Acculturation of Mexican-Americans and Parental Use of Over-the-Counter Cough and Cold Medicines

Saturday, 29 October 2011

Rebecca L. Lucas, DNP, RN, FNPC
Clinical Practice Site, Ennis Children's Clinic, Ennis, TX

Learning Objective 1: The learner will have better understanding of knowledge, behavior, and acculturation related to over-the-counter cough and cold medicine by Mexican American parents.

Learning Objective 2: The learner will have better understanding of alternative uses of complimentary therapies for cough and cold medicine symptoms among Mexican American parents.

Purpose: The purpose of this clinical inquiry project is to evaluate current parental knowledge about use of cough and cold medicine in children among Mexican American parents and to determine if parental knowledge and levels of acculturation relate to parental use of over-the-counter (OTC) cough and cold medicines.  Few research studies are available regarding parents who are not fluent in English and their use of OTC medications for their children.

Methods: 95 parental participants completed two anonymous surveys to assess their level of knowledge, behavior, and uses of over the counter cough and cold medicine. A convenience sample was used to test the hypotheses for this clinical inquiry project.  The criterion used for significance (alpha) is designated at .05.  The study has a power of 81.0% and the effect size selected was .30.

Results: Analysis of results indicated a small, positive correlation between parental knowledge and behavior, indicating higher parental knowledge scores were associated with efficacious uses of OTC cough and cold medicine.  Parents’ levels of acculturation and knowledge also demonstrated a small positive relationship, indicating higher levels of parental acculturation to the United States were associated with higher levels of parents’ knowledge about OTC cough and cold medicines.  Parents’ levels of acculturation did not demonstrate a significant correlation to parental uses of these medicines. 

Conclusion: Results from this clinical inquiry project will enable clinicians to develop practices that foster healthy parental practices regarding treatment of childhood colds.  This novel project will be essential for primary care providers to develop practices that foster healthy parental practices regarding medication use for their children. The potential to improve culturally competent care for one the largest growing ethnic groups in this nation is essential providing health care to this population.