Fever education for caregivers in the emergency room (The FEVER study)-an interventional trial.
Journal
Pediatric research
ISSN: 1530-0447
Titre abrégé: Pediatr Res
Pays: United States
ID NLM: 0100714
Informations de publication
Date de publication:
25 Jan 2024
25 Jan 2024
Historique:
received:
02
11
2023
accepted:
03
01
2024
medline:
26
1
2024
pubmed:
26
1
2024
entrez:
25
1
2024
Statut:
aheadofprint
Résumé
Despite the vast majority of fevers representing benign self-limiting illnesses, caregiver anxiety regarding fever is high. Empowering caregivers with knowledge to safely and appropriately manage fever at home has the potential to reduce demands upon healthcare services. To improve caregiver knowledge about fever and its management in children via an educational intervention. Caregivers of children over 6 months presenting with fever to a Paediatric Emergency Department were recruited. A pre-intervention survey was completed to ascertain caregiver knowledge about fever and its management. The intervention of (i) an infographic about fever, with (ii) a short video on fever was viewed. A post-intervention survey re-assessed knowledge. The primary outcome was the correct definition of fever as a temperature ≥38 °C. Caregivers (n = 51) who correctly defined fever increased from 41% (n = 21) pre-intervention to 94% (n = 48) post-intervention. There was a reduction in common misconceptions about fever, including a higher fever representing a more serious infection (76% vs. 8%). Caregivers reported they were less likely to seek emergency healthcare due to the height and nature of the fever alone. A simple brief educational intervention can rapidly increase caregiver knowledge about fever in children. There is a continuing need for clear, easily-accessible information for caregivers on this topic. Parental knowledge about fever and how to manage it in their children is low. A simple brief educational intervention can significantly increase caregiver knowledge about fever. A combined written and audiovisual approach is effective and well-received by parents. Educating caregivers has the potential to improve the management of childhood fever at home and to reduce the burden on healthcare services, as well as reduce unpleasant hospital visits for children and their caregivers.
Sections du résumé
BACKGROUND
BACKGROUND
Despite the vast majority of fevers representing benign self-limiting illnesses, caregiver anxiety regarding fever is high. Empowering caregivers with knowledge to safely and appropriately manage fever at home has the potential to reduce demands upon healthcare services.
AIM
OBJECTIVE
To improve caregiver knowledge about fever and its management in children via an educational intervention.
METHODS
METHODS
Caregivers of children over 6 months presenting with fever to a Paediatric Emergency Department were recruited. A pre-intervention survey was completed to ascertain caregiver knowledge about fever and its management. The intervention of (i) an infographic about fever, with (ii) a short video on fever was viewed. A post-intervention survey re-assessed knowledge. The primary outcome was the correct definition of fever as a temperature ≥38 °C.
RESULTS
RESULTS
Caregivers (n = 51) who correctly defined fever increased from 41% (n = 21) pre-intervention to 94% (n = 48) post-intervention. There was a reduction in common misconceptions about fever, including a higher fever representing a more serious infection (76% vs. 8%). Caregivers reported they were less likely to seek emergency healthcare due to the height and nature of the fever alone.
CONCLUSIONS
CONCLUSIONS
A simple brief educational intervention can rapidly increase caregiver knowledge about fever in children. There is a continuing need for clear, easily-accessible information for caregivers on this topic.
IMPACT
CONCLUSIONS
Parental knowledge about fever and how to manage it in their children is low. A simple brief educational intervention can significantly increase caregiver knowledge about fever. A combined written and audiovisual approach is effective and well-received by parents. Educating caregivers has the potential to improve the management of childhood fever at home and to reduce the burden on healthcare services, as well as reduce unpleasant hospital visits for children and their caregivers.
Identifiants
pubmed: 38273118
doi: 10.1038/s41390-024-03047-0
pii: 10.1038/s41390-024-03047-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Armon, K. et al. Determining the common medical presenting problems to an accident and emergency department. Arch. Dis. Child 84, 5 (2001).
doi: 10.1136/adc.84.5.390
Yoong, S. Y. C. et al. Common diagnoses among pediatric attendances at emergency departments. BMC Pediatr. 21, 1 (2021).
doi: 10.1186/s12887-021-02646-8
Kelly, M. et al. Parental knowledge, attitudes and beliefs on fever: a cross-sectional study in Ireland. BMJ Open 7, 7 (2017).
doi: 10.1136/bmjopen-2016-015684
O’Neill-Murphy, K., Liebman, M. & Barnsteiner, J. H. Fever education: does it reduce parent fever anxiety? Pediatr. Emerg. Care 17, 1 (2001).
doi: 10.1097/00006565-200102000-00014
Purssell, E. & Collin, J. Fever phobia: The impact of time and mortality-a systematic review and meta-analysis. Int J. Nurs. Stud. 56, 81–89 (2016).
doi: 10.1016/j.ijnurstu.2015.11.001
pubmed: 26643444
Van den Bruel, A., Bartholomeeusen, S., Aertgeerts, B., Truyers, C. & Buntinx, F. Serious infections in children: an incidence study in family practice. BMC Fam. Pr. 7, 23 (2006).
doi: 10.1186/1471-2296-7-23
Peetoom, K. K. et al. Does well-child care education improve consultations and medication management for childhood fever and common infections? A systematic review. Arch. Dis. Child 102, 3 (2017).
doi: 10.1136/archdischild-2016-311042
Maguire, S. et al. Which urgent care services do febrile children use and why? Arch. Dis. Child 96, 9 (2011).
doi: 10.1136/adc.2010.210096
Kai, J. Parents’ difficulties and information needs in coping with acute illness in preschool children: a qualitative study. BMJ 313, 7063 (1996).
doi: 10.1136/bmj.313.7063.987
Kelly, M. et al. Randomised controlled trial of an intervention to improve parental knowledge and management practices of fever. BMC Pediatr. 19, 1 (2019).
doi: 10.1186/s12887-019-1808-9
Ismail, S. et al. Impact of video discharge instructions for pediatric fever and closed head injury from the Emergency Department. J. Emerg. Med 50, 3 (2016).
doi: 10.1016/j.jemermed.2015.10.006
Wood, E. B. et al. Evidence-based practice: video-discharge instructions in the Pediatric Emergency Department. J. Emerg. Nurs. 43, 4 (2017).
doi: 10.1016/j.jen.2016.11.003
Sherlock, A. & Brownie, S. Patients’ recollection and understanding of informed consent: a literature review. ANZ J. Surg. 84, 4 (2014).
Kessels, R. P. Patients’ memory for medical information. J. R. Soc. Med 96, 5 (2003).
Anderson, J. L., Dodman, S., Kopelman, M. & Fleming, A. Patient information recall in a rheumatology clinic. Rheumatol. Rehabil. 18, 1 (1979).
doi: 10.1093/rheumatology/18.1.18
Blinder, D., Rotenberg, L., Peleg, M. & Taicher, S. Patient compliance to instructions after oral surgical procedures. Int J. Oral. Maxillofac. Surg. 30, 3 (2001).
doi: 10.1054/ijom.2000.0045
Houts, P. S. et al. Using pictographs to enhance recall of spoken medical instructions. Patient Educ. Couns. 35, 2 (1998).
doi: 10.1016/S0738-3991(98)00065-2
Gyomber, D., Lawrentschuk, N., Wong, P., Parker, F. & Bolton, D. M. Improving informed consent for patients undergoing radical prostatectomy using multimedia techniques: a prospective randomized crossover study. BJU Int 106, 8 (2010).
doi: 10.1111/j.1464-410X.2010.09309.x
Baker, M. D., Monroe, K. W., King, W. D., Sorrentino, A. & Glaeser, P. W. Effectiveness of fever education in a pediatric emergency department. Pediatr. Emerg. Care 25, 9 (2009).
doi: 10.1097/PEC.0b013e3181b4f64e
CHI PEM Education. Fever in Children Over 6 Months. Vimeo. https://vimeo.com/794279992/4d72d26aaa (2023).
Zaidman, E. A., Scott, K. M., Hahn, D., Bennett, P. & Caldwell, P. H. Impact of parental health literacy on the health outcomes of children with chronic disease globally: A systematic review. J. Paediatr. Child Health 59, 1 (2023).
doi: 10.1111/jpc.16297
Simpson, R. M. et al. Non-urgent emergency department attendances in children: a retrospective observational analysis. Emerg. Med J. 39, 1 (2022).
doi: 10.1136/emermed-2021-211431