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Australian care givers' knowledge of and attitudes towards paediatric fever management
Daniel Arias1, Stephen R Carter1, Timothy F Chen1
1Sydney Pharmacy School, The University of Sydney, Sydney, New South Wales, Australia.
Insights
Australian caregivers demonstrate poor knowledge and hold misconceptions regarding paediatric fever management. Targeted interventions are needed to address specific weaknesses in understanding and improve evidence-based practices for children's fever care.
Area of Science:
- Paediatric healthcare
- Health education
- Public health
Background:
- Non-evidence-based practices and inappropriate paediatric fever management by caregivers are prevalent.
- Understanding current caregiver knowledge, beliefs, and attitudes is crucial for effective interventions.
Purpose of the Study:
- To survey a large sample of Australian parents and caregivers on their knowledge, beliefs, and attitudes regarding fever management.
- To identify specific areas of weakness in caregiver understanding of paediatric fever management.
Main Methods:
- A cross-sectional survey was conducted with 1000 Australian parents and caregivers.
- A validated Fever Management Tool was utilized.
- Univariate and multivariate analyses examined demographic factors influencing fever knowledge.
Main Results:
- Caregiver knowledge scores were widely distributed, with a mean of 15.4/29 correct answers.
- Significant knowledge gaps were identified in areas including teething, physical cooling methods, and medication dosing.
- Multivariate analysis indicated that 28.9% of the variance in knowledge was explained by 5 of 11 factors.
Conclusions:
- Australian caregivers generally exhibit poor knowledge and harbor misconceptions regarding paediatric fever management.
- Interventions should be tailored to address specific caregiver weaknesses to promote evidence-based practices.
- Improving caregiver understanding is essential for enhancing the safety and effectiveness of fever management in children.
Aim:
Non-evidence-based practice and inappropriate paediatric fever management by care givers is common. The aim of this study was to survey a large sample of Australian parents and care givers utilising a validated Fever Management Tool, to determine the current knowledge, beliefs and attitudes of Australian care givers regarding fever management.
Methods:
This study employed a cross-sectional survey conducted via a third-party market research company. Univariate analysis of demographic factors and their influence on knowledge scores were tested. A multivariate linear regression model was specified using all available independent univariate predicators to determine the demographic factors influencing care givers fever knowledge.
Results:
Data from 1000 questionnaires were analysed. The participants' total knowledge scores were evenly distributed with a mean score of 15.4/29 correct answers in the True/False questionnaire, a median score of 16 and a standard deviation of 4.27. It highlighted that Australian care givers had poor knowledge in questions related to 'teething', 'physical cooling methods' and 'medication dosing'. In the multivariate analysis, 28.9% of the total variance was explained (R2 value = 0.289, P < 0.001) with 5 of 11 factors contributing.
Conclusion:
Overall, this cross-sectional survey has provided a strong understanding of the current knowledge, attitude and beliefs of Australian care givers in regards to fever management in their children. Total knowledge of fever management was generally poor in Australia with many participants harbouring misconceptions and non-evidence-based practices. Future interventions improving fever management practices should be tailored to the specific weaknesses faced by Australian care givers in order to promote long term change.
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