STUDY OBJECTIVE: To evaluate parent preferences for the therapy of young children with fever without source. PARTICIPANTS: Consecutive parents, not in a medical profession, of children less than 36 months old. SETTING: Pediatric clinic of a university teaching hospital. DESIGN: During individual interviews at the time of their child's clinic visit, parents were presented with a case scenario and two treatment options and the risks, outcomes, and cost associated with each. MAIN OUTCOME MEASURE: Parent preferences for alternative treatment strategies. RESULTS: All parents correctly identified the management strategy with the higher probability of an adverse outcome. Seventy-one percent chose the option with less testing and treatment and the greater risk of an adverse outcome. Parents' reasons for this choice were fewer painful tests and procedures (36%), less time waiting (32%), smaller chance of unnecessary antibiotics (23%), and ability to return if their child's condition deteriorated (22%). Thirty-two percent of parents indicated that cost was a factor in their decision. Age, gender, education, and/or number of children was not associated with parents' treatment preferences. CONCLUSION: Parents' preferences may be considered when determining how to manage febrile infants and children.
STUDY OBJECTIVE: To evaluate parent preferences for the therapy of young children with fever without source. PARTICIPANTS: Consecutive parents, not in a medical profession, of children less than 36 months old. SETTING: Pediatric clinic of a university teaching hospital. DESIGN: During individual interviews at the time of their child's clinic visit, parents were presented with a case scenario and two treatment options and the risks, outcomes, and cost associated with each. MAIN OUTCOME MEASURE: Parent preferences for alternative treatment strategies. RESULTS: All parents correctly identified the management strategy with the higher probability of an adverse outcome. Seventy-one percent chose the option with less testing and treatment and the greater risk of an adverse outcome. Parents' reasons for this choice were fewer painful tests and procedures (36%), less time waiting (32%), smaller chance of unnecessary antibiotics (23%), and ability to return if their child's condition deteriorated (22%). Thirty-two percent of parents indicated that cost was a factor in their decision. Age, gender, education, and/or number of children was not associated with parents' treatment preferences. CONCLUSION: Parents' preferences may be considered when determining how to manage febrile infants and children.
Authors: Trudy van der Weijden; France Légaré; Antoine Boivin; Jako S Burgers; Haske van Veenendaal; Anne M Stiggelbout; Marjan Faber; Glyn Elwyn Journal: Implement Sci Date: 2010-02-02 Impact factor: 7.327
Authors: Jeffrey I Mechanick; Albert E Marchetti; Caroline Apovian; Alexander Koglin Benchimol; Peter H Bisschop; Alexis Bolio-Galvis; Refaat A Hegazi; David Jenkins; Enrique Mendoza; Miguel Leon Sanz; Wayne Huey-Herng Sheu; Patrizio Tatti; Man-Wo Tsang; Osama Hamdy Journal: Curr Diab Rep Date: 2012-04 Impact factor: 4.810