02147nas a2200265   4500000000100000008004100001260002300042653001700065653003700082653001300119653002500132653001600157653002400173100001300197700001200210700001500222700001000237700001600247700001300263245013700276856007000413300000900483520136400492022002501856       2024                            d  bInforma UK Limited10aBuruli ulcer10aSkin neglected tropical diseases10a5 senses10aMedical illustration10aThink Aloud10aHealth care workers1 aButler J1 aOgden J1 aPhillips R1 aHay R1 aSimmonds RE1 aErolin C00aMultisensory medical illustrations of Buruli ulcer for improved disease detection, help seeking behaviour and adherence to treatment  uhttps://www.tandfonline.com/doi/pdf/10.1080/17453054.2024.2348170  a1-133 a<p>Buruli ulcer (BU) is a skin infection caused by Mycobacterium ulcerans and a neglected tropical disease of the skin (skin NTD). Antibiotic treatments are available but, to be effective in the absence of surgery, BU must be detected at its earliest stages (an innocuous-looking lump under the skin) and adherence to prescribed drugs must be high. This study aimed to develop multisensory medical illustrations of BU to support communication with at-risk communities. We used a Think Aloud method to explore community health workers’ (n¼ 6) experiences of BU with a focus on the role of their five senses, since these non-medical disease experts are familiar with the day-to-day challenges presented by BU. Thematic analysis of the transcripts identified three key themes relating to ‘Detection,’ ‘Help Seeking,’ and ‘Adherence’ with a transcending theme ‘Senses as key facilitators of health care’. New medical illustrations, for which we coin the phrase “5D illustrations” (signifying the contribution of the five senses) were then developed to reflect these themes. The senses therefore facilitated an enriched narrative enabling the production of relevant and useful visuals for health communication. The medical artist community could utilise sensory experiences to create dynamic medical illustrations for use in practice.</p>
  a1745-3054, 1745-3062