Parent’s knowledge and management of their children’s ailments in Malaysia
Minor ailments like sore throat, fever, cough and diarrhea can be relieved with over-the-counter (OTC) medications such as paracetamol or other traditional remedies, without seeking for consultation from general practitioners. Parents usually take the responsibility to come up with some kind of treatment for their children.
Objective: (1) to evaluate the parents’ medical knowledge about OTC medicines which are usually used by the parents to treat their children and (2) to evaluate the parents’ management in dealing with their children’s ailments, and (3) to evaluate the association between medical knowledge and the management of children’s ailments related to medicine use among the parents.
Methods: A cross-sectional survey was conducted to measure the parents’ knowledge about their children’s ailments. Subjects were selected and information was obtained in September 2008. Non-probability convenient sampling method was used. Parents were recruited from the general public to answer the questionnaires.
Results: 197 parents filled in the questionnaires. From the total respondents, 48.2% of them were male. This study showed that most respondents have medium knowledge (6.11 SD=3.6) and a moderate management (4.39 SD=2.7). The results showed that there is a significant difference between the knowledge and the management level of ailments (P=0.033). Regarding the education level of the parents and the socioeconomic status, the p-value showed there was a significant difference between parents’ knowledge and their education level (P=0.012).
Conclusion: This study showed that parents have inadequate knowledge and some misconception about how to go about treating their children when they are unwell. It is hoped that by identifying weak areas in parents’ management to their children’s ailments, better planned educational and behavioral modification efforts can be made to elevate the knowledge level among the parents when they medically treat their children.
2. Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: have parental misconceptions about fever changed in 20 years? Pediatrics. 2001;107(8):1241-1246.
3. Maison P, Guillemot D, Vauzelle-Kervroedan F, Trends in aspirin, paracetamol and non-steroidal anti-inflammatory drug use in children between 1981 and 1992 in France. Eur J Clin Pharmacol. 1998;54:659-664.
4. Kai J. Parents and their child’s fever: do as I say, not as I do? Fam Pract. 1998;15:505-506.
5. Cantrill JA, Johannesson B, Nicolson M, Noyce PR. Management minor ailments in primary schoolchildren in rural and urban areas, Child Care Health Dev. 1996;22(3):167-174.
6. Chiara P, Piero I, Maurizio B. Parents on the web: Risks for quality management of cough in children. Pediatrics. 2000;105;el
7. Kai J. What worries parents when their preschool children are acutely ill, and why: a qualitative study. BMJ. 1996; 313:983-986.
8. Kai J. Parents' difficulties and information needs in coping with acute illness in preschool children: a qualitative study. BMJ. 1996;313:987-990.
9. Morrison JM, Gilmour H, Sullivan F. Children seen frequently out of hours in one general practice. BMJ. 1991; 303:1111-1114.
10. Alan DW. Herbal remedies and children: Do they work? Are they harmful? Pediatrics 2003;112;240-246.
11. Schroeder K, Fahey T. Systematic review of randomized controlled trials of over the counter cough medicines for acute cough in adults. BMJ..2002;324:329-331.
12. Smith MB, Feldman W. Over-the-counter cold medications: a critical review of clinical trials between 1950 and 1991. JAMA. 1993;269:2258-2263.
13. Russell FM, Shann F, Curtis N, Mulholland K. Evidence on the use of paracetamol in febrile children. Bull World Health Organ. 2003;81:367-372.
14. Gadomski A. Rational use of OTC medications in young children. JAMA. 1994;272:1063-1064.
15. Gunn VL, Taha SH, Liebelt EL, Serwint JR. Toxicity of over-the-counter cough and cold medications. Pediatrics. 2001;108(3).
16. Australian Bereau of Statistics. Safety In the Home Survey. Melbourne, Australia: Australia Bereau of Statistics;1992.
17. Helman C. Feed a cold, starve a fever. In: Currer C, Stacey M, eds. Concepts of health, illness and disease: a comparative perspective. Leamington Spa: Berg, 1986.
18. Allen LV, Popovich NG, Ansel HC. Ansel’s pharmaceutical dosage forms and drug delivery systems. 8th ed. Baltimore: Lippincott Williams & Wilkens; 2005.
19. Beck MH, Cataldo M, Slifer KJ, Pulbrook V, Guhman JK. Teaching children with attention deficit hyperactivity disorder (ADHD) and autistic disorder (AD) how to swallow pills. Clin Pediatr (Phil). 2005;44:515-526.
20. Ghuman JK, Cataldo MD, Beck MH, Slifer KJ. Behavioral training for pill-swallowing difficulties in young children with autistic disorder. J Child Adolesc Psychopharmacol. 2004;14:601-611.
21. Medicines for Malaria Venture, Ministry of Health (Uganda), HEPS, WHO: Understanding the Antimalarials Market: Uganda 007 – an overview of the supply side. Medicines for Malaria Venture; 2008.
22. Birchley N, Conroy S. Parental management of over-the-counter medicines. Paediatr Nurs. 2002;14(9):24-28.
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