A Web-based module and online video for pain management education for caregivers of children with fractures: A randomized controlled trial

Golden-Plotnik, Stevi; Ali, Samina; Drendel, Amy L.; Wong, T.C.M.; Ferlisi, Frank; Todorovich, Sydney; Canton, Kyle; Miller, Michael R.; Younan, Julia; Elsie, Sharlene; Poonai, Naveen

doi:10.1017/cem.2017.414

Cited by 11 publications

(14 citation statements)

References 36 publications

(38 reference statements)

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“…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 . In our sample, recidivism and work/school/daycare absenteeism was uncommon.…”

Section: Discussionmentioning

confidence: 74%

“…In addition, our sample was composed of a relatively educated group of parents where more than two‐thirds had a postsecondary degree and had previously cared for children with AOM. As a possible consequence, both groups scored below the STAI threshold for clinically significant situational anxiety and scored high on the postintervention knowledge questionnaire (Table ). We surmise that participants in both groups were quite capable, at baseline, of managing their child's symptoms.…”

Section: Discussionmentioning

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: 74%

Section: Discussionmentioning

confidence: 99%

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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“…Previous research had identified deficits in function for children with fractures, 5,7 although few were informed by a qualitative lens. 17 Our findings can serve as source material for caregiver knowledge translation at the time of ED discharge.…”

Section: Discussionmentioning

confidence: 99%

“…Specific topics derived from the literature included fracture pain, impact on sleep/school/play, and missed work for caregivers. 5,7,17 The interview guide is available in Supplemental text S1 (http://links.lww.com/PEC/A788). All questions were approved by the entire research team, including content and methods experts.…”

Section: Interview Guidementioning

confidence: 99%

“…5 The duration of impact can exceed 3 weeks, 6 and the effects extend to the family: 40% of caregivers miss work to care for their child after a fracture. 7 Functional outcome is a key indicator of the effectiveness of fracture management [7][8][9] Restored function is positively correlated with patient and caregiver satisfaction. 10 Understanding patients' experiences after nonoperative fracture management in the ED can help guide communication at discharge; we can be better equipped to discuss expectations, care at home, and follow-up plans.…”

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confidence: 99%

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Parental Perspectives on Children's Functional Experiences After Limb Fracture

Golden-Plotnik

Ali

Moir³

et al. 2021

Pediatr Emer Care

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Background: Fractures are a common childhood injury. Although the pain associated with fractures is well described, the related functional impact is less understood. When a child's function is impaired, his or her ability to participate in day-to-day life is restricted. Eighty percent of children with fractures experience compromise in daily function. An in-depth understanding of function can guide emergency department (ED) providers' discharge instructions.Objectives: Our aim was to report caregivers' perspectives of the functional impact of limb fractures on their children's day-to-day life activities. Methods:We performed a qualitative study using interviews of caregivers of children (aged 5 to 11 years) who received care for acute, nonoperative long bone fractures in a pediatric ED. Audio-recorded, semistructured telephone interviews were completed 7 to 14 days after the ED visit. Interviews were primarily open ended, including questions targeting areas of function from existing pediatric fracture literature. Qualitative analysis was completed using content analysis.Results: Twenty-five interviews were included in the final analysis. Most of the children were diagnosed with upper extremity fractures, and most participants were mothers. All parents reported a change in their child's function. The most commonly affected areas were sleep, activities of daily living, and play. Play was either self-limited by the child or restricted by the parent. Pain was worse in the first days after discharge. Many children struggled emotionally with functional limitations. All children required help from their parents to perform daily tasks; this required adaptive strategies such as planning, changes to household routine, and missed work. Key concerns from parents included regression in the child's independence and fracture healing and complications.Conclusions: Function is universally impaired in young children with fractures, significantly affecting family life after discharge. Discharge conversations with families should include pain management, changes to activities of daily living, family routines and play, and expectations for fracture healing.

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Comparative effectiveness of verbal instruction versus video-based education (VIVid) among family caregivers for improving the quality of life in advanced head and neck cancer patients receiving palliative care in Eastern India: a randomized controlled trial

Narayanan,

Mohanty,

Mohanti

et al. 2023

Qual Life Res

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A Web-based module and online video for pain management education for caregivers of children with fractures: A randomized controlled trial

Abstract: A web-based module and online video are superior to verbal instructions for improving caregiver knowledge on management of children's fracture pain without improvement in functional outcomes.

Cited by 11 publications

References 36 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

Parental Perspectives on Children's Functional Experiences After Limb Fracture

Comparative effectiveness of verbal instruction versus video-based education (VIVid) among family caregivers for improving the quality of life in advanced head and neck cancer patients receiving palliative care in Eastern India: a randomized controlled trial

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