BACKGROUND: Parent education is an integral component to promoting judicious antibiotic use. Opportunities to educate parents directly are limited. Child care providers are in a position to relay information to parents. METHODS: A group-randomized trial assessed the impact of a child care center staff intervention on parental knowledge and attitudes regarding appropriate antibiotic use. A 9-point knowledge score and 3 attitude items were measured. RESULTS: Surveys were returned by 151 (51%) of 298 intervention center parents and 150 (42%) of 361 control center parents. Intervention center respondents were significantly more likely than control center respondents to be college graduates, non-Hispanic white, and insured. Among college graduates, the median knowledge score was 7.0 at intervention centers and 6.5 at control centers (P<0.01). No significant differences were found in knowledge scores among noncollege educated parents (P=0.11). After adjusting for clustering within child care centers, multivariate analysis demonstrated high knowledge score was associated with white race (P=0.02), being a college graduate (P=0.02), and being in the intervention group (P=0.06). CONCLUSION: An appropriate antibiotic use program for child care providers promotes better knowledge among parents of children aged <5 years, particularly among highly educated parents.
RCT Entities:
BACKGROUND: Parent education is an integral component to promoting judicious antibiotic use. Opportunities to educate parents directly are limited. Child care providers are in a position to relay information to parents. METHODS: A group-randomized trial assessed the impact of a child care center staff intervention on parental knowledge and attitudes regarding appropriate antibiotic use. A 9-point knowledge score and 3 attitude items were measured. RESULTS: Surveys were returned by 151 (51%) of 298 intervention center parents and 150 (42%) of 361 control center parents. Intervention center respondents were significantly more likely than control center respondents to be college graduates, non-Hispanic white, and insured. Among college graduates, the median knowledge score was 7.0 at intervention centers and 6.5 at control centers (P<0.01). No significant differences were found in knowledge scores among noncollege educated parents (P=0.11). After adjusting for clustering within child care centers, multivariate analysis demonstrated high knowledge score was associated with white race (P=0.02), being a college graduate (P=0.02), and being in the intervention group (P=0.06). CONCLUSION: An appropriate antibiotic use program for child care providers promotes better knowledge among parents of children aged <5 years, particularly among highly educated parents.
Authors: Elaine Larson; Yu-Hui Ferng; Jennifer Wong; Maria Alvarez-Cid; Angela Barrett; Maria J Gonzalez; Shuang Wang; Stephen S Morse Journal: J Immigr Minor Health Date: 2008-05-28
Authors: Joanna L McParland; Lynn Williams; Lucyna Gozdzielewska; Mairi Young; Fraser Smith; Jennifer MacDonald; Darren Langdridge; Mark Davis; Lesley Price; Paul Flowers Journal: Br J Health Psychol Date: 2018-05-27
Authors: Talley Andrews; Matthew Thompson; David I Buckley; Carl Heneghan; Rick Deyo; Niamh Redmond; Patricia J Lucas; Peter S Blair; Alastair D Hay Journal: PLoS One Date: 2012-01-27 Impact factor: 3.240