- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01294501
Decreasing Medication Errors by Caregivers Using a Health Literacy Intervention
April 23, 2015 updated by: Columbia University
Giving medications to children can be confusing; studies have shown that caregivers make dosing administration errors up to 50% of the time.
There are many reasons that there are so many errors, including the fact that dosing for children is based on their weight, liquid medications come in many different forms, and caregivers often give medicines using kitchen teaspoons and tablespoons.
Caregivers who have difficulty reading have even more difficulty understanding medication instructions.
We are developing and testing a web-based educational module to teach caregivers how to give medications.
We are focusing on the pediatric emergency department because we know that this population has low literacy levels, and that many antibiotics are prescribed in this setting.
We anticipate that those caregivers that view the interactive module will have increased knowledge on how to give medications once they get home.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Detailed Description
Dosing error rates of home administration of medications to children have been reported to be as high as 50%.
Contributing to this error rate are the complexity of pediatric weight-based dosing, confusing formulations of liquid medications, and a reliance on non-standardized dosing tools such as kitchen teaspoons and tablespoons to administer medications.
Families with low health literacy are at particular risk for medication administration errors.
Health literacy promoting interventions to improve medication administration such as dissemination of a pictogram-based medication list have been shown to work for common over-the-counter medications such as acetaminophen, but their effect on administration practices for common medications prescribed in the pediatric emergency department (PED) has not been evaluated.
Of the 50,000 patients seen in the PED each year, approximately 85% of patients are discharged with a prescription for medication.
This makes the PED an ideal setting to implement a health literacy intervention to reduce medication administration errors at home.
The investigators are proposing to conduct a randomized controlled trial of an educational module focused on how to administer antibiotics at home and test whether there is an improvement in care practices.
Study Type
Interventional
Enrollment (Actual)
132
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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New York
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New York, New York, United States, 10032
- Columbia University Medical Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
2 months to 8 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
Caregivers of:
- Patients aged 2 months to 8 years
- Patients triaged to Emergency Severity Index (ESI) level 4 or 5 in the pediatric emergency department.
- Patients with at least one prescription for a liquid, tablet or ointment antibiotic.
Exclusion Criteria:
Caregivers of:
- Patients in need of immediate care.
- Patients hospitalized.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Fever assessment and management
Medication administration educational module for low literacy subjects on how to administer common medications appropriately and safely.
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The Research Assistant (RA) will enter the subject's language (English or Spanish), the type of medicine (tablet/capsule, liquid, or ointment) from the antibiotic prescription, and the frequency (once a day, twice a day, three times a day, four times a day) from the antibiotic prescription into the web-based educational module on medication administration so that a tailored module will be setup for the subject.
The subject will then view the educational interactive module.
After the subject is done with the module, the RA will administer a verbal post-test.
The post-test will include questions on medication administration as well as questions on fever assessment and management.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Score on the telephone interview post-test
Time Frame: 48-72 hours post Emergency Department visit
|
Subject scores will be dichotomized in the follow way: anything less than 100% will be considered incorrect, a score of 100% will be considered correct.
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48-72 hours post Emergency Department visit
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Prevalence of perfect performance on each element of the questionnaire
Time Frame: 48-72 hours post Emergency Department visit
|
Each answer on the telephone interview post-test will be dichotomized into a correct/incorrect answer.
|
48-72 hours post Emergency Department visit
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Anupama Subramony, MD, MBA, Columbia University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
February 1, 2011
Primary Completion (Actual)
January 1, 2013
Study Completion (Actual)
January 1, 2013
Study Registration Dates
First Submitted
February 4, 2011
First Submitted That Met QC Criteria
February 10, 2011
First Posted (Estimate)
February 11, 2011
Study Record Updates
Last Update Posted (Estimate)
April 24, 2015
Last Update Submitted That Met QC Criteria
April 23, 2015
Last Verified
April 1, 2015
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- AAAI0786
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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