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Optimizing decision-making among childcare staff on fever and common infections: cluster randomized controlled trial

K K B Peetoom1, R Crutzen2, R Verhoeven1

  • 1Department of Family Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.

European Journal of Public Health
|November 30, 2018
PubMed

Insights

A multicomponent intervention did not reduce illness absenteeism in childcare settings. However, it improved childcare staff’s knowledge, attitudes, and intended behaviors regarding children’s fever and infections.

Area of Science:

  • Pediatric infectious diseases
  • Childcare health management
  • Behavioral science in public health

Background:

  • Children in childcare settings (0-4 years) experience higher infection rates compared to home-cared children.
  • Fear of fever among childcare staff and parents contributes to significant illness absenteeism, impacting healthcare and parental work.
  • This study addresses decision-making determinants for childcare staff regarding illness absenteeism due to fever and common infections.

Purpose of the Study:

  • To evaluate a multicomponent intervention aimed at reducing illness absenteeism in childcare centers.
  • To assess the intervention's impact on childcare staff's decision-making determinants concerning children's fever and common infections.

Main Methods:

  • A cluster randomized controlled trial in Southern Netherlands involving 18 childcare centers.
  • The intervention included an educational session, decision tool, information booklet, and online video.
  • Primary outcome: illness absenteeism percentage; Secondary outcomes: intended behavior, attitude, risk perception, knowledge, and self-efficacy.

Main Results:

  • No significant difference in overall illness absenteeism between the intervention (2.95%) and control (2.52%) groups.
  • Significant improvements observed in the intervention group for intended behavior and two attitude dimensions.
  • Knowledge regarding fever increased in the intervention group, but self-efficacy did not differ.

Conclusions:

  • The multicomponent intervention was ineffective in reducing illness absenteeism in childcare.
  • The intervention successfully enhanced key determinants of decision-making, including intended behavior, attitude, and knowledge related to fever management.
Abstract

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