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Public awareness and views on unlicensed use of medicines in children
T L Mukattash1, J S Millership, P S Collier
1Clinical and Practice Research Group, School of Pharmacy, Queen's University Belfast, Belfast, UK.
Insights
Public awareness of unlicensed medicines in children is low. Most people are reluctant to enroll children in clinical trials, especially for non-life-threatening conditions.
Area of Science:
- Pediatric pharmacology
- Public health research
- Clinical trial ethics
Background:
- Unlicensed medicine use in children is common but poorly understood by the public.
- Public perception significantly influences participation in pediatric clinical trials.
Purpose of the Study:
- To assess public awareness and views on the unlicensed use of medicines in children.
- To gauge public opinion regarding the participation of children in clinical trials.
Main Methods:
- A questionnaire survey was conducted with 1000 members of the general public in N. Ireland.
- Face-to-face interviews were administered in public areas to collect data.
Main Results:
- 86% of participants lacked prior knowledge of unlicensed medicine use in children.
- 92% believed parents should be informed about unlicensed medicine use.
- Willingness to enroll children in clinical trials varied significantly based on the child's health status (3.9% for healthy children vs. 41.9% for life-threatening conditions).
Conclusions:
- There is a significant gap in public knowledge regarding the use of unlicensed medicines in pediatric populations.
- Public willingness to involve children in clinical trials is conditional, particularly for severe health conditions.
Aims:
To explore awareness and views of the general public on unlicensed use of medicines in children and on the participation of children in clinical trials.
Methods:
Members of the public completed a questionnaire survey administered by face-to-face interview in public areas in N. Ireland. The main outcome measures were the views on unlicensed use of medicines in children and on clinical trials in children.
Results:
One thousand participants (59.2% female) took part; 610 were parents. Most participants (86%) had no previous knowledge about unlicensed use of medicines in children. Being a parent did not influence this nor did being a parent of a child who suffered from a health problem (P > 0.05). Most participants (92%) felt that parents should be told about unlicensed use of medicines, with the doctor most frequently selected as the person who should inform parents. At the outset, only 1.8% of participants felt that the use of medicines in children was unsafe. However, having been informed about unlicensed use of medicines, this proportion increased dramatically (62.4%; P < 0.001). Views on whether participants would enter a child of their own into a clinical trial varied according to the health status of the child (P < 0.05) i.e. a child in good health (3.9%) vs a child with a life-threatening condition (41.9%).
Conclusions:
There is limited public knowledge of unlicensed use of medicines in children and a general reluctance to involve children in clinical trials unless the child to be involved has a life-threatening condition.
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