Feasibility of developing children's Pill School within a UK hospital

Arch Dis Child. 2021 Jul;106(7):705-708. doi: 10.1136/archdischild-2020-319154. Epub 2020 Nov 23.

Abstract

Objective: We assessed the feasibility of introducing an intervention (children's Pill School-PS) within a UK hospital to provide swallowing training for children, identified the proportion of children who can be switched from oral liquid medicines to pills and assessed children/parents' opinions about the PS training.

Methods: 30 inpatient children (aged 3-18 years; taking oral liquid medicines; their liquid medications assessed suitable for switching to pills; can (and their parents) speak/understand English were included. Training sessions were delivered using hard sweets of different sizes.

Results: 87% (26) of children successfully learnt how to swallow pills after one training session (mean duration 14.5 min), and 92% (24) were discharged on pills. 75 prescribed oral liquid medications were deemed suitable for switching to pills. Of these, 89% (67) were switched successfully.

Conclusion: Children as young as 3 years were successful in swallowing pills after training. Providing children PS training session within hospital is feasible and acceptable to children and their parents.

Keywords: health services research; pharmacology; therapeutics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Adolescent
  • Child
  • Child, Preschool
  • Deglutition / physiology*
  • Education / methods
  • Feasibility Studies
  • Hospitals / statistics & numerical data*
  • Humans
  • Inpatients / education
  • Parents / education
  • Patient Education as Topic / methods
  • Pharmaceutical Preparations / administration & dosage
  • Pharmaceutical Solutions / administration & dosage*
  • Pharmaceutical Solutions / therapeutic use
  • Prospective Studies
  • Schools / statistics & numerical data*
  • Tablets / administration & dosage
  • United Kingdom / epidemiology

Substances

  • Pharmaceutical Preparations
  • Pharmaceutical Solutions
  • Tablets