title: Impact of a child care educational intervention on parent knowledge about appropriate antibiotic use.
abstract: BACKGROUND
  Parent education is an integral component to promoting judicious antibiotic use. Opportunities to educate parents directly are limited. Child care providers are in a position to relay information to parents.
  
  
  METHODS
  A group-randomized trial assessed the impact of a child care center staff intervention on parental knowledge and attitudes regarding appropriate antibiotic use. A 9-point knowledge score and 3 attitude items were measured.
  
  
  RESULTS
  Surveys were returned by 151 (51%) of 298 intervention center parents and 150 (42%) of 361 control center parents. Intervention center respondents were significantly more likely than control center respondents to be college graduates, non-Hispanic white, and insured. Among college graduates, the median knowledge score was 7.0 at intervention centers and 6.5 at control centers (P<0.01). No significant differences were found in knowledge scores among noncollege educated parents (P=0.11). After adjusting for clustering within child care centers, multivariate analysis demonstrated high knowledge score was associated with white race (P=0.02), being a college graduate (P=0.02), and being in the intervention group (P=0.06).
  
  
  CONCLUSIONS
  An appropriate antibiotic use program for child care providers promotes better knowledge among parents of children aged <5 years, particularly among highly educated parents.
authors.affiliation: Epidemic Intelligence, Wisconsin Division of Public Health, Centers for Disease Control and Prevention, Atlanta, GA, USA. dc2@medicine.wisc.edu
authors.forename: Donita R
authors.initials: DR
authors.lastname: Croft
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Knobloch
authors.forename: Po-Huang
authors.initials: PH
authors.lastname: Chyou
authors.forename: Darcy Vanden
authors.initials: DV
authors.lastname: Ellen
authors.forename: Carolyn
authors.initials: C
authors.lastname: Janette
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Davis
authors.forename: Richard E
authors.initials: RE
authors.lastname: Besser
authors.forename: Edward A
authors.initials: EA
authors.lastname: Belongia
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002656:Child Day Care Centers; D002675:Child, Preschool; D004363:Drug Utilization / Q000706:statistics & numerical data; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D010043:Outcome and Process Assessment, Health Care; D010290:Parents / Q000523:psychology*; D011795:Surveys and Questionnaires
chemical_list: D000900:Anti-Bacterial Agents