Annual Report - FIP

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18 200 Annual Report 7 8 ? what kind of perceptions and attitudes parents have about medicines ? how parents' own medicine use and attitudes influence children's medicine use ? from which sources parents search for information concerning child's medicine use ? which information sources are considered reliable by parents Materials and methods The study progresses in three phases 1) Pilot study (PHASE ONE) The Children's medicine use questionnaire (CMUQ), developed in Finland was pilot tested among Australian parents. The questionnaire was translated from Finnish to English then back-translated to ensure semantic equivalence of the English questionnaire to the Finnish version. A total of 153 parents/main caregiver of a child aged 0-15 years were recruited via convenience sampling. Construct validity of the attitudinal section of the CMQ was performed using exploratory factor analysis. To test the reliability of statements contained in the instrument, the internal consistency was assessed using Cronbach's alpha coefficient. 2) Focus groups (PHASE TWO) Focus group discussions (FGD) with parents of different aged children under 15 years were conducted. Three focus groups were conducted to explore participants' attitudes towards medicating children and to triangulate quantitative data. 3) National survey (PHASE THREE) This phase will use the validated instrument to survey a national sample. This data will inform the design of education packages for children and their carers. Results (Phase 1 and 2) Factor analysis generated a parsimonious four factor solution explaining 50% of variance in the data. The four subscales representing the four factor solution each returned a Cronbach's Alpha coefficient > 0.6, indicating good internal consistency. Participants in focus groups were satisfied with the structure and content of the questionnaire. There were five themes that emerged from focus groups regarding the perception of medicines use in children. These included: concerns about the negative effects of medicines, the necessity of prescription medicines for treating illness, the sufficiency of the body's natural process in fighting illness, the efficacy of over-the-counter medicines, and the use of alternative medicines in children. Interestingly, most themes discussed in the focus groups were reflected in the factor solutions. Implications for further studies and pharmacy practice The findings of this study to date have shown that the CMQ is a valid and reliable instrument. Small
changes have been made based on focus group feedback and the CMUQ is currently being re-piloted prior to the national study. The data collected will be used for developing targeted medicine related educative materials for parents and children. Similar methodology is planned to be used in other countries. If comparisons across countries show similar results then education packages can be developed for use in several different settings. Conclusion This research is an exciting area where pharmacists have an integral role in supporting children's and their carer's medication and health education needs. This preliminary exploration into parental views of medication related issues is an essential first step in order to develop specific and targeted educational materials for pharmacists and other professionals to use in the future. 19 200 Annual Report 7 8
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Annual Report - FIP

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