The Development to Promoting Drug Adherence of Liquid Iron Supplement through the Appreciative Inquiry and Multimedia Tools for children aged 9-30 months at Health Promotion Hospital, the Region Health Center 7 Khon Kaen

Abstract

Iron deficiency anemia in children is a significant global health issue. The Health Promotion Hospital at the Center for Health 7, Khon Kaen, has implemented the Department of Health's policy by providing iron supplement syrup to all children aged six months and older who attend the well-child clinic. This research aimed to develop a model to enhance parental adherence to iron supplement syrup administration in children aged 6-30 months by applying multimedia and Appreciative Inquiry (AI). Conduct a Research and Development study using purposive sampling with 30 participants over a period of 10 weeks. The study is divided into three phases: Phase 1 involves conducting interviews with parents about their positive experiences on taking liquid iron supplement. In Phase 2 involves synthesizing data obtained from the Appreciative Inquiry approach, combining it with medication information to design multimedia materials, and having them evaluated by experts. Phase 3: Implementing Multimedia Content for Parents through Line Open Chat. The study found that the average knowledge score about the medication (out of 15 points) increased from 9.13 (SD=0.22) before the intervention to 12.77 (SD=0.22) after the intervention. The adherence score (out of 10 points) also improved, with the average score increasing from 7.60 (SD=0.39) to 9.57 (SD=0.92) after the intervention, showed a statistically significant increase (p-value < 0.001). The satisfaction with the multimedia was rated very high. However, there should be an extension of the duration and development of processes for Promoting Drug Adherence with iron supplements. This can be achieved by increasing engaging multimedia content, such as animated videos or audio narrations, to address non-compliance issues with medication taking. Additionally, this would support building correct understanding among parents.