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Parental Factors Affecting Pediatric Medication Management in Underserved Communities.
Tiranun Rungvivatjarus1, Maria Z Huang1, Britanny Winckler2
1Department of Pediatrics, University of California San Diego (T Rungvivatjarus, MZ Huang, S Chen, ES Fisher, KE Rhee), San Diego, Calif; Rady Children's Hospital (T Rungvivatjarus, MZ Huang, ES Fisher, KE Rhee), San Diego, Calif.
Parental factors like limited health literacy and poor communication significantly impact pediatric medication management. Addressing these issues in underserved communities is crucial for reducing medication errors and improving child health outcomes.
Area of Science:
- Pediatric Health
- Health Literacy Research
- Medication Safety
Background:
- Medication errors and adverse drug events are prevalent in pediatric care.
- Limited English proficiency and low health literacy correlate with poor medication adherence and adverse health outcomes.
- Underserved communities face unique challenges in pediatric medication management.
Purpose of the Study:
- To explore parental factors influencing medication management in underserved communities.
- To identify barriers to safe and effective pediatric medication administration.
Main Methods:
- Qualitative study employing focus group discussions with parents and healthcare professionals.
- Data collected from December 2019 to September 2020.
- Thematic analysis used to identify key themes impacting medication management.
Main Results:
- Four primary factors identified: 1) limited health literacy and perceived inadequacy in medication administration, 2) communication gaps (caregiver-caregiver and provider-caregiver), 3) scarcity of pediatric medication education resources, and 4) personal beliefs influencing medication decisions.
- Eleven focus groups conducted with 45 participants (18 parents in English, 11 parents in Spanish, 16 healthcare professionals).
Conclusions:
- A combination of knowledge gaps, communication issues, resource limitations, and personal beliefs increases medication error risk for children in underserved areas.
- Findings provide a basis for developing targeted interventions to optimize pediatric medication delivery and improve health outcomes.
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