- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT01294501
Decreasing Medication Errors by Caregivers Using a Health Literacy Intervention
23 april 2015 uppdaterad av: 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.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Interventionell
Inskrivning (Faktisk)
132
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
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New York
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New York, New York, Förenta staterna, 10032
- Columbia University Medical Center
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
2 månader till 8 år (Barn)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
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.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Hälsovårdsforskning
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: 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.
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Score on the telephone interview post-test
Tidsram: 48-72 hours post Emergency Department visit
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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
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Prevalence of perfect performance on each element of the questionnaire
Tidsram: 48-72 hours post Emergency Department visit
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Each answer on the telephone interview post-test will be dichotomized into a correct/incorrect answer.
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48-72 hours post Emergency Department visit
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: Anupama Subramony, MD, MBA, Columbia University
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 februari 2011
Primärt slutförande (Faktisk)
1 januari 2013
Avslutad studie (Faktisk)
1 januari 2013
Studieregistreringsdatum
Först inskickad
4 februari 2011
Först inskickad som uppfyllde QC-kriterierna
10 februari 2011
Första postat (Uppskatta)
11 februari 2011
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
24 april 2015
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
23 april 2015
Senast verifierad
1 april 2015
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- AAAI0786
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
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