Impact of Patient Information Leaflet on Improving Knowledge of Antibiotic Resistance and Rational Use of Antibiotics among Parents of Pediatric Patients
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Impact of Patient Information Leaflet on Improving Knowledge of Antibiotic Resistance and Rational Use of Antibiotics among Parents of Pediatric Patients
Citation:Rupasingha, G.S.K., Jayakodige T.S., Prasadi, G.A.M., Punchihewa, J.C., & Gonapinuwalahewa, P.S. (2024). Impact of Patient Information Leaflet on Improving Knowledge of Antibiotic Resistance and Rational Use of Antibiotics among Parents of Pediatric Patients. Proceedings of the 2nd International Research Symposium of the Faculty of Allied Health Sciences University of Ruhuna, Galle, Sri Lanka, 05.
Date:2024
Abstract:
Background: The misuse and overuse of antibiotics have become a serious problem today
particularly prevalent in developing countries. This phenomenon exacerbates the emergence and
dissemination of antibiotic resistance among bacterial populations. The lack of comprehensive
understanding regarding antibiotics serves as a primary driver behind their inappropriate usage.
Patient information leaflets (PIL) are deployed as a means to enhance public knowledge and
awareness regarding antibiotics.
Objective: To assess the impact of the PIL on improving knowledge of antibiotic resistance and
the rational use of antibiotics
Methods: This interventional study was carried out in the Out Patient Department of the teaching
hospital, Karapitiya. The PIL about antibiotics and rational usage was validated using Ensuring
Quality Information for Patients (EQIP) and Baker Able Leaflets Design (BALD) tools and
evaluated by an expert panel and parents of pediatric patients respectively. The purposive
sampling method and random sampling method were used to select the samples respectively. A
questionnaire was used as user testing to access the impact of knowledge of antibiotics and
rational usage after reading the developed leaflet.
Results: According to the EQIP tool, mean±SD quality score was 65.62±12.61%, and according
to the BALD tool, mean±SD score for designing of the PIL was 18.00±1.77%. PIL was validated
for readability with the mean±SD score was 95.00±11.00%. The overall user testing means±SD
scores had significantly (p<0.001) improved from 31.00±18.19% to 88.50±15.49% level which
showed significant knowledge improvement about antibiotic resistance and the rational use. The
mean difference was 57.50. The mean±SD user-opinion score for the PIL was 17.88±1.64.
Conclusions: The study showed a significant improvement in knowledge levels after reading the
validated leaflet. The user opinion test reported that the majority of the participants rated the PILs’
content, legibility, and design as good. The PILs obtained good EQIP scores and satisfactory level
of score for BALD criteria. The current study highlighted the importance of patient education and
importance of PILs to improve knowledge antibiotic resistance and the rational use.