Randomised controlled trial of an intervention to improve parental knowledge and management practices of fever

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dc.contributor.author Kelly, Maria
dc.contributor.author Sahm, Laura J.
dc.contributor.author McCarthy, Suzanne
dc.contributor.author O'Sullivan, Ronan
dc.contributor.author McGillicuddy, Aoife
dc.contributor.author Shiely, Frances
dc.date.accessioned 2019-12-09T11:27:34Z
dc.date.available 2019-12-09T11:27:34Z
dc.date.issued 2019-11-19
dc.identifier.citation Kelly, M., Sahm, L., McCarthy, S., O’Sullivan, R., Mc Gillicuddy, A. and Shiely, F. (2019) 'Randomised controlled trial of an intervention to improve parental knowledge and management practices of fever', BMC Pediatrics, 19(1), 447. (10pp.) doi: 10.1186/s12887-019-1808-9 en
dc.identifier.volume 19 en
dc.identifier.issued 1 en
dc.identifier.startpage 1 en
dc.identifier.endpage 10 en
dc.identifier.uri http://hdl.handle.net/10468/9360
dc.identifier.doi 10.1186/s12887-019-1808-9 en
dc.description.abstract Background: We know that parents require resources which can assist them to improve fever knowledge and management practices. The purpose of this study, using an RCT, was to examine the effectiveness of an information leaflet at increasing parental knowledge of fever, specifically temperature definition. Methods: A prospective, multi-centre, randomised, two-parallel arm, controlled trial with blinded outcome ascertainment was conducted. Parents presenting at purposively selected healthcare facilities who had a child aged ≤5 years of age were invited to participate. An information leaflet for use in the trial was designed based on previous studies with parents. Parents in the intervention arm read an information leaflet on fever and management of fever in children, completed a short questionnaire at Time 1 (T1) and again 2 weeks after randomisation at Time 2 (T2). Parents in the control arm did not receive the fever information leaflet but completed the same questionnaire as the intervention arm at T1 and againat T2. The primary outcome was the correct definition of fever (higher than ≥38 °C). Results: A total of 100 parents participated in the study at T1. A greater proportion of the intervention group (76%) than the control group (28%) selected the correct temperature (≥38 °C) at T1. 76% of the intervention arm correctly identified “higher than ≥38°C” as the temperature at which a fever is said to be present compared to 28% of the control arm. After 2 weeks, there was an increase of 6% of parents in the intervention arm (increase to 82.4%) who gave the correct temperature compared to just a 2.8% increase in the control arm (increase to 30.8%). Univariate logistic regression showed that parents in the intervention arm were significantly more likely to give the correct answer at both time-points (T1: OR 8.1; CI 95% 3.3–19.9: p < 0.01; T2: OR 10.5; CI 95% 3.4–32.0: p < 0.01). Conclusions: Our RCT of this simple educational intervention has been shown to improve parental understanding of fever knowledge and correct management strategies. Education interventions providing simple, clear information is a key step to decreasing parental mismanagement of fever and febrile illness in children. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BioMed Central en
dc.rights ©The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en
dc.subject Fever en
dc.subject Knowledge en
dc.subject Parent en
dc.subject Randomised controlled trial en
dc.subject Information leaflet en
dc.title Randomised controlled trial of an intervention to improve parental knowledge and management practices of fever en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Frances Shiely, School of Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email:f.shiely@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMC Pediatrics en
dc.internal.IRISemailaddress f.shiely@ucc.ie en
dc.internal.IRISemailaddress l.sahm@ucc.ie en
dc.identifier.articleid 447 en
dc.identifier.eissn 1471-2431


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©The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Except where otherwise noted, this item's license is described as ©The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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