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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. CJEM 2018 Nov;20(6):882-891

Date

10/19/2017

Pubmed ID

29041997

DOI

10.1017/cem.2017.414

Scopus ID

2-s2.0-85057233330   4 Citations

Abstract

UNLABELLED: IntroductionOver 80% of children experience compromise in functioning following a fracture. Digital media may improve caregiver knowledge of managing fracture pain at home.

OBJECTIVES: To determine whether an educational video was superior to an interactive web-based module (WBM) and verbal instructions, the standard of care (SOC).

METHODS: This randomized trial included caregivers of children 0-17 years presenting to the emergency department (ED) with non-operative fractures. Primary outcome was the gain score (pre-post intervention) on a 21-item questionnaire testing knowledge surrounding pain recognition and management for children with fractures. Secondary outcomes included survey of caregiver confidence in managing pain (five-item Likert scale), number of days with difficulty sleeping, before return to a normal diet, and work/school missed.

RESULTS: We analyzed 311 participants (WBM 99; video 108; SOC 104) with a mean (SD) child age of 9.6 (4.2) years, of which 125/311 (40.2%) were female. The video (delta=2.3, 95% CI: 1.3, 3.3; p<0.001) and WBM (delta=1.6; 95% CI: 0.5, 2.6; p=0.002) groups had significantly greater gain scores than the SOC group. The mean video gain score was not significantly greater than WBM (delta=0.7; 95% CI: -0.3, 1.8; p=0.25). There were no significant differences in caregiver confidence (p=0.4), number of absent school days (p=0.43), nights with difficulty sleeping (p=0.94), days before return to a normal diet (p=0.07), or workdays missed (p=0.95).

CONCLUSIONS: 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.

Author List

Golden-Plotnik S, Ali S, Drendel AL, Wong T, Ferlisi F, Todorovich S, Canton K, Miller M, Younan J, Elsie S, Poonai N

Author

Amy L. Drendel DO Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Caregivers
Child
Child, Preschool
Emergency Service, Hospital
Female
Fractures, Bone
Health Education
Health Knowledge, Attitudes, Practice
Humans
Infant
Infant, Newborn
Internet
Male
Pain
Pain Management
Retrospective Studies
Video Recording