Development and Validation of the Return and Disposal of Unused Medications Questionnaire (ReDiUM) in Malaysia

2018 ◽  
Vol 30 (8) ◽  
pp. 737-749 ◽  
Author(s):  
Si Mui Sim ◽  
Pauline Siew Mei Lai ◽  
Kit Mun Tan ◽  
Hong Gee Lee ◽  
Che Zuraini Sulaiman
Keyword(s):  
Knowledge Score ◽  
Community Dwelling ◽  
Metered Dose Inhalers ◽  
Flesch Reading Ease ◽  
Total Knowledge Score ◽  
Unused Medications ◽  
Metered Dose ◽  
Development And Validation ◽  
Harmful Effects ◽  
Knowledge Attitude And Practice

The aim of our study was to develop and validate the return and disposal of unused medications (ReDiUM), as there are currently no validated tools available (worldwide) to assess this. The ReDiUM was developed by an expert panel. It was then administered to community-dwelling adults, who could understand English, at baseline and 2 weeks later. A total of 338/354 participants agreed to participate (response rate = 95.4%). Flesch reading ease was 60. The overall Cronbach’s α was 0.703 (range = 0.609-0.762). At test-retest, κ values ranged from 0.244 to 0.523. Median total knowledge score was 60% (interquartile range = 40% to 70%). The majority of participants (94.4%) knew that improper drug disposal has harmful effects on the environment. However, their knowledge was low (11.2%) regarding the disposal of pressurized metered-dose inhalers in the garbage. The ReDiUM was found to be a valid and reliable instrument to assess the knowledge, attitude, and practice on the ReDiUM in Malaysia.

Analysis of 21 phthalate leachables in metered dose inhalers by gas chromatography tandem mass spectrometry

2014 ◽  
Vol 6 (12) ◽  
pp. 4083-4089 ◽  
Author(s):  
Xiaoxia Ye ◽  
Juan Ma ◽  
Yongjian Yang ◽  
Fang Jin
Keyword(s):  
Mass Spectrometry ◽  
Gas Chromatography ◽  
Tandem Mass Spectrometry ◽  
Tandem Mass ◽  
Metered Dose Inhalers ◽  
Chromatography Tandem Mass Spectrometry ◽  
Metered Dose ◽  
Development And Validation

Development and validation of GC-MS/MS method to determinate 21 phthalate leachables in meter dose inhalers.

scholarly journals Effectiveness of an intervention to increase the knowledge, attitude, and practice regarding the return and disposal of unused medications

2021 ◽  
Vol 16 (1) ◽  
pp. 56-63
Author(s):  
Pauline Siew Mei Lai ◽  
Kit Mun Tan ◽  
Hong Gee Lee ◽  
Yin Yen Wong ◽  
Nur Azrida Azhari Wasi ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Response Rate ◽  
Community Dwelling ◽  
Post Intervention ◽  
Educational Session ◽  
Attitude And Practice ◽  
Unused Medications ◽  
Improve Attitude ◽  
Knowledge Attitude And Practice

This study aimed to evaluate the effectiveness of an educational intervention (Safe D.U.M.P) to improve the knowledge, attitude, and practice regarding the return and disposal of unused medications. Community-dwelling adults in Malaysia who could understand English were recruited from two healthcare events. Participants were asked to fill out the validated Return and Disposal of Unused Medications (ReDiUM) questionnaire (pre-intervention), view six educational intervention posters on how to dispose of unused medications (Safe D.U.M.P), then answer the ReDiUM questionnaire immediately after viewing the posters (post-intervention). A total of 390 out of 456 participants participated (response rate=85.5%). Most were female (71%) with a median age of 42 years. The overall knowledge of participants significantly increased from 60% to 80% (p<0.001). However, no improvement was seen regarding their overall attitude and practice. This outcome was as expected as it may be more difficult to improve attitude and practice (when compared to knowledge) with a single educational session.

Metered-Dose Inhalers: Mouth Open or Closed?-Reply

JAMA ◽  
1994 ◽  
Vol 271 (4) ◽  
pp. 272
Author(s):  
Michael J. Tidd
Keyword(s):  
Metered Dose Inhalers ◽  
Metered Dose

scholarly journals Development and Validation of a Food Literacy Assessment Tool for Community-Dwelling Elderly People

2021 ◽  
Vol 18 (9) ◽  
pp. 4979
Author(s):  
Hyeona So ◽  
Dahyun Park ◽  
Mi-Kyung Choi ◽  
Young-Sun Kim ◽  
Min-Jeong Shin ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Elderly People ◽  
Assessment Tool ◽  
Community Dwelling ◽  
Face Validity ◽  
Literacy Assessment ◽  
Food Literacy ◽  
Sphericity Test ◽  
Development And Validation ◽  
Korean Elderly

Food literacy refers to the knowledge, skills, and attitudes required for individuals to choose foods that promote health. As the rate of diet-related diseases increases, food literacy is becoming more important. However, there are no tools available to evaluate food literacy among the Korean elderly. We derived 547 questions from a literature review and, after three rounds of Delphi surveys, selected 33 preliminary questions. We calculated the content validity ratio of the questions and applied a face validity procedure. We then selected 32 questions, assessed their validity, and distributed them as a questionnaire to 205 elderly people. We then conducted exploratory factor analysis (EFA) to determine the validity of the questionnaire and used an internal consistency index (Cronbach’s α coefficient) to determine reliability. Based on the factor analysis, 13 questions were selected, distributed among three factors, and evaluated using the Kaiser–Meyer–Olkin (KMO) and Bartlett sphericity tests. The factor analysis showed that KMO was 0.872, which is a highly acceptable score, and the Bartlett sphericity test was χ2 = 1,374.69 at p = 0.00. The food literacy questionnaire developed in this study will likely be helpful for improving the healthcare of elderly people.

scholarly journals Numerical and Experimental Investigation on Key Parameters of the Respimat® Spray Inhaler

Processes ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 44
Author(s):  
Yi Ge ◽  
Zhenbo Tong ◽  
Renjie Li ◽  
Fen Huang ◽  
Jiaqi Yu
Keyword(s):  
High Speed ◽  
Fine Particles ◽  
Geometric Parameters ◽  
Metered Dose Inhalers ◽  
Geometric Pattern ◽  
Long Duration ◽  
Metered Dose ◽  
New Type ◽  
Computational Fluid Dynamics Cfd ◽  
Spray Velocity

Respimat®Soft MistTM is a newly developed spray inhaler. Different from traditional nebulizers, metered-dose inhalers, and dry powder inhalers, this new type of inhaler can produce aerosols with long duration, relatively slow speed, and a high content of fine particles. Investigating the effect of the key geometric parameters of the device on the atomization is of great significance for generic product development and inhaler optimization. In this paper, a laser high-speed camera experimental platform is built, and important parameters such as the geometric pattern and particle size distribution of the Respimat®Soft MistTM are measured. Computational fluid dynamics (CFD) and the volume of fluid method coupled with the Shear Stress Transport (SST) k-ω turbulence model are applied to simulate the key geometric parameters of the device. The effects of geometric parameters on the spray velocity distribution and geometric pattern are obtained. The angle of flow collision, the sphere size of the central divider and the length and width of the flow channel show significant impacts on the spray atomization.

Examining Elementary School Children’s Knowledge about Food and Nutrition in Southwestern Ontario, Canada

2022 ◽  
pp. 1-9
Author(s):  
Paige Colley ◽  
Jamie A. Seabrook ◽  
Sarah J. Woodruff ◽  
Jason Gilliland
Keyword(s):  
Elementary School ◽  
Family Income ◽  
Vegetable Consumption ◽  
Food Selection ◽  
Poor Performance ◽  
Knowledge Score ◽  
Sociodemographic Factors ◽  
Student Survey ◽  
Total Knowledge Score ◽  
Food And Nutrition

Purpose: Knowledge is fundamental to helping children make nutritional choices that support lifelong healthy behaviours. This study (i) investigates elementary school children’s knowledge about food and nutrition and (ii) identifies sociodemographic factors influencing children’s reported knowledge. Methods: In 2017–2019, a survey was administered to 2443 students (grades 5–8) at 60 schools across southwestern Ontario, Canada, and a parent survey was used to validate self-reported sociodemographics. Multiple regression was used to analyse children’s knowledge scores and related sociodemographic factors. A total knowledge score was calculated by summing correct responses derived from 46 individual questions in the student survey. Results: Mean total knowledge score was 29.2 out of a possible 46 points (63.5% correct). Students demonstrated some knowledge and awareness of strategies to encourage fruit and vegetable consumption, healthy food selection, nutrition, and food preparation skills, although knowledge of food guide recommendations and locally sourced produce were limited. Female sex, family income, and rurality were associated with higher knowledge scores. Conclusions: Results provide insight regarding strengths and gaps in elementary-school children’s food and nutrition knowledge. Poor performance of students on specific food guide-related questions suggests that the general guidance of the 2019 Canada’s Food Guide might be better understood by children and adolescents.

METERED-DOSE INHALERS: DO HEALTH CARE PROVIDERS KNOW WHAT TO TEACH?

PEDIATRICS ◽  
1994 ◽  
Vol 94 (2) ◽  
pp. 260-260
Author(s):  
Allen A. Adinoff
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Outpatient Setting ◽  
Large Percentage ◽  
Respiratory Care ◽  
Care Providers ◽  
Metered Dose Inhalers ◽  
Metered Dose

This study confirms that a large percentage of patients use MDI improperly. It also demonstrates a significant lack of understanding by health care providers of the proper use of MDI. Furthermore, this study supports the use of respiratory care practitioners in the outpatient setting, since they were the most proficient among all the health care providers in the proper use of MDI.

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