TABLE 3.
Dosing Error by Dosing Tool Type and Randomization Group, Stratified by Health Literacy and Language (n = 2058)
% Trials With Errors/Parenta | Dosing Error (>20% deviation) | ||||||
---|---|---|---|---|---|---|---|
Pb | aORc | 95% CI | P | ||||
By Health Literacy | |||||||
Low health literacy (n = 740) | |||||||
Unit of measurement pairing on label vs dosing tool | |||||||
Group | Label Unit | Tool Unit | |||||
1 | mL | mL | 32.4 | .03 | 1.0 | Ref | Ref |
2 | mL and tsp | mL and tsp | 28.5 | 0.8 | 0.6–1.1 | .2 | |
3 | mL and teaspoon | mL and tsp | 30.2 | 0.9 | 0.7–1.2 | .4 | |
4 | mL | mL and tsp | 31.9 | 1.0 | 0.7–1.3 | .9 | |
5 | teaspoon | mL and tsp | 38.7 | 1.3 | 0.98–1.7 | .07 | |
Dosing tool type | |||||||
Cup | 48.9 | <.001 | 3.4 | 3.0–3.9 | <.001 | ||
Syringe (0.2-mL increment, 10-mL capacity) | 24.9 | 1.1 | 0.98–1.2 | .1 | |||
Syringe (0.5-mL increment, 10-mL capacity) | 23.6 | 1.0 | Ref | Ref | |||
Marginal health literacy (n = 843) | |||||||
Unit of measurement pairing on label vs dosing tool | |||||||
Group | Label Unit | Tool Unit | |||||
1 | mL | mL | 21.8 | .2 | 1.0 | Ref | Ref |
2 | mL and tsp | mL and tsp | 21.5 | 0.9 | 0.7–1.2 | .6 | |
3 | mL and teaspoon | mL and tsp | 22.2 | 0.97 | 0.7–1.3 | .8 | |
4 | mL | mL and tsp | 24.5 | 1.1 | 0.9–1.5 | .4 | |
5 | teaspoon | mL and tsp | 28.6 | 1.3 | 0.95–1.7 | .1 | |
Dosing tool type | |||||||
Cup | 43.1 | <.001 | 5.6 | 4.8–6.6 | <.001 | ||
Syringe (0.2-mL increment, 10-mL capacity) | 13.8 | 1.0 | 0.9–1.2 | .8 | |||
Syringe (0.5-mL increment, 10-mL capacity) | 13.7 | 1.0 | Ref | Ref | |||
Adequate health literacy (n = 475) | |||||||
Unit of measurement pairing on label vs dosing tool | |||||||
Group | Label Unit | Tool Unit | |||||
1 | mL | mL | 20.3 | .2 | 1.0 | Ref | Ref |
2 | mL and tsp | mL and tsp | 16.3 | 0.9 | 0.6–1.3 | .5 | |
3 | mL and teaspoon | mL and tsp | 14.0 | 0.7 | 0.5–1.01 | .1 | |
4 | mL | mL and tsp | 14.6 | 0.7 | 0.5–1.05 | .1 | |
5 | teaspoon | mL and tsp | 18.8 | 0.9 | 0.7–1.4 | .7 | |
Dosing tool type | |||||||
Cup | 33.6 | <.001 | 6.5 | 5.0–8.5 | <.001 | ||
Syringe (0.2-mL increment, 10-mL capacity) | 8.2 | 0.9 | 0.7–1.2 | .4 | |||
Syringe (0.5-mL increment, 10-mL capacity) | 8.8 | 1.0 | Ref | Ref | |||
By Language | |||||||
English (n = 1334) | |||||||
Unit of measurement pairing on label vs dosing tool | |||||||
Group | Label Unit | Tool Unit | |||||
1 | mL | mL | 25.6 | 0.2 | 1.0 | Ref | Ref |
2 | mL and tsp | mL and tsp | 22.0 | 0.8 | 0.7–1.02 | .07 | |
3 | mL and teaspoon | mL and tsp | 21.3 | 0.8 | 0.6–0.96 | .02 | |
4 | mL | mL and tsp | 23.7 | 0.9 | 0.7–1.06 | .2 | |
5 | teaspoon | mL and tsp | 25.2 | 0.9 | 0.7–1.1 | .4 | |
Dosing tool type | |||||||
Cup | 42.0 | <.001 | 5.2 | 4.5–5.9 | <.001 | ||
Syringe (0.2-mL increment, 10-mL capacity) | 14.2 | 1.0 | 0.9–1.1 | .8 | |||
Syringe (0.5-mL increment, 10-mL capacity) | 14.3 | 1.0 | Ref | Ref | |||
Spanish (n = 724) | |||||||
Unit of measurement pairing on label vs dosing tool | |||||||
Group | Label Unit | Tool Unit | |||||
1 | mL | mL | 24.9 | <.001 | 1.0 | Ref | Ref |
2 | mL and tsp | mL and tsp | 24.1 | 1.0 | 0.8–1.3 | .9 | |
3 | mL and teaspoon | mL and tsp | 26.5 | 1.1 | 0.8–1.4 | .7 | |
4 | mL | mL and tsp | 28.7 | 1.2 | 0.9–1.6 | .2 | |
5 | teaspoon | mL and tsp | 38.3 | 2.0 | 1.5–2.6 | <.001 | |
Dosing tool type | |||||||
Cup | 44.7 | <.001 | 3.9 | 3.3–4.5 | <.001 | ||
Syringe (0.2-mL increment, 10-mL capacity) | 20.8 | 1.1 | 0.98–1.2 | .1 | |||
Syringe (0.5-mL increment, 10-mL capacity) | 19.5 | 1.0 | Ref | Ref | |||
Ref, referent.
Percentage of trials with dosing errors per parent.
Type 3 χ2 from full model.
Full model adjusting for randomization group, tool type, dose amount, dosing order, language, and health literacy. Models by health literacy adjusting for all except health literacy; models for language adjusting for all except language.