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Parental Views of Otitis Media and Antibiotic Treatment Courtney Leigh Ross Louisiana Tech University

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Parental Views of Otitis Media and Antibiotic Treatment Courtney Leigh Ross Louisiana Tech University Louisiana Tech University Louisiana Tech Digital Commons Doctoral Dissertations Graduate School Spring 2007 Parental views of otitis media and antibiotic treatment Courtney Leigh Ross Louisiana Tech University Follow this and additional works at: https://digitalcommons.latech.edu/dissertations Part of the Public Health Commons, and the Speech Pathology and Audiology Commons Recommended Citation Ross, Courtney Leigh, "" (2007). Dissertation. 529. https://digitalcommons.latech.edu/dissertations/529 This Dissertation is brought to you for free and open access by the Graduate School at Louisiana Tech Digital Commons. It has been accepted for inclusion in Doctoral Dissertations by an authorized administrator of Louisiana Tech Digital Commons. For more information, please contact [email protected]. PARENTAL VIEWS OF OTITIS MEDIA AND ANTIBIOTIC TREATMENT by Courtney Leigh Ross, B.A. A Dissertation Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Audiology COLLEGE OF LIBERAL ARTS LOUISIANA TECH UNIVERSITY May 2007 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. UMI Number: 3268121 Copyright 2007 by Ross, Courtney Leigh All rights reserved. INFORMATION TO USERS The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleed-through, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion. ® UMI UMI Microform 3268121 Copyright 2007 by ProQuest Information and Learning Company. All rights reserved. This microform edition is protected against unauthorized copying under Title 17, United States Code. ProQuest Information and Learning Company 300 North Zeeb Road P.O. Box 1346 Ann Arbor, Ml 48106-1346 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. LOUISIANA TECH UNIVERSITY THE GRADUATE SCHOOL May 4, 2007___________________ Date We hereby recommend that the dissertation prepared under our supervision by Courtney Leiah Ross______________________________________________ entitled Parental Views of Otitis Media and Antibiotic Treatment__________________________ be accepted in partial fulfillment of the requirements for the Degree of Doctor of Audiology______________________________________________________________ A Supervisor o f Dissertation Research Head o f Department Speech_____________________ Department Recommendation concurred in: Advisory Committee Approved: Approved: Director o f Gradi lies lean o f the Graduate Schtol if the College GS Form 13 (5/03) Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. ABSTRACT Antibiotic resistance is a rapidly growing problem throughout the world. Antibiotic resistance can be due to a number of factors, including unnecessary antibiotic prescriptions, antibiotic misuse, and transmission of resistant bacteria. Otitis media is the most often diagnosed childhood illness and accounts for the majority of the United States’ annual antibiotic prescriptions. Both parents and physicians can contribute to unnecessary antibiotic treatment for otitis media. Understanding parental views of otitis media and antibiotic treatment may help reduce unnecessary antibiotic prescriptions and lead to the subsequent reduction in antibiotic resistance. The purpose of this capstone project is to develop a questionnaire that effectively gathers information about parent/guardian views toward otitis media and antibiotic treatment. The population of interest for this pilot study is parents/guardians of children 2 to 5 years of age. Individuals of all ages, races, and backgrounds will be encouraged to participate. The questionnaire was developed using a variety of items and response styles. The questionnaire items are broken into different categories/sections, including knowledge-based, opinion-based, behavior-based, and demographic. The respondents are provided with instructions for each section. iii Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. The questionnaires will be placed at South Arkansas Otolaryngology Associates, where parents/guardians will have the opportunity to complete them while waiting to see the physician. There will be a drop-box in the otolaryngology clinic for the participants to return the questionnaires. The primary investigator will collect the completed questionnaires for analysis. The questionnaire data will be entered into a spreadsheet and analyzed using measures of central tendency. The results of the questionnaire can be used to determine the effectiveness of the study and can also be used to assist with future research. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. APPROVAL FOR SCHOLARLY DISSEMINATION The author grants to the Prescott Memorial Library of Louisiana Tech University the right to reproduce, by appropriate methods, upon request, any or all portions of this Dissertation. It is understood that “proper request” consists of the agreement, on the part of the requesting party, that said reproduction is for his personal use and that subsequent reproduction will not occur without written approval of the author of this Dissertation. Further, any portions of the Dissertation used in books, papers, and other works must be appropriately referenced to this Dissertation. Finally, the author of this Dissertation reserves the right to publish freely, in the literature, at any time, any or all portions of this Dissertation. Author Date Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. TABLE OF CONTENTS LIST OF FIGURES...............................................................................................................viii ACKNOWLEDGEMENTS..................................................................................................... x CHAPTER 1: INTRODUCTION, REVIEW OF LITERATURE, AND STATEMENT OF THE PROBLEM................................................... 1 Introduction.................................................................................................. 2 Review of Literature....................................................................................2 Viruses Versus Bacteria.......................................................................2 Viruses..............................................................................................2 Bacteria............................................................................................4 Otitis Media.......................................................................................... 5 Otitis Media with Effusion............................................................. 6 Acute Otitis Media.......................................................................... 8 Chronic Otitis Media ..................................................................... 10 Antibiotics .......................................................................................... 12 History............................................................................................ 12 Antibiotic Function........................................................................ 13 Antibiotic Resistance.........................................................................18 Types of Resistance....................................................................... 18 Mechanisms of Resistance ............................................................ 20 Factors Contributing to Antibiotic Resistance ............................24 Concerns About Otitis Media and Antibiotic Resistance ...........29 Education............................................................................................29 Physicians.......................................................................................29 Parents............................................................................................33 Statement of the Problem .........................................................................37 CHAPTER 2: SURVEY RESEARCH METHODOLOGY, QUESTIONNAIRE DEVELOPMENT, AND PILOT STUDIES..............................................38 Survey Research Methodology................................................................38 Interviews.....................................................................................39 Questionnaires.............................................................................. 42 Questionnaire Development.....................................................................46 Planning ........................................................................................46 Pilot Studies..................................................................................50 Developing the Capstone Questionnaire ................................... 51 vi Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. CHAPTER 3: METHODS, PROCEDURES, AND DATA ANALYSIS..........................69 Research Design ........................................................................................70 Study Participants......................................................................................71
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