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Published on: August 1, 2019
Improving pediatric prevention via the internet: a randomized, controlled trial
Dimitri A Christakis1, Frederick J Zimmerman, Frederick P Rivara
1Department of Pediatrics, University of Washington, Seattle, Washington 98115, USA. dachris@u.washington.edu
Insights
A web-based intervention improved pediatric preventive care discussions between parents and providers. Tailored information delivery via MyHealthyChild successfully promoted the implementation of preventive practices in children.
Area of Science:
- Pediatric Preventive Care
- Health Informatics
- Digital Health Interventions
Background:
- Pediatric preventive care delivery requires innovative strategies.
- Enhancing parent-provider communication is crucial for effective preventive care.
- Web-based tools offer potential solutions for improving healthcare delivery.
Purpose of the Study:
- To evaluate a tailored, evidence-based website (MyHealthyChild) intervention for pediatric preventive care.
- To assess the impact of parental web content and provider notification on preventive care discussions and practices.
- To determine the effectiveness of a factorial, randomized, controlled trial for optimizing intervention components.
Main Methods:
- A factorial, randomized, controlled trial involved 887 children aged 0-11 years.
- Intervention components included parental web content and provider notification.
- Outcomes were assessed via telephone surveys, analyzed using Poisson regression.
Main Results:
- Parents receiving provider notification (with or without content) discussed more MyHealthyChild topics.
- Parents receiving content (with or without notification) implemented more preventive practices.
- The intervention demonstrated significant effects on both discussion and implementation of preventive topics.
Conclusions:
- Web-based interventions can empower parents to engage in preventive care discussions with providers.
- Tailored digital content delivery effectively promotes the adoption of preventive practices.
- This approach holds promise for enhancing the quality and reach of pediatric preventive services.
Background:
Innovations to improve the delivery of pediatric preventive care are needed.
Methods:
We enrolled children, 0 to 11 years of age, into a factorial, randomized, controlled trial of a tailored, evidence-based, Web site (MyHealthyChild) that provided information on prevention topics before a scheduled well-child visit. There were 2 components of the intervention, namely, parental Web content and provider notification. Parental Web content provided information to parents about prevention topics; provider notification communicated to physicians topics that were of interest to parents. We assigned 887 children randomly to 4 groups (usual care, content only, content and notification, or notification only). Outcomes were determined with telephone follow-up surveys conducted 2 to 4 weeks after the visit. Poisson regression analysis was used to determine the independent effects of each intervention on the number of topics discussed and the number of preventive practices implemented.
Results:
Parents in the notification/content group and in the notification-only group reported discussing more MyHealthyChild topics with their provider. Parents in the notification/content group and in the content-only group reported implementing more MyHealthyChild topic suggestions (such as use of a safety device).
Conclusions:
A Web-based intervention can activate parents to discuss prevention topics with their child's provider. Delivery of tailored content can promote preventive practices.
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