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Annual Report - FIP

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18<br />

200 <strong>Annual</strong> <strong>Report</strong><br />

7<br />

8<br />

? what kind of perceptions and attitudes parents have about medicines<br />

? how parents' own medicine use and attitudes influence children's medicine use<br />

? from which sources parents search for information concerning child's medicine use<br />

? which information sources are considered reliable by parents<br />

Materials and methods<br />

The study progresses in three phases<br />

1) Pilot study (PHASE ONE)<br />

The Children's medicine use questionnaire (CMUQ), developed in Finland was pilot tested among<br />

Australian parents. The questionnaire was translated from Finnish to English then back-translated to<br />

ensure semantic equivalence of the English questionnaire to the Finnish version. A total of 153<br />

parents/main caregiver of a child aged 0-15 years were recruited via convenience sampling. Construct<br />

validity of the attitudinal section of the CMQ was performed using exploratory factor analysis. To test<br />

the reliability of statements contained in the instrument, the internal consistency was assessed using<br />

Cronbach's alpha coefficient.<br />

2) Focus groups (PHASE TWO)<br />

Focus group discussions (FGD) with parents of different aged children under 15 years were conducted.<br />

Three focus groups were conducted to explore participants' attitudes towards medicating children and<br />

to triangulate quantitative data.<br />

3) National survey (PHASE THREE)<br />

This phase will use the validated instrument to survey a national sample. This data will inform the<br />

design of education packages for children and their carers.<br />

Results (Phase 1 and 2)<br />

Factor analysis generated a parsimonious four factor solution explaining 50% of variance in the data.<br />

The four subscales representing the four factor solution each returned a Cronbach's Alpha coefficient<br />

> 0.6, indicating good internal consistency. Participants in focus groups were satisfied with the structure<br />

and content of the questionnaire. There were five themes that emerged from focus groups regarding<br />

the perception of medicines use in children. These included: concerns about the negative effects of<br />

medicines, the necessity of prescription medicines for treating illness, the sufficiency of the body's<br />

natural process in fighting illness, the efficacy of over-the-counter medicines, and the use of alternative<br />

medicines in children. Interestingly, most themes discussed in the focus groups were reflected in the<br />

factor solutions.<br />

Implications for further studies and pharmacy practice<br />

The findings of this study to date have shown that the CMQ is a valid and reliable instrument. Small

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