Video Education Intervention in the Emergency Department. West J Emerg Med 2022 Dec 09;24(2):287-294
Date
01/06/2023Pubmed ID
36602480Pubmed Central ID
PMC10047719DOI
10.5811/westjem.2022.9.57986Scopus ID
2-s2.0-85151313004 (requires institutional sign-in at Scopus site)Abstract
INTRODUCTION: After discharge from the emergency department (ED), pain management challenges parents, who have been shown to undertreat their children's pain. Our goal was to evaluate the effectiveness of a five-minute instructional video for parents on pain treatment in the home setting to address common misconceptions about home pediatric pain management.
METHODS: We conducted a randomized, single-blinded clinical trial of parents of children ages 1-18 years who presented with a painful condition, were evaluated, and were discharged home from a large, tertiary care pediatric ED. Parents were randomized to a pain management intervention video or an injury prevention control video. The primary outcome was the proportion of parents that gave their child pain medication at home after discharge. These data were recorded in a home pain diary and analyzed using the chi square test to determine significant difference. Parents' knowledge about components of at-home pain treatment were tested before, immediately following, and two days after intervention. We used McNemar's test statistic to compare incorrect pretest/correct post-test answers between intervention and control groups.
RESULTS: A total of 100 parents were enrolled: 59 parents watched the pain education video, and 41 the control video. Overall, 75% of parents completed follow-up, providing information about home medication use. Significantly more parents provided pain medication to their children after watching the educational video: 96% vs 80% (difference 16%; 95% CI 7.8-31.3%). Significantly more parents had correct pain treatment knowledge immediately following the educational video about pain scores (P = 0.04); the positive effects of analgesics (P <0.01); and pain medication misconceptions (P = 0.02). Most differences in knowledge remained two days after the video intervention.
CONCLUSION: The five-minute educational video about home pain treatment viewed by parents in the ED prior to discharge significantly increased the proportion of children receiving pain medication at home as well as parents' knowledge about at-home pain management.
Author List
Jacobson N, Coleman KD, Weisman SJ, Drendel ALAuthors
Keli D. Coleman MD Assistant Professor in the Pediatrics department at Medical College of WisconsinAmy L. Drendel DO Interim Chief, Professor in the Pediatrics department at Medical College of Wisconsin
Nancy Jacobson MD Assistant Professor in the Emergency Medicine department at Medical College of Wisconsin
Steven J. Weisman MD Professor in the Anesthesiology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAnalgesics
Child
Child, Preschool
Emergency Service, Hospital
Humans
Infant
Pain
Pain Management
Parents
Patient Discharge
