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A Brief Educational Intervention Improves Medication Safety Knowledge in Grandparents of Young Children

1 Pediatric Emergency Medicine, Emory University & Children's Healthcare of Atlanta, Atlanta, GA 30322, USA;
2 Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC 28203, USA;
3 Emergency Medicine Department, ApolloMD, Miami, FL, USA;
4 Mecklenburg EMS Agency, Charlotte, NC, USA

Background and Objectives: Increasing grandparent-grandchild interactions have not been targeted as a potential contributing factor to the recent surge in pediatric poisonings. We hypothesized that in grandparents with a young grandchild, a single educational intervention based on the PROTECT “Up & Away” campaign will improve safe medication knowledge and storage at follow-up from baseline. Methods: This prospective cohort study validated the educational intervention and survey via cognitive debriefing followed by evaluation of the educational intervention in increasing safe medication storage. Participants had to read and speak English and have annual contact with one grandchild ≤ 5-years-old. Participants were recruited from a convenience sample of employees in a regional healthcare system. They completed a pre-intervention survey querying baseline demographics, poisoning prevention knowledge, and medication storage, followed by the educational intervention and post-intervention survey. Participants completed a delayed post-intervention survey 50–90 days later assessing medication storage and poisoning prevention knowledge. Storage sites were classified as safe or unsafe a priori|a panel classified handwritten responses. Results: 120 participants were enrolled|95 (79%) completed the delayed post-intervention survey. Participants were predominantly female (93%) and white (76%)|50% had a clinical degree. Participants averaged 1.9 grandchildren. Initially, 23% of participants reported safe medication storage|this improved to 48% after the intervention (OR 6.4|95% CI = 2.5–21.0). 78% of participants made at least one improvement in their medication storage after the intervention even if they did not meet all criteria for safe storage. Participants also demonstrated retention of poisoning prevention knowledge. Conclusions: This brief educational intervention improved safe medication storage and poisoning prevention knowledge in grandparents of young children|further evaluation of this intervention is warranted.
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Keywords poisoning; prevention and control; overdose; child; safety

Citation: Maneesha Agarwal, Janice Williams, Demetrios Tavoulareas, Jonathan R. Studnek. A Brief Educational Intervention Improves Medication Safety Knowledge in Grandparents of Young Children. AIMS Public Health , 2015, 2(1): 44-55. doi: 10.3934/publichealth.2015.1.44


  • 1. Budnitz DS, Salis S (2011) Preventing medication overdoses in young children: an opportunity for harm elimination. Pediatrics 127: e1597-e1599.    
  • 2. Bond GR, Woodward RW, Ho M (2012) The growing impact of pediatric pharmaceutical poisoning. J Pediatr 160: 265-270.    
  • 3. Gu Q, Dillon CF, Burt VL (2010) Prescription drug use continues to increase: U.S. prescription drug data for 2007-2008. NCHS Data Brief 2010: 1-8.
  • 4. Burghardt LC, Ayers JW, Brownstein JS, et al. (2013) Adult prescription drug use and pediatric medication exposures and poisonings. Pediatrics132: 18-27.
  • 5. Livingston P, Parker K (2010) Since the Start of the Great Recession, More Children Raised by Grandparents. Pew Research Center New York.
  • 6. Luo Y, LaPierre TA, Hughes ME, et al. (2012) Grandparents providing care to grandchildren a population-based study of continuity and change. J Fam Issues 33: 1143-1167.    
  • 7. Bond GR, Woodward RW, Mona H (2012) The growing impact of pediatric pharmaceutical poisoning. J pediatr 160: 265-270.    
  • 8. Qato D, Alexander GC, Conti RM, et al. (2008) Use of prescription and over-the-counter medications and dietary supplements among older adults in the United States. JAMA 300:2867-2878.    
  • 9. Soong AD, Hines KC, Evans HH, et al., Grandparent Caregiver Knowledge of Anticipatory Guidance Topics. American Academy of Pediatrics National Conference and Exhibition in NewOrleans 2012. available from https://aap.confex.com/aap/2012/webprogram/Paper17137.html.
  • 10. McFee RB, Caraccio TR (2006) Hang Up Your Pocketbook––an easy intervention for the granny syndrome: grandparents as a risk factor in unintentional pediatric exposures to pharmaceuticals. J Am Osteopath Assoc 106: 405-411.
  • 11. Le Blanc JC, Pless IB, King WJ, et al. (2006) Home safety measures and the risk of uninentional injury among young children: a multicenter case control study. Can Med Assoc J 175: 883-887.    
  • 12. Rodgers GB (2002) The effectiveness of child-resistant packaging for aspirin. Arch Pediatr Adolesc Med 156: 929-933.    
  • 13. Franklin RL, Rodgers GB (2008) Unintentional child poisonings treated in United States hospital emergency departments: national estimates of incident cases, population-based poisoning rates, and product involvement. Pediatrics 122: 1244-1251.    
  • 14. Kendrick D, Mulvaney CA, Ye L, et al. (2013) Parenting interventions for the prevention of unintentional injuries in childhood. Cochrane Database Syst Rev 3:
  • 15. Kendrick D, Smith S, Sutton A, et al. (2008) Effect of education and safety equipment on poisoning-prevention practices and poisoning: systematic review, meta-analysis and meta-regression. Arch Dis Child 93: 599-608.    
  • 16. Polivka BJ, Casavant MJ, Malis E, et al. (2006) Evaluation of the Be Poison Smart! poison prevention intervention. Clin Toxicol (Phila) 44: 109-114.    
  • 17. King WJ, Klassen TP, LeBlanc J, et al. (2001) The effectiveness of a home visit to prevent childhood injury. Pediatrics 108: 382-388.    
  • 18. Chen LH, Gielen AC, McDonald EM. (2003) Validity of self reported home safety practices. Inj Prev 9: 73-75.    
  • 19. American Academy of Pediatrics committee on injury, violence, and poison prevention. (2003) Poison treatment in the home. Pediatrics 112: 1182-1185.    
  • 20. Turner S, Arthur G, Lyons RA, et al. (2011) Modification of the home environment for the reduction of injuries. Cochrane Database Syst Rev 2: CD003600.
  • 21. Gardner HG (2007) Office-based counseling for unintentional injury prevention. Pediatrics 119:202-206.    
  • 22. Brixey S N, Weaver NL, Guse C E, et al. (2014) The impact of behavioral risk assessments and tailored health information on pediatric injury. Clin pediatr 53:1383-1389.    
  • 23. Agran P F, Anderson C, Winn D, et al. (2003) Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age. Pediatrics 111: e683-e692.    
  • 24. Hambidge SJ, Davidson AJ, Gonzales R, et al. (2002) Epidemiology of Pediatric Injury—Related Primary Care Office Visits in the United States. Pediatrics 109: 559-565.    
  • 25. Posner JC, Hawkins LA, Garcia-Espana F, et al. (2004) A randomized, clinical trial of a home safety intervention based in an emergency department setting. Pediatrics 113: 1603-1608.    
  • 26. Kendrick D, Barlow J, Hampshire A, et al. (2008) Parenting interventions and the prevention of unintentional injuries in childhood: systematic review and meta-analysis. Child Care Health Development 34: 682-695.    
  • 27. Coyne-Beasley T, Runyan CW, Baccaglini L, et al. (2005) Storage of poisonous substances and firearms in homes with young children visitors and older adults. Am J Prev Med 28: 109-115.    
  • 28. Warner M, Chen LH, Makuc DM, et al. (2011) Drug poisoning deaths in the United States, 1980-2008. NCHS data brief 81: 1-8.
  • 29. Rosenthal MB, Berndt ER, Donohue JM, et al. (2002) Promotion of prescription drugs to consumers. N Engl J Med 346: 498-505.    
  • 30. Brintnall-Peterson M, Poehlmann J, Morgan K, et al. (2009) A web-based fact sheet series for grandparents raising grandchildren and the professionals who serve them. Gerontologist 49:276-282.    
  • 31. Hayslip B, Kaminski PL (2005) Grandparents raising their grandchildren: a review of the literature and suggestions for practice. Gerontologist 45: 262-269.    
  • 33. Demorest RA, Posner JC, Osterhoudt KC, et al. (2004) Poisoning prevention education during emergency department visits for childhood poisoning. Pediatr Emerg Care 20: 281-284.
  • 34. Kersten HB, Moughan B, Moran MM, et al. (2004) A videotape to improve parental knowledge of lead poisoning. Ambul Pediatr 4: 344-347.    
  • 35. Gielen AC, McKenzie LB, McDonald EM, et al. (2007) Using a computer kiosk to promote child safety: results of a randomized, controlled trial in an urban pediatric emergency department. Pediatrics 120: 330-339.    
  • 36. Puspitasari HP, Aslani P, Krass I (2009) A review of counseling practices on prescription medicines in community pharmacies. Res Social Adm Pharm 5: 197-210.    
  • 37. Sumner D, Barkin S, Hudak C, et al. (2003) A project to reduce accidental pediatric poisonings in North Carolina. Vet Hum Toxicol 45: 266-269.
  • 38. Watson M, Kendrick D, Coupland C (2003) Validation of a home safety questionnaire used in a randomised controlled trial. Inj Prev 9: 180-183.    
  • 39. Patel B, Devalia B, Kendrick D, et al. (2008) Validating parents' self-reports of children's exposure to potentially toxic substances within the home. Inj Prev 14: 70-175.


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