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Updated: Apr 16, 2026

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Medication Barriers and Challenges Experienced/Perceived by Caregivers in Pediatric Medication Management: A Scoping

Anmol Toor1, Tapanga Brooks1, Andrea W Tang1

  • 1College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.

The Journal of Pediatric Pharmacology and Therapeutics : JPPT : the Official Journal of PPAG
|April 15, 2026
PubMed

Insights

Non-professional caregivers face significant challenges managing pediatric medications. Addressing drug factors and caregiver knowledge gaps is crucial for improving medication administration success in children with chronic conditions.

Area of Science:

  • Pediatric Pharmacology
  • Caregiver Support
  • Chronic Disease Management

Background:

  • Managing medications for pediatric patients with chronic diseases presents unique challenges for non-professional caregivers.
  • Understanding these barriers is essential for improving treatment adherence and outcomes.

Purpose of the Study:

  • To identify and categorize the challenges and barriers non-professional caregivers (e.g., parents) encounter when managing medications for pediatric patients with chronic conditions in outpatient settings.

Main Methods:

  • A scoping review was conducted using Embase and Ovid Medline databases, adhering to Joanna Briggs Institute methodology and PRISMA-SCr guidelines.
  • Evidence selection and data extraction were performed independently by two reviewers.
  • Thematic analysis was used to group and theme identified medication barriers.

Main Results:

  • Eight articles were included, identifying 20 medication barriers categorized into drug factors, drug burden/regimen, access, caregiver, child, healthcare system, and fear/stigma.
  • Drug factors constituted 25% of barriers, followed by caregiver factors (20%).
  • Key barriers included drug formulation, caregiver knowledge, and forgetfulness.

Conclusions:

  • Non-professional caregivers face substantial medication management challenges.
  • Future research should prioritize interventions targeting drug formulation, caregiver knowledge, and memory aids to enhance pediatric medication administration success.

Keywords:
barrierscaregiverschallengeschronic diseasemedication adherencemedication therapy managementpediatric

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