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Comparison of 2 vitamin D supplementation modalities in newborns: adherence and preference
Celia Rodd1, Sonia Jean-Philippe, Catherine Vanstone
1Montreal Children's Hospital, McGill University, Montreal, Canada. celia.rodd@mcgill.ca
Insights
Vitamin D filmstrips significantly improved infant and parent adherence compared to traditional dropper supplements. This novel delivery method offers a promising solution to enhance vitamin D supplementation compliance and prevent rickets.
Area of Science:
- Pediatrics
- Nutritional Science
- Public Health
Background:
- Vitamin D deficiency is a significant risk factor for rickets in infants.
- Traditional vitamin D supplementation methods, such as droppers, often face adherence challenges.
- Improving adherence is crucial for effective rickets prevention.
Purpose of the Study:
- To compare parent and infant preference between vitamin D filmstrips and dropper-administered cholecalciferol.
- To evaluate the impact of different delivery methods on supplementation adherence.
- To identify strategies for improving vitamin D intake in infants.
Main Methods:
- A randomized cross-over study design was employed.
- Infants received 400 IU of cholecalciferol via filmstrip or dropper.
- Infant and parent preference scores, along with adherence rates, were compared.
Main Results:
- A strong parent preference for the filmstrip delivery method was observed (85.4%).
- The filmstrip group demonstrated higher infant and parental satisfaction scores.
- Compliance rates were significantly better with the filmstrip compared to the dropper.
Conclusions:
- Vitamin D filmstrips represent a preferred and more easily administered alternative to traditional droppers.
- Improved acceptance and ease of use associated with filmstrips can enhance adherence.
- This novel delivery system holds potential for improving vitamin D supplementation and rickets prevention efforts.
Abstract:
Lack of adherence with vitamin D supplementation is still a risk factor for rickets. In a randomized cross-over design, infants received 400 IU cholecalciferol by dropper (1 mL syrup) or filmstrip. Infant and parent preference scores and adherence were then compared. Forty-three parents of healthy infants preferred the filmstrip (85.4% of parents; 95% confidence interval of 70.1%-93.9%; p < 0.001), a result that was corroborated by higher infant and parental scores and compliance. Ease of administration of supplements with improved acceptance may improve adherence.
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