Kathy Goggin1, Emily A Hurley2, Andrea Bradley-Ewing3, Carey Bickford3, Brian R Lee2, Kimberly Pina3, Evelyn Donis De Miranda3, Alexander Mackenzie3, David Yu4, Kirsten Weltmer5, Sebastian Linnemayr6, Christopher C Butler7, Melissa Miller8, Jason G Newland9, Angela L Myers10. 1. Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO; University of Missouri - Kansas City School of Medicine, Kansas City, MO; University of Missouri - Kansas City School of Pharmacy, Kansas City, MO. Electronic address: kgoggin@cmh.edu. 2. Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO; University of Missouri - Kansas City School of Medicine, Kansas City, MO. 3. Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO. 4. Sunflower Medical Group, Kansas City, MO. 5. University of Missouri - Kansas City School of Medicine, Kansas City, MO. 6. RAND Corporation, Santa Monica, CA. 7. Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom. 8. University of Missouri - Kansas City School of Medicine, Kansas City, MO; Emergency Department, Children's Mercy, Kansas City, MO. 9. Pediatric Infectious Disease, St. Louis Children's Hospital, St. Louis, MO. 10. University of Missouri - Kansas City School of Medicine, Kansas City, MO; Pediatric Infectious Diseases, Children's Mercy, Kansas City, MO.
Abstract
OBJECTIVES: To assess the impact of a 90-second animated video on parents' interest in receiving an antibiotic for their child. STUDY DESIGN: This pre-post test study enrolled English and Spanish speaking parents (n = 1051) of children ages 1-5 years presenting with acute respiratory tract infection symptoms. Before meeting with their provider, parents rated their interest in receiving an antibiotic for their child, answered 6 true/false antibiotic knowledge questions, viewed the video, and then rated their antibiotic interest again. Parents rated their interest in receiving an antibiotic using a visual analogue scale ranging from 0 to 100, with 0 being "I definitely do not want an antibiotic," 50 "Neutral," and 100 "I absolutely want an antibiotic." RESULTS: Parents were 84% female, with a mean age of 32 ± 6.0, 26.0% had a high school education or less, 15% were black, and 19% were Hispanic. After watching the video, parents' average antibiotic interest ratings decreased by 10 points (mean, 57.0 ± 20 to M ± 21; P < .0001). Among parents with the highest initial antibiotic interest ratings (≥60), even greater decreases were observed (83.0 ± 12.0 to 63.4 ± 22; P < .0001) with more than one-half (52%) rating their interest in the low or neutral ranges after watching the video. CONCLUSIONS: A 90-second video can decrease parents' interest in receiving antibiotics, especially among those with higher baseline interest. This scalable intervention could be used in a variety of settings to reduce parents' interest in receiving antibiotics. TRIAL REGISTRATION: ClinicalTrials.gov: NCT03037112.
OBJECTIVES: To assess the impact of a 90-second animated video on parents' interest in receiving an antibiotic for their child. STUDY DESIGN: This pre-post test study enrolled English and Spanish speaking parents (n = 1051) of children ages 1-5 years presenting with acute respiratory tract infection symptoms. Before meeting with their provider, parents rated their interest in receiving an antibiotic for their child, answered 6 true/false antibiotic knowledge questions, viewed the video, and then rated their antibiotic interest again. Parents rated their interest in receiving an antibiotic using a visual analogue scale ranging from 0 to 100, with 0 being "I definitely do not want an antibiotic," 50 "Neutral," and 100 "I absolutely want an antibiotic." RESULTS: Parents were 84% female, with a mean age of 32 ± 6.0, 26.0% had a high school education or less, 15% were black, and 19% were Hispanic. After watching the video, parents' average antibiotic interest ratings decreased by 10 points (mean, 57.0 ± 20 to M ± 21; P < .0001). Among parents with the highest initial antibiotic interest ratings (≥60), even greater decreases were observed (83.0 ± 12.0 to 63.4 ± 22; P < .0001) with more than one-half (52%) rating their interest in the low or neutral ranges after watching the video. CONCLUSIONS: A 90-second video can decrease parents' interest in receiving antibiotics, especially among those with higher baseline interest. This scalable intervention could be used in a variety of settings to reduce parents' interest in receiving antibiotics. TRIAL REGISTRATION: ClinicalTrials.gov: NCT03037112.
Authors: Rita Mangione-Smith; Chuan Zhou; Jeffrey D Robinson; James A Taylor; Marc N Elliott; John Heritage Journal: Ann Fam Med Date: 2015 May-Jun Impact factor: 5.166
Authors: H Shonna Yin; Benard P Dreyer; Karina L Vivar; Suzanne MacFarland; Linda van Schaick; Alan L Mendelsohn Journal: Acad Pediatr Date: 2012-02-08 Impact factor: 3.107