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Improving knowledge on safe medication management of inpatient children and adolescents: a pre-post study
Carmen D'Amore1, Benedetta Zama1, Rita Salotti2
1Clinical Epidemiology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Insights
An educational intervention significantly improved medication knowledge in hospitalized children and adolescents. Post-intervention, 100% of young patients demonstrated correct understanding of medication use.
Area of Science:
- Pediatric Health
- Patient Education
- Medication Adherence
Background:
- Hospitalized children and adolescents often have gaps in knowledge regarding medication use.
- Effective medication management is crucial for positive health outcomes in pediatric patients.
- Empowering young patients with medication knowledge supports long-term adherence and self-management.
Purpose of the Study:
- To evaluate the effectiveness of an educational intervention on medication knowledge in pediatric patients.
- To assess changes in understanding related to medication intake, management, and potential interactions.
- To determine if the intervention benefits diverse age groups and those with chronic conditions.
Main Methods:
- A pre-post multicenter study was conducted in pediatric wards (July 2019-March 2021).
- An in-person education program focused on medication use was delivered to patients aged 6-15.
- Patient knowledge was assessed using a self-administered test before and after the intervention.
Main Results:
- Prior to the intervention, only 79.8% of patients correctly answered at least 60% of the test questions.
- Specific knowledge gaps were identified in medication intake, food-drug interactions, antibiotic use, and resistance.
- Following the education intervention, all (100%) patients successfully completed the knowledge test.
Conclusions:
- The educational intervention substantially enhanced pediatric patients' knowledge of medication use.
- Improvements were observed across various age groups and in children with chronic diseases.
- Targeted education is vital for improving medication literacy in hospitalized children and adolescents.
Objective:
The primary aim of this study was to assess the impact of an education intervention on knowledge regarding medication use in hospitalized children and adolescents.
Methods:
A pre-post multicentre study was conducted in pediatric wards of the hospitals in Lazio Region between July 2019-March 2021. An in-person education intervention was provided to hospitalized patients aged 6-15 years, able to understand spoken and written Italian language. Topics included: correct intake and management of medications at home. Prior and after the education intervention, we evaluated patient knowledge with a self-administered test.
Results:
One-hundred-and-four (n = 104) patients participated in the study. In the pre-education period, 79.8% of the patients answered correctly to at least 60% of the questions of the test; the lowest number of correct answers concerned medication intake (36.5%; 33.6%), food-drug interactions (44.2%), appropriate indication to use of antibiotics (36.5%) and antibiotic resistance (55.8%). After the education intervention, 100% of the patients completed the test correctly.
Conclusion:
The education intervention increased knowledge on several areas of interest, in children of different age-groups and including patients with chronic diseases.
Practice Implications:
Children's education is essential to encourage gradual transfer of responsibility for medication use, in ways that respect parental responsibilities and the health status and capabilities of the child.
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