Funded Projects

My Child’s Medication: Video-Based Medication Resource

Project Year

2022

City & State

San Diego, California

Program Name

CATCH Implementation

Topic

Health Education & Prevention

Program Description

Problem: Medication errors and adverse drug events are common in the pediatric population. Families with limited English proficiency have compounded risk of management errors due to poor communication and lack of appropriate resources to provide guidance. Furthermore, nearly a third of low-income families failed to pick up their child’s prescriptions after discharge from the hospital, with non-adherence rates as high as 40%. Despite many efforts to reduce medication dosing errors, non-adherence persistently contributes to suboptimal treatment. Primary setting: From our CATCH planning grant, we identified one of the main parental barriers to medication management being a lack of medication knowledge/ administration skill. Pediatric providers identified the lack of medication education resource as another barrier. For our implementation project, we will focus our efforts in City Heights, a diverse community in San Diego. Number of children affected: There are 21,316 children less than 18 years of age residing in City Heights. Given medication non-adherence rate could be as high as 40%, we estimated that 8,526 children are affected in City Heights alone. Project goal: To create 3 video-based medication education resources for English- and Spanish-speaking families living in City Heights over the next 12 months. Our global aim is to increase parents’ accessibility to medication education resources to improve medication literacy and compliance. Proposed intervention: In this initiative, we will develop 3 video-based pediatric medication education resources for patients and their families. Education material will be accessible, engaging, at appropriate health literacy, in two languages (English, Spanish), and relevant to parents’ needs. Based on our CATCH planning grant project, medication education topics that parents expressed the most difficulty with were (1) medication administration techniques, (2) side effects of common pediatric medications, and (3) understanding medication instructions. We will plan to focus on the needs of Asian Pacific Islander groups in future iteration due to limited personnel and timeline. These videos will provide concrete examples of how to administer medications, find common medication side effects, and interpret medication instructions, which is different from the currently existing video-based medication resources on Healthychildren.org which focuses on safe medication storage and standardized dosing instrument usage. Once education videos are developed, they will be presented to parents at both medical (Children’s Primary Care Medical Group) and non-medical community partners in City Heights (Copley-Price YMCA, Diamond Educational Excellence Partnership(DEEP) Schools, and Metro Villas Complex). We will utilize customer-driven product development (CDPD) methodology to create desired educational materials that best serve our parent population. Using CDPD process, we will prototype and improve educational materials through an iterative process based on parental feedbacks (recommended survey size is 15 users, and we plan for 3 iterative rounds). Parents’ pre and post- video feedback surveys will gather information on (1) the utility of education materials, (2) content comprehension, (3) and general feedbacks. From this information, we will make appropriate changes and finalize our education videos. Anticipated outcomes: Our primary outcome is to increase parent-reported educational video comprehension score post-video when compared to pre-video baseline. Once completed, we will make education videos available at the San Diego Regional East County Chamber of Commerce Health Fair Saturday, allowing for wider resource distribution to families. Videos will also be distributed to families via our medical and non-medical community partners. Education videos will be stored on Rady Children’s Hospital video content management software (Panopto, Seattle, WA) where view count will be tracked over time. A brief survey link will be included at the end of each educational video to allow for content feedback and topic suggestions for future iteration of this project. We anticipate that our videos will be well-received by families and the community.

Project Goal

To create 3 video-based medication education resources for English- and Spanish-speaking families living in City Heights over the next 12 months.

Project Objective 1

By the end of 1 month, I will have established partnership with DEEP schools.

Project Objective 2

By the end of 6 months, we will have created 3 pediatric medication education videos for parent testing and feedbacks.

Project Objective 3

By the end of 12 months, we will have at least 300 views of our educational videos using our video content management software.

AAP District

District IX

Institutional Name

Rady Children's Hospital

Contact 1

Tiranun Rungvivatjarus