Parent Dosing Tool Use, Beliefs, and Access: A Health Literacy Perspective
| Autor: | Stacy Cooper Bailey, Michael S. Wolf, Tiffany A. Williams, Lee M. Sanders, Alan L. Mendelsohn, Ruth M. Parker, H. Shonna Yin, Benard P. Dreyer, Jessica J. Velazquez |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Psychological intervention Health literacy Logistic regression Article Odds law.invention 03 medical and health sciences 0302 clinical medicine Drug Delivery Systems Randomized controlled trial law 030225 pediatrics Medicine Humans Medication Errors 030212 general & internal medicine Dosing business.industry Perspective (graphical) Infant Health Literacy Increased risk Cross-Sectional Studies Pharmaceutical Preparations Family medicine Child Preschool Pediatrics Perinatology and Child Health Female business |
| Zdroj: | J Pediatr |
| ISSN: | 1097-6833 |
| Popis: | Objectives To assess parent decision-making regarding dosing tools, a known contributor to medication dosing errors, by evaluating parent dosing tool use, beliefs, and access, and the role of health literacy, with a focus on dosing cups, which are associated with an increased risk of multifold overdose. Study design Cross-sectional analysis of data collected for randomized controlled study in 3 urban pediatric clinics. English/Spanish-speaking parents (n = 493) of children ≤8 years of age enrolled. Outcomes: reported tool use, beliefs, and access. Predictor variable: health literacy (Newest Vital Sign; limited [0-3], adequate [4-6]). Multiple logistic regression analyses conducted. Results Over two-thirds of parents had limited health literacy. Oral syringes (62%) and dosing cups (22%) were most commonly used. Overall, 24% believed dosing cups were the best tool type for dosing accuracy; 99% reported having access to ≥1 dosing tools with standard measurement markings. Parents with limited health literacy had greater odds of dosing cup use (limited vs adequate: aOR = 2.4 [1.2-4.6]). Parents who believed that dosing cups are best for accuracy had greater odds of dosing cup use (aOR = 16.3 [9.0-29.3]); this belief mediated health literacy-effects on dosing cup use. Conclusions Factors associated with dosing tool choice, including parent health literacy and beliefs are important to consider in the design of interventions to reduce dosing errors; future larger-scale studies addressing this issue are needed. |
| Databáze: | OpenAIRE |
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