Evaluation of Knowledge About Fever After Consultation in the Pediatric Emergency Department: Standard Consultation Versus Standard Consultation With Distribution of an Information Leaflet About Fever in Pre-consultation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 220
- 试验地点
- 1
- 主要终点
- Number of participants with correct answer to question about management of a paediatric febrile episode.
研究概览
简要总结
The purpose of this study is to evaluate the effect of an information brochure on parent / legal guardians' knowledge of what to do about their child's febrile episode after a pediatric emergency department visit.
Single-center randomized controlled trial.
详细描述
Fever is a common symptom of viral or bacterial infection in pediatrics. Previous studies using both qualitative and quantitative methods have established that intervention with parents/legal guardians on fever management decreases their worry and anxiety related to their child's occurrence of a febrile episode, limits unwise use of antipyretic medication (Walsh, 2006; Walsh, 2008; Peetom, 2017), but also reduces the use of emergency room or telephone medical consultations (Peetom, 2017).
The majority of visits for febrile conditions in children over 3 months of age are avoidable and do not require emergency and/or hospital care. Mistaken beliefs and lack of knowledge about what to do in the event of a febrile episode lead parents to consult a hospital emergency room for their child, which can have an impact on emergency room overcrowding.
The proportion of emergency room visits for febrile conditions assessed by the Intake and Referral Nurse (IOR) as not requiring urgent care raises questions about parents'/legal guardians' knowledge of fever, its monitoring, and what to do during a febrile episode.
The aim of our study is to evaluate parents' knowledge of fever and the appropriate course of action during a febrile episode in a pediatric emergency department of a Parisian university hospital by comparing standard management practices with the knowledge provided by an information brochure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Be of legal age
- •Be the parent/legal guardian of a child aged between 3 months and 15 years,
- •A child with a fever > 38°celsus on arrival at the emergency room (measured by electronic thermometer rectally for children under 2 years of age or axillary/oral for children over 2 years of age),
- •Severity of care rating by the IOA grade 4 (non-emergency care)
- •Parent affiliated to a social security system or entitled to it
- •Parent under "AME" French social security system
- •Parent informed and having signed the consent
排除标准
- •Parent/legal guardian who does not speak or read French,
- •Child with a pathology that does not allow for rectal temperature taking
- •Parent/legal guardian with a visual impairment that prevents reading the information note and/or the information brochure.
- •Parent / legal guardian under guardianship
研究组 & 干预措施
Information brochure Arm
The experimental group will receive an information brochure on fever in children and how to deal with a febrile episode and usual medical management.
干预措施: The Information brochure will be created on the basis of information given by the French pediatric network Courlygone and the French National Authority for Health. (Behavioral)
Habitual care
The control group will receive the usual medical management
结局指标
主要结局
Number of participants with correct answer to question about management of a paediatric febrile episode.
时间窗: 1 day
Number of correct answers to question n°7 (what to do during a febrile episode) of the questionnaire
次要结局
- Number of participants with correct answer to question n°6 about knowledge's about paediatric febrile episode(1 day)
- Number of participants with correct answer to question n°1 about knowledge about paediatric febrile episode(1 day)
- Number of participants with correct answer to question n°5 about knowledge's about paediatric febrile episode(1 day)
- Number of participants with correct answer to question n°9 about knowledge's about paediatric febrile episode(1 day)
- Number of participants with correct answer to question n°3 about knowledge's about paediatric febrile episode(1 day)
- Number of participants with correct answer to question n°4 about knowledge's about paediatric febrile episode(1 day)
- Number of participants with correct answer to question n°2 about knowledge's about paediatric febrile episode(1 day)
- Number of participants with correct answer to question n°8 about knowledge's about paediatric febrile episode(1 day)
- Number of participants with correct answer to question n°10 about knowledge's about paediatric febrile episode(1 day)