method, Original MethOd at pharmacy To ENhAnce Support for Health Improvement (OMOTENASHI), to the conventional medication counselling method (CMC) when counselling non-Japanese patients at the pharmacy.

Methods: The OMOTENASHI consists of tools written in multiple languages and illustrations to clarify the effects and side effects, and to confirm patients' understanding. 71 non-Japanese patients were recruited and randomly assigned to the OMOTENASHI or to the CMC in a 1:1 ratio. Comprehension and satisfaction level were evaluated.

Results: The overall comprehension level was significantly higher in the OMOTENASHI than in the CMC (75% vs 38%, p = 0.002), with a prominent difference in the recognition of the name, effects, side effects, precautions, and how to deal with side effects of the prescribed medication.

Conclusion: The OMOTENASHI to be a helpful tool in providing essential information to non-native-speaking patients.

Practice implication: The study highlighted the need to ensure every patient's safety and interests, and to avoid disadvantages caused by limited language proficiency in the globalization era.

Keywords: Community pharmacy; Language barrier; Medication counseling; Pharmacist.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Community Pharmacy Services*
  • Counseling
  • Humans
  • Japan
  • Pharmacies*
  • Pharmacists
  • Pharmacy*

Associated data

  • UMIN-CTR/UMIN000031723