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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
220
An information brochure on fever in children and how to deal with a paediatric febrile episode and usual medical management.
APHP Assistance Publique des Hôpitaux de Paris
Paris, France
Number of participants with correct answer to question about management of a paediatric febrile episode.
Number of correct answers to question n°7 (what to do during a febrile episode) of the questionnaire
Time frame: 1 day
Number of participants with correct answer to question n°1 about knowledge about paediatric febrile episode
Answer to question n°1, 2, 3, 4, 5, 6, 8, 9 \& 10. Number of participants with correct answers, between the two arms
Time frame: 1 day
Number of participants with correct answer to question n°2 about knowledge's about paediatric febrile episode
Answer to question n° 2. Number of participants with correct answers, between the two arms. Factors associated with a high number of correct responses: age of child, age of legal guardian, socio-professional category, child's place in sibling group, child's medical follow-up.
Time frame: 1 day
Number of participants with correct answer to question n°3 about knowledge's about paediatric febrile episode
Answer to question n° 3. Number of participants with correct answers, between the two arms.
Time frame: 1 day
Number of participants with correct answer to question n°4 about knowledge's about paediatric febrile episode
Answer to question n° 4. Number of participants with correct answers, between the two arms.
Time frame: 1 day
Number of participants with correct answer to question n°5 about knowledge's about paediatric febrile episode
Answer to question n° 5. Number of participants with correct answers, between the two arms.
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Time frame: 1 day
Number of participants with correct answer to question n°6 about knowledge's about paediatric febrile episode
Answer to question n° 6. Number of participants with correct answers, between the two arms.
Time frame: 1 day
Number of participants with correct answer to question n°8 about knowledge's about paediatric febrile episode
Answer to question n° 8. Number of participants with correct answers, between the two arms.
Time frame: 1 day
Number of participants with correct answer to question n°9 about knowledge's about paediatric febrile episode
Answer to question n° 9. Number of participants with correct answers, between the two arms.
Time frame: 1 day
Number of participants with correct answer to question n°10 about knowledge's about paediatric febrile episode
Answer to question n° 10. Number of participants with correct answers, between the two arms.
Time frame: 1 day