Original Article

Parental Report of Medication Acceptance Among Youth: Implications for Everyday Practice

Authors: Jodi Polaha, PhD, William T. Dalton, III, PhD, Blake M. Lancaster, PhD

Abstract


Objective: Evidence-based interventions for pill swallowing training exist but are primarily implemented in pediatric specialty hospitals. Given increasing interest in the translation of brief and effective interventions to the wider population, there is a need to examine medication acceptance in a normative sample.


Methods: Participants (N = 304) completed the Medication Acceptance Survey, which assessed child/adolescent liquid and pill medication history and acceptance as well as parental interest in pill swallowing training.


Results: Results showed that 30–40% of youth had rejected/refused a pill or liquid formulation. Over half were unable to swallow a standard size pill or small capsule. Despite these difficulties, most parents did not express interest in an empirically supported pill swallowing training intervention.


Conclusions: The results provide directions for future research as well as the translation of pill swallowing interventions to primary care.



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References

1.Babbitt RL, Parrish JM, Brierley PE, et al. Teaching developmentally disabled children with chronic illness to swallow prescribed capsules. J Dev Behav Pediatr 1991;12:229–235.
 
2.Dahlquist LM, Blount RL. Teaching a six-year-old girl to swallow pills. J Behav Ther Exp Psychiatry 1984;15:171–173.
 
3.Funk MJ, Mullins LL, Olson RA. Teaching children to swallow pills: a case study. Child Health Care 1984;13:20–23.
 
4.Sallows GO. Behavioral treatment of swallowing difficulty. J Behav Ther Psychiatry 1980;11:45–47.
 
5.Walco GA. A behavioral treatment for difficulty in swallowing pills. J Behav Ther Exp Psychiatry 1986;17:127–128.
 
6.Wright L, Woodcock JM, Scott R. Conditioning children when refusal of oral medication is life threatening. Pediatrics 1969;44:969–972.
 
7.LaGrone RG. Hypnobehavioral therapy to reduce gag and emesis with a 10-year-old pill swallower. Am J Clin Hypn 1993;36:132–136.
 
8.Pelco LE, Kissel RC, Parrish JM. Behavioral management of oral medication administration difficulties among children: a review of literature with case illustrations. J Dev Behav Pediatr 1987;8:90–96.
 
9.Blount RL, Dahlquist LM, Baer RA, et al. A brief, effective method for teaching children to swallow pills. Behav Ther 1984;15:381–387.
 
10.Anderson CM, Ruggiero KJ, Adams CD. The use of functional assessment to facilitate treatment adherence: a case of a child with HIV and pill refusal. Cogn Behav Pract 2000;7:282–287.
 
11.Czyzewski DI, Runyan RD, Lopez MA, et al. Teaching and maintaining pill swallowing in HIV-infected children. AIDS Read 2000;10:89–95.
 
12.Garvie PA, Lensing S, Rai SN. Efficacy of a pill-swallowing training intervention to improve antiretroviral medication adherence in pediatric patients with HIV/AIDS. Pediatrics 2007;119:e893–e899.
 
13.Beck MH, Cataldo M, Slifer KJ, et al. Teaching children with attention deficit hyperactivity disorder (ADHD) and autistic disorder (AD) how to swallow pills. Clin Pediatr 2005;44:515–526.
 
14.Ghuman JK, Cataldo MD, Beck MH, et al. Behavioral training for pill-swallowing difficulties in young children with autistic disorder. J Child Adolesc Psychopharmacol 2004;14:601–611.
 
15.Drotar D, Lemanek K. Steps toward a clinically relevant science of interventions in pediatric settings: introduction to the special issue. J Pediatr Psychol 2001;26:385–394.
 
16.Isaacs J. Helping the medicine go down. Am Druggist 1999;216:37–42.
 
17.Meltzer EO, Welch MJ, Ostrom NK. Pill swallowing ability and training in children 6 to 11 years of age. Clin Pediatr 2006;45:725–733.
 
18.La Greca AM, Bearman KJ. Adherence to pediatric treatment regimens, in Roberts MC (ed): Handbook of Pediatric Psychology. New York, Guilford Press, 2003, ed 3, pp 119–140.
 
19.Church AH. Estimating the effect of incentives on mail survey response. Public Opin Q 1993;57:62–79.