Paediatrics Publications
Title
A Web-based module and online video for pain management education for caregivers of children with fractures: A randomized controlled trial.
Document Type
Article
Publication Date
11-1-2018
Journal
Canadian Journal of Emergency Medicine
Volume
20
Issue
6
First Page
882
Last Page
891
URL with Digital Object Identifier
https://doi.org/10.1017/cem.2017.414
Abstract
Introduction
Over 80% of children experience compromise in functioning following a fracture. Digital media may improve caregiver knowledge of managing fracture pain at home.
Objectives
To determine whether an educational video was superior to an interactive web-based module (WBM) and verbal instructions, the standard of care (SOC).
Methods
This randomized trial included caregivers of children 0-17 years presenting to the emergency department (ED) with non-operative fractures. Primary outcome was the gain score (pre-post intervention) on a 21-item questionnaire testing knowledge surrounding pain recognition and management for children with fractures. Secondary outcomes included survey of caregiver confidence in managing pain (five-item Likert scale), number of days with difficulty sleeping, before return to a normal diet, and work/school missed.
Results
We analyzed 311 participants (WBM 99; video 108; SOC 104) with a mean (SD) child age of 9.6 (4.2) years, of which 125/311 (40.2%) were female. The video (delta=2.3, 95% CI: 1.3, 3.3; p
Conclusion
A web-based module and online video are superior to verbal instructions for improving caregiver knowledge on management of children's fracture pain without improvement in functional outcomes.
Notes
Article available at Canadian Journal of Emergency Medicine
https://doi.org/10.1017/cem.2017.414
© 2017 Canadian Association of Emergency Physicians