ArticleAcademic pediatrics
Parent Preferences and Perceptions of Milliliters and Teaspoons: Role of Health Literacy and Experience.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Syntax Error: Variations in the Verbiage of Prescription Labels for Pediatric Liquid Medications.Cureus · 2024Article
- NCPDP recommendations for standardizing dosing in metric units (mL) on prescription container labels of oral liquid medications, version 2.0.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2021Article
- Development and Validation of WeCares, a Survey Instrument to Assess Hospitalized Patients' and Family Members' "Willingness to Engage in Your Care and Safety".Joint Commission journal on quality and patient safety · 2020Article
- Literature review of medication administration problems in paediatrics by parent/caregiver and the role of health literacy.BMJ paediatrics open · 2020Article
- Pharmacotherapy Literacy and Parental Practice in Use of Over-the-Counter Pediatric Medicines.Medicina (Kaunas, Lithuania) · 2019Article
- Changes in Provider Perceptions and Practices Regarding Dosing Units for Oral Liquid Medications.Academic pediatricsArticle
- Evaluation of Pharmacist Perceptions and Practices Regarding Dispensing Oral Liquid Medications.Academic pediatricsArticle
- Primary Care Provider Perceptions and Practices Regarding Dosing Units for Oral Liquid Medications.Academic pediatricsArticle
- Health Literacy-Related Safety Events: A Qualitative Study of Health Literacy Failures in Patient Safety Events.Pediatric quality & safetyArticle
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Authors and funding
11 authors.
Funding
Abstract
BACKGROUND AND
objectivesA recent American Academy of Pediatrics policy statement recommends milliliter-exclusive dosing for pediatric liquid medications. Little is known about parent preferences regarding units, perceptions about moving to milliliters only, and the role of health literacy and prior milliliter-dosing experience.
methodsCross-sectional analysis of data collected as part of a randomized controlled study in 3 urban pediatric clinics (SAFE Rx for Kids study). English- and Spanish-speaking parents (n = 493) of children aged ≤8 years were randomized to 1 of 4 study arms and given labels and dosing tools which varied in label instruction format (text plus pictogram, text only) and units (milliliter only ["mL"], milliliter/teaspoon ["mL"/"tsp"]). Outcomes included teaspoon preference in dosing instructions and perceived difficulty with milliliter-only dosing. The predictor variable was health literacy (Newest Vital Sign; low [0-1], marginal [2-3], adequate [4-6]). The mediating variable was prior milliliter-dosing experience.
resultsOver two-thirds of parents had low or marginal health literacy. The majority (>70%) preferred to use milliliters, perceived milliliter-only dosing to be easy, and had prior milliliter-dosing experience; 11.5% had a teaspoon preference, 18.1% perceived milliliter-only dosing will be difficult, and 17.7% had no prior milliliter-dosing experience. Parents with lower health literacy had a higher odds of having a teaspoon preference (low vs adequate: adjusted odds ratio [AOR] = 2.9 [95% confidence interval [CI] 1.3-6.2]), and greater odds of perceiving difficulty with milliliter-only dosing (low vs adequate: AOR = 13.9 [95% CI 4.8-40.6], marginal vs adequate: AOR = 7.1 [95% CI 2.5-20.4]). Lack of experience with milliliter dosing partially mediated the impact of health literacy.
conclusionsMost parents were comfortable with milliliter-only dosing. Parents with low health literacy were more likely to perceive milliliter-only dosing to be difficult; educational efforts will need to target this group to ensure safe medication use.
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