What influences parental decisions about antibiotic use with their children: A qualitative study in rural Australia
Inappropriate use of antibiotics can promote bacterial resistance, which is a growing public health concern. As children are amongst the highest recipients of antibiotics, understanding the drivers of parental decisions towards their children's antibiotic use is imperative for the development o...
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| Veröffentlicht in: | PloS one 2023-07, Vol.18 (7), p.e0288480 |
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| description | Inappropriate use of antibiotics can promote bacterial resistance, which is a growing public health concern. As children are amongst the highest recipients of antibiotics, understanding the drivers of parental decisions towards their children's antibiotic use is imperative for the development of strategies to assist parents in making more informed decisions. This is particularly relevant to the decisions of parents living in resource-limited settings. This study explored the perspectives and practices of parents living in a rural setting about the use of antibiotics in their children.
Three focus group interviews were conducted with 10 parents of children under 12yrs, living in rural and remote areas of the Northern Territory, Australia. A focus group guide was developed to facilitate discussions, which was informed by the Theory of Planned Behaviour. Transcripts were analysed abductively using thematic analysis.
Four themes emerged explaining factors that contributed to parent decisions about their children's antibiotic use: 1) Parental knowledge, attitudes and decision making; 2) Perceptions of antimicrobial resistance; 3) Healthcare challenges; 4) Behaviours with antibiotics. While parents demonstrated accurate knowledge of the indications for antibiotic use, their decisions about the need for antibiotics were often driven by fear of serious illness. This fear was exacerbated by resource limitations associated with living in a resource-limited setting. Additional drivers of parental decision making included what parents have read or heard from both medical and non-medical networks, underscoring the importance of Social Norms in predicting behavioural intentions.
Mothers living in remote areas experiencing reduced access to health services may make decisions about antibiotic use out of fear and based on the advice of their personal network when they perceive their child is vulnerable to a health threat. Findings from this study provide guidance for future research in the prediction of antibiotic use behaviours and for context-specific interventions. |
| doi_str_mv | 10.1371/journal.pone.0288480 |
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Three focus group interviews were conducted with 10 parents of children under 12yrs, living in rural and remote areas of the Northern Territory, Australia. A focus group guide was developed to facilitate discussions, which was informed by the Theory of Planned Behaviour. Transcripts were analysed abductively using thematic analysis.
Four themes emerged explaining factors that contributed to parent decisions about their children's antibiotic use: 1) Parental knowledge, attitudes and decision making; 2) Perceptions of antimicrobial resistance; 3) Healthcare challenges; 4) Behaviours with antibiotics. While parents demonstrated accurate knowledge of the indications for antibiotic use, their decisions about the need for antibiotics were often driven by fear of serious illness. This fear was exacerbated by resource limitations associated with living in a resource-limited setting. Additional drivers of parental decision making included what parents have read or heard from both medical and non-medical networks, underscoring the importance of Social Norms in predicting behavioural intentions.
Mothers living in remote areas experiencing reduced access to health services may make decisions about antibiotic use out of fear and based on the advice of their personal network when they perceive their child is vulnerable to a health threat. Findings from this study provide guidance for future research in the prediction of antibiotic use behaviours and for context-specific interventions.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0288480</identifier><identifier>PMID: 37467239</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Anti-Bacterial Agents - therapeutic use ; Antibiotics ; Antimicrobial resistance ; Behavior ; Biology and Life Sciences ; Caregivers ; Child ; Children ; Children & youth ; Data collection ; Decision making ; Dosage and administration ; Drug resistance ; Early childhood education ; Fear ; Female ; Focus groups ; Global health ; Health aspects ; Health care access ; Health Knowledge, Attitudes, Practice ; Health risks ; Health services ; Humans ; Influence ; Medicine and Health Sciences ; Mothers ; Norms ; Northern Territory ; Parenting ; Parents ; Parents & parenting ; Patient outcomes ; Pediatrics ; People and Places ; Public health ; Qualitative Research ; Remote regions ; Rural areas ; Social networks ; Social Sciences</subject><ispartof>PloS one, 2023-07, Vol.18 (7), p.e0288480</ispartof><rights>Copyright: © 2023 Marsh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Marsh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Marsh et al 2023 Marsh et al</rights><rights>2023 Marsh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c654t-3003c582c92f5edcfc3b42fbc8325868e63210644bca7f9d1e49d7f1762d73913</citedby><cites>FETCH-LOGICAL-c654t-3003c582c92f5edcfc3b42fbc8325868e63210644bca7f9d1e49d7f1762d73913</cites><orcidid>0000-0003-0823-2917</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355396/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355396/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37467239$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marsh, Stephanie A</creatorcontrib><creatorcontrib>Byrne, Mitchell K</creatorcontrib><creatorcontrib>Parsafar, Sara</creatorcontrib><title>What influences parental decisions about antibiotic use with their children: A qualitative study in rural Australia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Inappropriate use of antibiotics can promote bacterial resistance, which is a growing public health concern. As children are amongst the highest recipients of antibiotics, understanding the drivers of parental decisions towards their children's antibiotic use is imperative for the development of strategies to assist parents in making more informed decisions. This is particularly relevant to the decisions of parents living in resource-limited settings. This study explored the perspectives and practices of parents living in a rural setting about the use of antibiotics in their children.
Three focus group interviews were conducted with 10 parents of children under 12yrs, living in rural and remote areas of the Northern Territory, Australia. A focus group guide was developed to facilitate discussions, which was informed by the Theory of Planned Behaviour. Transcripts were analysed abductively using thematic analysis.
Four themes emerged explaining factors that contributed to parent decisions about their children's antibiotic use: 1) Parental knowledge, attitudes and decision making; 2) Perceptions of antimicrobial resistance; 3) Healthcare challenges; 4) Behaviours with antibiotics. While parents demonstrated accurate knowledge of the indications for antibiotic use, their decisions about the need for antibiotics were often driven by fear of serious illness. This fear was exacerbated by resource limitations associated with living in a resource-limited setting. Additional drivers of parental decision making included what parents have read or heard from both medical and non-medical networks, underscoring the importance of Social Norms in predicting behavioural intentions.
Mothers living in remote areas experiencing reduced access to health services may make decisions about antibiotic use out of fear and based on the advice of their personal network when they perceive their child is vulnerable to a health threat. Findings from this study provide guidance for future research in the prediction of antibiotic use behaviours and for context-specific interventions.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Antimicrobial resistance</subject><subject>Behavior</subject><subject>Biology and Life Sciences</subject><subject>Caregivers</subject><subject>Child</subject><subject>Children</subject><subject>Children & youth</subject><subject>Data collection</subject><subject>Decision making</subject><subject>Dosage and administration</subject><subject>Drug resistance</subject><subject>Early childhood education</subject><subject>Fear</subject><subject>Female</subject><subject>Focus groups</subject><subject>Global health</subject><subject>Health aspects</subject><subject>Health care access</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health risks</subject><subject>Health services</subject><subject>Humans</subject><subject>Influence</subject><subject>Medicine and Health Sciences</subject><subject>Mothers</subject><subject>Norms</subject><subject>Northern Territory</subject><subject>Parenting</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Patient outcomes</subject><subject>Pediatrics</subject><subject>People and Places</subject><subject>Public health</subject><subject>Qualitative Research</subject><subject>Remote regions</subject><subject>Rural areas</subject><subject>Social networks</subject><subject>Social Sciences</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkluLEzEYhgdR3HX1H4gGBNGL1pxn4o2UxUNhYcHjZchkMp2UdNLNYXX_vamdXVrxwquE5PneL--Xt6qeIjhHpEZv1j6HUbn51o9mDnHT0Abeq06RIHjGMST3D_Yn1aMY1xAy0nD-sDohNeU1JuK0ij8GlYAde5fNqE0EWxXMmJQDndE2Wj9GoFqfE1Bjsq31yWqQowE_bRpAGowNQA_WdaXqLViAq6ycTSrZawNiyt1N0QYhhyK4yDGV1arH1YNeuWieTOtZ9e3D-6_nn2YXlx-X54uLmeaMphmBkGjWYC1wz0yne01aivtWNwSzhjeGE4wgp7TVqu5FhwwVXd2jmuOuJgKRs-r5XnfrfJTTvKLEDRE1hgg1hVjuic6rtdwGu1HhRnpl5Z8DH1ZSheLYGQlFg5AwFHYGUkaF4kpjJQiiRkHUiaL1buqW2015bplicXskenwz2kGu_LVEkDBGBC8KryaF4K-yiUlubNTGOTUan3cPpxBTzhAr6Iu_0H_bm6iVKg7KJ_vSWO9E5aJmdc1gA2mhXh9R2o_J_EorlWOUyy-f_5-9_H7MvjxgB6NcGqJ3Oe1CdQzSPaiDjzGY_m5oCMpd1m_NyV3W5ZT1UvbscOB3RbfhJr8Bo436Og</recordid><startdate>20230719</startdate><enddate>20230719</enddate><creator>Marsh, Stephanie A</creator><creator>Byrne, Mitchell K</creator><creator>Parsafar, Sara</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>COVID</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0823-2917</orcidid></search><sort><creationdate>20230719</creationdate><title>What influences parental decisions about antibiotic use with their children: A qualitative study in rural Australia</title><author>Marsh, Stephanie A ; Byrne, Mitchell K ; Parsafar, Sara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c654t-3003c582c92f5edcfc3b42fbc8325868e63210644bca7f9d1e49d7f1762d73913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anti-Bacterial Agents - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marsh, Stephanie A</au><au>Byrne, Mitchell K</au><au>Parsafar, Sara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What influences parental decisions about antibiotic use with their children: A qualitative study in rural Australia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-07-19</date><risdate>2023</risdate><volume>18</volume><issue>7</issue><spage>e0288480</spage><pages>e0288480-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Inappropriate use of antibiotics can promote bacterial resistance, which is a growing public health concern. As children are amongst the highest recipients of antibiotics, understanding the drivers of parental decisions towards their children's antibiotic use is imperative for the development of strategies to assist parents in making more informed decisions. This is particularly relevant to the decisions of parents living in resource-limited settings. This study explored the perspectives and practices of parents living in a rural setting about the use of antibiotics in their children.
Three focus group interviews were conducted with 10 parents of children under 12yrs, living in rural and remote areas of the Northern Territory, Australia. A focus group guide was developed to facilitate discussions, which was informed by the Theory of Planned Behaviour. Transcripts were analysed abductively using thematic analysis.
Four themes emerged explaining factors that contributed to parent decisions about their children's antibiotic use: 1) Parental knowledge, attitudes and decision making; 2) Perceptions of antimicrobial resistance; 3) Healthcare challenges; 4) Behaviours with antibiotics. While parents demonstrated accurate knowledge of the indications for antibiotic use, their decisions about the need for antibiotics were often driven by fear of serious illness. This fear was exacerbated by resource limitations associated with living in a resource-limited setting. Additional drivers of parental decision making included what parents have read or heard from both medical and non-medical networks, underscoring the importance of Social Norms in predicting behavioural intentions.
Mothers living in remote areas experiencing reduced access to health services may make decisions about antibiotic use out of fear and based on the advice of their personal network when they perceive their child is vulnerable to a health threat. Findings from this study provide guidance for future research in the prediction of antibiotic use behaviours and for context-specific interventions.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37467239</pmid><doi>10.1371/journal.pone.0288480</doi><tpages>e0288480</tpages><orcidid>https://orcid.org/0000-0003-0823-2917</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anti-Bacterial Agents - therapeutic use Antibiotics Antimicrobial resistance Behavior Biology and Life Sciences Caregivers Child Children Children & youth Data collection Decision making Dosage and administration Drug resistance Early childhood education Fear Female Focus groups Global health Health aspects Health care access Health Knowledge, Attitudes, Practice Health risks Health services Humans Influence Medicine and Health Sciences Mothers Norms Northern Territory Parenting Parents Parents & parenting Patient outcomes Pediatrics People and Places Public health Qualitative Research Remote regions Rural areas Social networks Social Sciences |
| title | What influences parental decisions about antibiotic use with their children: A qualitative study in rural Australia |
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