Video Discharge Instructions for Fever and ED Recidivism

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

273 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2012-05-31

Brief Summary

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To evaluate the effect of video discharge instructions on return visits to the ER or ED within 72 hours of the original visit for children with febrile illnesses.

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Detailed Description

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This is a randomized prospective convenience study of children presenting to the ED. Children greater than 8 weeks and up to and including their 18th birthday are enrolled. Patients were randomly assigned to one of two study groups: video + written fever specific discharge instructions and only written fever specific discharge instructions. Parents assigned to the video group watched the DVD in the emergency department (ED) and take it home along with the written instructions. At 72 hours both groups received a phone call asking whether they returned to the ED and the usefulness of discharge instructions (DVD and/or written). Critically ill children and those with chronic medical conditions were excluded. The primary outcome is a return ED visit for fever confirmed in our electronic medical record and questionnaire response. The secondary outcome is reported parental usefulness of the discharge instructions.

Conditions

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Children Who Present to the ED With Minor Febrile Illnesses

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention

Video (DVD) discharge instructions

Group Type EXPERIMENTAL

Intervention

Intervention Type BEHAVIORAL

Control

Written instructions only

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Intervention

Intervention Type BEHAVIORAL

Other Intervention Names

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Video (DVD) discharge instructions

Eligibility Criteria

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Inclusion Criteria

* Children ages 8 weeks to 18 years
* Presented to the ED with a chief complaint of fever. Fever was defined as a temperature greater than or equal to 100.4⁰F
* English or Spanish speaking
* Working telephone for follow-up call
* Venue to view DVD at home (TV, computer, etc)

Exclusion Criteria

* Children with a chronic medical illness
* Children with immune-compromising conditions
* Allergies to acetaminophen or ibuprofen
* Previously enrolled
* Admitted at the time of their index ED visit

Minimum Eligible Age

8 Weeks

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes