Multicentre Study of
Caregivers’ Literacy
Regarding Their Child’s
Medication Use
Christine H. Smith MBBS
Natalie Phillips ...
Pretx.org
Medications
• 75% of medications used by
children were never tested in
children
• The dose used is derived
frequently from...
When it Really Matters
• Millions of families bring their
children to the emergency
department every year.
– Primary provi...
In Emergency
•
•
•
•

Lack of previous records
Busy setting
Primary providers unavailable
No time to search external recor...
Pharmanet modernization. Quality Forum 2013
Pharmanet modernization. Quality Forum 2013
Objective
To assess the ability of parents and
caregivers to recall and
communicate information regarding
their children’s...
Methods
•
•
•
•
•

4 emergency departments
Interview with parents
Children 0-18 years
Structured 15-question survey
During...
Results
•
•
•
•

1563 caregivers were approached
1433 (92%) interviews completed
Primary care provider in 1376 (96%)
1 or ...
1564 Approached
1433 (92%) Completed
468 (33%)
Using no
Prescribed or
OTC Meds

468 (67%)
Using
Prescribed or
OTC Meds
Medical Problems
Number of Medications
Results
• Meaningful name in
1669 (82%) medications
• Name and dose for
987 (49%) medications
Meaningful Name
Meaningful Name and Dose
Side Effects Known
MEDICATION TYPES

OTC MEDICATIONS 1089
(54%)

LANGUAGE AT HOME

PRESCRIBED MEDICATIONS
926 (46%)

NOT ENGLISH 328 (16%)

E...
MEDICATION TYPES

OTC MEDICATIONS 1089
(54%)

LANGUAGE AT HOME

PRESCRIBED MEDICATIONS
926 (46%)

NOT ENGLISH 328 (16%)

E...
MEDICATION TYPES

OTC MEDICATIONS 1089
(54%)

LANGUAGE AT HOME

PRESCRIBED MEDICATIONS
926 (46%)

ENGLISH 1695 (84%)

NOT ...
MEDICATION TYPES

OTC MEDICATIONS 1089
(54%)

LANGUAGE AT HOME

PRESCRIBED MEDICATIONS
926 (46%)

ENGLISH 1695 (84%)

NOT ...
Conclusions
Caregivers provided limited information
regarding their child’s medication dose
Especially :
- English as a se...
Conclusions
We suggest :

– Develop strategies to optimise
medication literacy
– Provide medication lists to your
patients...
Caregivers' Functional Literacy of their Children's Medication use
Caregivers' Functional Literacy of their Children's Medication use
Caregivers' Functional Literacy of their Children's Medication use
Caregivers' Functional Literacy of their Children's Medication use
Caregivers' Functional Literacy of their Children's Medication use
Caregivers' Functional Literacy of their Children's Medication use
Caregivers' Functional Literacy of their Children's Medication use
Upcoming SlideShare
Loading in …5
×

Caregivers' Functional Literacy of their Children's Medication use

290 views

Published on

This presentation was delivered in session B2 of Quality Forum 2014 by:

Ran Goldman
Professor, Department of Pediatrics
UBC

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
290
On SlideShare
0
From Embeds
0
Number of Embeds
13
Actions
Shares
0
Downloads
4
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Caregivers' Functional Literacy of their Children's Medication use

  1. 1. Multicentre Study of Caregivers’ Literacy Regarding Their Child’s Medication Use Christine H. Smith MBBS Natalie Phillips MBBS Alan L. Nager MD MHA Daniel M. Cohen MD Ran D. Goldman MD
  2. 2. Pretx.org
  3. 3. Medications • 75% of medications used by children were never tested in children • The dose used is derived frequently from adult studies
  4. 4. When it Really Matters • Millions of families bring their children to the emergency department every year. – Primary provider is unavailable – Late at night – Perceiving emergency situation
  5. 5. In Emergency • • • • Lack of previous records Busy setting Primary providers unavailable No time to search external records
  6. 6. Pharmanet modernization. Quality Forum 2013
  7. 7. Pharmanet modernization. Quality Forum 2013
  8. 8. Objective To assess the ability of parents and caregivers to recall and communicate information regarding their children’s medication usage in a pediatric Emergency Department (ED) population.
  9. 9. Methods • • • • • 4 emergency departments Interview with parents Children 0-18 years Structured 15-question survey During the 7 days prior to their visit
  10. 10. Results • • • • 1563 caregivers were approached 1433 (92%) interviews completed Primary care provider in 1376 (96%) 1 or more meds by 965 (67%) children
  11. 11. 1564 Approached 1433 (92%) Completed 468 (33%) Using no Prescribed or OTC Meds 468 (67%) Using Prescribed or OTC Meds
  12. 12. Medical Problems
  13. 13. Number of Medications
  14. 14. Results • Meaningful name in 1669 (82%) medications • Name and dose for 987 (49%) medications
  15. 15. Meaningful Name
  16. 16. Meaningful Name and Dose
  17. 17. Side Effects Known
  18. 18. MEDICATION TYPES OTC MEDICATIONS 1089 (54%) LANGUAGE AT HOME PRESCRIBED MEDICATIONS 926 (46%) NOT ENGLISH 328 (16%) ENGLISH 1695 (84%) • MEANINGFUL NAME 826 (76%) • MEANINGFUL NAME 838 (91%) • MEANINGFUL NAME 1424 (84%) • MEANINGFUL NAME 245 (75%) • MEANINGFUL NAME AND DOSE 426 (39%)) • MEANINGFUL NAME AND DOSE (563 (60%) • MEANINGFUL NAME AND DOSE 820 (48%) • MEANINGFUL NAME AND DOSE 167 (51%)
  19. 19. MEDICATION TYPES OTC MEDICATIONS 1089 (54%) LANGUAGE AT HOME PRESCRIBED MEDICATIONS 926 (46%) NOT ENGLISH 328 (16%) ENGLISH 1695 (84%) • MEANINGFUL NAME 826 (76%) • MEANINGFUL NAME 838 (91%) • MEANINGFUL NAME 1424 (84%) • MEANINGFUL NAME 245 (75%) • MEANINGFUL NAME AND DOSE 426 (39%)) • MEANINGFUL NAME AND DOSE (563 (60%) • MEANINGFUL NAME AND DOSE 820 (48%) • MEANINGFUL NAME AND DOSE 167 (51%) P < 0.001
  20. 20. MEDICATION TYPES OTC MEDICATIONS 1089 (54%) LANGUAGE AT HOME PRESCRIBED MEDICATIONS 926 (46%) ENGLISH 1695 (84%) NOT ENGLISH 328 (16%) • MEANINGFUL NAME 826 (76%) • MEANINGFUL NAME 838 (91%) • MEANINGFUL NAME 1424 (84%) • MEANINGFUL NAME 245 (75%) • MEANINGFUL NAME AND DOSE 426 (39%)) • MEANINGFUL NAME AND DOSE (563 (60%) • MEANINGFUL NAME AND DOSE 820 (48%) • MEANINGFUL NAME AND DOSE 167 (51%)
  21. 21. MEDICATION TYPES OTC MEDICATIONS 1089 (54%) LANGUAGE AT HOME PRESCRIBED MEDICATIONS 926 (46%) ENGLISH 1695 (84%) NOT ENGLISH 328 (16%) • MEANINGFUL NAME 826 (76%) • MEANINGFUL NAME 838 (91%) • MEANINGFUL NAME 1424 (84%) • MEANINGFUL NAME 245 (75%) • MEANINGFUL NAME AND DOSE 426 (39%)) • MEANINGFUL NAME AND DOSE (563 (60%) • MEANINGFUL NAME AND DOSE 820 (48%) • MEANINGFUL NAME AND DOSE 167 (51%) P < 0.001
  22. 22. Conclusions Caregivers provided limited information regarding their child’s medication dose Especially : - English as a second language - Patients using OTC medications
  23. 23. Conclusions We suggest : – Develop strategies to optimise medication literacy – Provide medication lists to your patients – Advocate bringing meds to health care providers

×