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What do children with cancer know about their medications?
Tamara Macdonald1, Derek Macdonald, Bruce Crooks
1IWK/ Dalhousie University. Halifax , Nova Scotia ( Canada ).
Insights
Children with Acute Lymphoblastic Leukemia (ALL) demonstrate low health literacy regarding their medications. Most pediatric patients desire increased involvement in medication education to improve understanding.
Area of Science:
- Pediatric Oncology
- Health Literacy Research
- Qualitative Health Research
Background:
- Children with Acute Lymphoblastic Leukemia (ALL) require complex medication regimens.
- Understanding medication is crucial for adherence and managing treatment side effects.
Purpose of the Study:
- To assess the health literacy of pediatric patients with ALL concerning their prescribed medications.
- To explore children's knowledge of medication properties, habits, and educational experiences.
Main Methods:
- Qualitative study employing semi-structured interviews with 16 children (ages 6-18) diagnosed with ALL.
- Interviews focused on medication knowledge, habits, and educational engagement.
Main Results:
- Younger children (mean age 7.5) had limited knowledge, answering an average of 51% on color, 26% on name, 25% on frequency, and 8% on purpose.
- Older children (mean age 16) showed significantly higher scores across all medication characteristics.
- Medication education was primarily directed to parents, with children rarely included.
Conclusions:
- Children with ALL exhibit suboptimal knowledge of their medications.
- The majority of pediatric patients expressed a desire for more comprehensive medication education and involvement.
Objective:
To explore the health literacy of children diagnosed with Acute Lymphoblastic Leukemia (ALL) through their knowledge of their medications.
Methods:
Within the Basic Interpretive approach to qualitative research, semi-structured interviews were conducted with children from ages 6 to18 years (n=16) between May and September 2009 to determine their knowledge of medication properties, medication habits and medication teaching. REB approval was obtained.
Results:
The younger children (mean age 7.5 years) correctly answered, on average, 51% of the questions on colour, 26% of the questions on name, 25% of the questions on frequency, and 8% of the questions on the purposes of their medications. The older children (mean age 16 years) scored at least 35% higher for each characteristic. All of the younger children reported that physicians consistently directed medication education to parents only, and that the younger children were rarely present during these sessions. 13 of the 16 children stated that they want to learn more about and be more involved in education sessions addressing their medications.
Conclusions:
Children with ALL at the IWK Health Centre do not have a good knowledge of their medications, however most children expressed that they want to know more about their medications.
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