Skip to main content
. 2016 Oct;138(4):e20160357. doi: 10.1542/peds.2016-0357

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.

a

Percentage of trials with dosing errors per parent.

b

Type 3 χ2 from full model.

c

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.