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Can effective parent education occur during emergency room visits?
1Department of Pediatrics, McGill University, Montreal, Quebec.
Insights
Parent education on common childhood illnesses did not significantly reduce emergency room (ER) visits. Further research is warranted to explore effective strategies for decreasing pediatric ER utilization.
Area of Science:
- Pediatrics
- Health Education
- Public Health
Background:
- Emergency room (ER) visits for pediatric illnesses are common.
- Parental knowledge gaps regarding childhood illnesses may contribute to unnecessary ER use.
- Effective parent education strategies are needed to optimize healthcare resource utilization.
Purpose of the Study:
- To evaluate the impact of parent education on common childhood illnesses and their management on subsequent emergency room (ER) utilization.
- To determine if providing information reduces ER visits for sick children.
Main Methods:
- A randomized controlled trial was conducted with children over 6 months old who had at least two prior ER visits.
- An experimental group received educational materials (pamphlet and video) on common childhood illnesses.
- A control group did not receive the educational intervention.
Main Results:
- No statistically significant difference in the average number of ER visits between the experimental (0.43) and control (0.52) groups over one year (P = .30).
- The proportion of subsequent illnesses resulting in an ER visit was similar between groups (20% experimental vs. 22% control).
Conclusions:
- The educational intervention did not demonstrate a significant effect on reducing pediatric ER visits.
- Limitations suggest that further educational interventions may still be beneficial.
- Optimizing parent education is crucial for managing childhood illnesses and potentially reducing ER use.
Background:
Parents might not feel the need to make as many visits to an emergency room (ER) for a sick child if they had more information about common illnesses and their management. This study measured the effect on future ER use of parent education on common childhood illnesses.
Methods:
Children who were over 6 months old and had visited the ER at least twice in the preceding year were enrolled in an experimental group (n = 118) or in a control group (n = 128) over consecutive two-month periods. The intervention consisted of a pamphlet and a videotaped presentation that discussed the features and management of common childhood illnesses.
Results:
Over the following year, an average of 0.43 (SD = 0.9) ER visits were made by experimental subjects compared to 0.52 (SD = 1.31) by control subjects (P = .30). Twenty percent (SD = .4) and 22% (SD = .4) of subsequent illnesses of experimental and control children respectively resulted in an ER visit.
Conclusion:
Our study demonstrated no effect of an educational intervention designed to decrease ER visits. Limitations of our study, however, suggest that further attempts to educate parents in this setting may still be warranted.
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