Web-Based Tools for Educating Caregivers About Childhood Fever

Hart, Lara; Nedadur, Rashmi; Reardon, Jaime; Sirizzotti, Natalie; Poonai, C; Speechley, Kathy N.; Loftus, Jay; Miller, Michael R.; Salvadori, Marina; Spadafora, Amanda; Poonai, Naveen

doi:10.1097/pec.0000000000000936

Cited by 8 publications

(9 citation statements)

References 23 publications

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“…This makes it difficult to draw conclusions about the absolute benefit of providing any form of discharge instructions (video or paper). Although not specific to AOM, video discharge instructions provided to parents in the ED setting have consistently been associated with improved knowledge . In contrast, much fewer studies have explored the effectiveness of video discharge instructions on disease‐specific health outcomes and compliance .…”

Section: Discussionmentioning

confidence: 99%

“…Assuming a standard deviation (SD) of 3.43, a type I error rate of 5% and 90% power, 60 individuals/group were required. Based on previous work requiring a 72‐hour follow‐up, the sample size was increased by 65% for loss to follow‐up and 10% for dropouts, giving a rounded sample size of 105 individuals per group. All data were recorded using the Research Electronic Data Capture (REDCap) platform and analyzed using SPSS (version 24, IBM SPSS).…”

Section: Methodsmentioning

confidence: 99%

“…Standardized discharge instructions are preferred to verbal summaries by parents, are associated with decreased medication error rates, and may be facilitated by video technology. Video technology has been used in pediatric lacerations, sprains, fever, and head injury and is preferred over paper instructions . However, no study has explored the effectiveness of video technology for discharge instruction in AOM.…”

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confidence: 99%

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Video Discharge Instructions for Acute Otitis Media in Children: A Randomized Controlled Open‐label Trial

Belisle

Dobrin

Elsie

et al. 2019

Academic Emergency Medicine

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Background Thirty percent of children with acute otitis media (AOM) experience symptoms < 7 days after initiating treatment, highlighting the importance of comprehensive discharge instructions. Methods We randomized caregivers of children 6 months to 17 years presenting to the emergency department (ED) with AOM to discharge instructions using a video on management of pain and fever to a paper handout. The primary outcome was the AOM Severity of Symptom (AOM‐SOS) score at 72 hours postdischarge. Secondary outcomes included caregiver knowledge (10‐item survey), absenteeism, recidivism, and satisfaction (5‐item Likert scale). Results A total of 219 caregivers were randomized and 149 completed the 72‐hour follow‐up (72 paper and 77 video). The median (IQR) AOM‐SOS score for the video was significantly lower than paper, even after adjusting for preintervention AOM‐SOS score and medication at home (8 [7–11] vs. 10 [7–13], respectively; p = 0.004). There were no significant differences between video and paper in mean (±SD) knowledge score (9.2 [±1.3] vs. 8.8 [±1.8], respectively; p = 0.07), mean (±SD) number of children that returned to a health care provider (8/77 vs. 10/72, respectively; p = 0.49), mean (±SD) number of daycare/school days missed by child (1.2 [±1.5] vs. 1.1 [±2.1], respectively; p = 0.62), mean (±SD) number of workdays missed by caregiver (0.5 [±1] vs. 0.8 [±2], respectively; p = 0.05), or median (IQR) satisfaction score (5 [4–5] vs. 5 [4–5], respectively; p = 0.3). Conclusions Video discharge instructions in the ED are associated with less perceived AOM symptomatology compared to a paper handout.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Video Discharge Instructions for Acute Otitis Media in Children: A Randomized Controlled Open‐label Trial

Belisle

Dobrin

Elsie

et al. 2019

Academic Emergency Medicine

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“…The goal is to ensure that the KT tools promote enhanced knowledge adoption and are user-friendly by involving parents in their development and evaluation (i.e., through patient engagement strategies). Recently, literature has suggested that KT tools developed in a web-based format are associated with better caregiver knowledge uptake compared to traditional methods, such as pamphlets or verbal advice [16].…”

Section: Introductionmentioning

confidence: 99%

Development and usability testing of two arts-based knowledge translation tools for parents about pediatric fever

Scott¹,

Cunningham²,

Le³

et al. 2021

Preprint

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Fever is defined as an elevated body temperature greater or equal to 38 degrees celsius when measured via the ear canal. It is a common bodily response in children and is typically a benign process that is self-limiting. However, fever can be an anxiety provoking event for some parents because their child can look unwell and become irritable as a result. Past attempts at translating medical knowledge about fever and its management strategies into parent-friendly formats exist; however, parent misperceptions about definition and management persist despite these educational tools. Our research team employs patient engagement techniques to develop resources for parents to enhance the uptake of complex medical knowledge. First, our research group conducts qualitative interviews and knowledge synthesis of the literature. Following analysis, salient themes are used to develop a script and skeleton for our videos and infographics, respectively. Employing this same process, this paper discusses the development and usability testing of two digital tools for fever. Prototypes for the video and infographic were tested by parents in urban and remote emergency department (ED) waiting rooms. A total of 58 surveys were completed by parents. Overall, parents rated both the fever video and infographic favourably, suggesting that patient engaged research methods and digital formats are mediums that can facilitate knowledge transfer.

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“…[11][12][13] Video discharge instructions have been shown to be preferred over paper instructions in many pediatric presentations; however, no study has explored the effectiveness of video instructions for AOM. 14,15…”

Section: Introductionmentioning

confidence: 99%

Hot Off the Press: Video for Acute Otitis Media Discharge Instructions

Bond

Morgenstern

Heitz

et al. 2020

Academic Emergency Medicine

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Web-Based Tools for Educating Caregivers About Childhood Fever

Abstract: Web-based interventions are associated with significant improvements in caregiver knowledge about fever and high caregiver satisfaction. These interventions should be used to educate caregivers pending the demonstration of improved patient-centered outcomes.

Cited by 8 publications

References 23 publications

Video Discharge Instructions for Acute Otitis Media in Children: A Randomized Controlled Open‐label Trial

Video Discharge Instructions for Acute Otitis Media in Children: A Randomized Controlled Open‐label Trial

Development and usability testing of two arts-based knowledge translation tools for parents about pediatric fever

Hot Off the Press: Video for Acute Otitis Media Discharge Instructions

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