Video Education Intervention in the Emergency Department
Introduction: After discharge from the emergency department (ED), pain management challenges parents, who have been shown to undertreat their children’s pain. Our goal was to evaluate the effectiveness of a five-minute instructional video for parents on pain treatment in the home setting to address...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2023-03-01
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| Series: | Western Journal of Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/3k3160rc |
| _version_ | 1797858345984458752 |
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| author | Nancy Jacobson Keli D. Coleman Steven J. Weisman Amy L. Drendel |
| author_facet | Nancy Jacobson Keli D. Coleman Steven J. Weisman Amy L. Drendel |
| author_sort | Nancy Jacobson |
| collection | DOAJ |
| description | Introduction: After discharge from the emergency department (ED), pain management challenges parents, who have been shown to undertreat their children’s pain. Our goal was to evaluate the effectiveness of a five-minute instructional video for parents on pain treatment in the home setting to address common misconceptions about home pediatric pain management. Methods: We conducted a randomized, single-blinded clinical trial of parents of children ages 1–18 years who presented with a painful condition, were evaluated, and were discharged home from a large, tertiary care pediatric ED. Parents were randomized to a pain management intervention video or an injury prevention control video. The primary outcome was the proportion of parents that gave their child pain medication at home after discharge. These data were recorded in a home pain diary and analyzed using the chi square test to determine significant difference. Parents’ knowledge about components of at-home pain treatment were tested before, immediately following, and two days after intervention. We used McNemar’s test statistic to compare incorrect pretest/correct post-test answers between intervention and control groups. Results: A total of 100 parents were enrolled: 59 parents watched the pain education video, and 41 the control video. Overall, 75% of parents completed follow-up, providing information about home medication use. Significantly more parents provided pain medication to their children after watching the educational video: 96% vs 80% (difference 16%; 95% CI 7.8–31.3%). Significantly more parents had correct pain treatment knowledge immediately following the educational video about pain scores (P = 0.04); the positive effects of analgesics (P <0.01); and pain medication misconceptions (P = 0.02). Most differences in knowledge remained two days after the video intervention. Conclusion: The five-minute educational video about home pain treatment viewed by parents in the ED prior to discharge significantly increased the proportion of children receiving pain medication at home as well as parents’ knowledge about at-home pain management. |
| first_indexed | 2024-04-09T21:11:56Z |
| format | Article |
| id | doaj.art-5cdd72df40324f6c93689563440b99a5 |
| institution | Directory Open Access Journal |
| issn | 1936-9018 |
| language | English |
| last_indexed | 2024-04-09T21:11:56Z |
| publishDate | 2023-03-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-5cdd72df40324f6c93689563440b99a52023-03-28T15:41:41ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-90182023-03-0124210.5811/westjem.2022.9.57986wjem-24-287Video Education Intervention in the Emergency DepartmentNancy Jacobson0Keli D. Coleman1Steven J. Weisman2Amy L. Drendel3Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, WisconsinMedical College of Wisconsin, Department of Pediatrics, Section of Emergency Medicine, Milwaukee, WisconsinMedical College of Wisconsin, Department of Anesthesiology, Milwaukee, WisconsinMedical College of Wisconsin, Department of Pediatrics, Section of Emergency Medicine, Milwaukee, WisconsinIntroduction: After discharge from the emergency department (ED), pain management challenges parents, who have been shown to undertreat their children’s pain. Our goal was to evaluate the effectiveness of a five-minute instructional video for parents on pain treatment in the home setting to address common misconceptions about home pediatric pain management. Methods: We conducted a randomized, single-blinded clinical trial of parents of children ages 1–18 years who presented with a painful condition, were evaluated, and were discharged home from a large, tertiary care pediatric ED. Parents were randomized to a pain management intervention video or an injury prevention control video. The primary outcome was the proportion of parents that gave their child pain medication at home after discharge. These data were recorded in a home pain diary and analyzed using the chi square test to determine significant difference. Parents’ knowledge about components of at-home pain treatment were tested before, immediately following, and two days after intervention. We used McNemar’s test statistic to compare incorrect pretest/correct post-test answers between intervention and control groups. Results: A total of 100 parents were enrolled: 59 parents watched the pain education video, and 41 the control video. Overall, 75% of parents completed follow-up, providing information about home medication use. Significantly more parents provided pain medication to their children after watching the educational video: 96% vs 80% (difference 16%; 95% CI 7.8–31.3%). Significantly more parents had correct pain treatment knowledge immediately following the educational video about pain scores (P = 0.04); the positive effects of analgesics (P <0.01); and pain medication misconceptions (P = 0.02). Most differences in knowledge remained two days after the video intervention. Conclusion: The five-minute educational video about home pain treatment viewed by parents in the ED prior to discharge significantly increased the proportion of children receiving pain medication at home as well as parents’ knowledge about at-home pain management.https://escholarship.org/uc/item/3k3160rc |
| spellingShingle | Nancy Jacobson Keli D. Coleman Steven J. Weisman Amy L. Drendel Video Education Intervention in the Emergency Department Western Journal of Emergency Medicine |
| title | Video Education Intervention in the Emergency Department |
| title_full | Video Education Intervention in the Emergency Department |
| title_fullStr | Video Education Intervention in the Emergency Department |
| title_full_unstemmed | Video Education Intervention in the Emergency Department |
| title_short | Video Education Intervention in the Emergency Department |
| title_sort | video education intervention in the emergency department |
| url | https://escholarship.org/uc/item/3k3160rc |
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