Randomized controlled trial of parent therapeutic education on antibiotics to improve parent satisfaction and attitudes in a pediatric emergency department
François Angoulvant, Anne Rouault, Sonia Prot-Labarthe, Priscilla Boizeau, David Skurnik, Laurence Morin, Jean-Christophe Mercier, Corinne Alberti, Olivier Bourdon, François Angoulvant, Anne Rouault, Sonia Prot-Labarthe, Priscilla Boizeau, David Skurnik, Laurence Morin, Jean-Christophe Mercier, Corinne Alberti, Olivier Bourdon
Abstract
Objective: To evaluate therapeutic education delivered in a pediatric emergency department to improve parents' satisfaction and attitudes about judicious antibiotic use.
Methods: In an emergency department of a tertiary pediatric hospital, children aged 1 month to 6 years and discharged with an oral antibiotic prescription for an acute respiratory or urinary tract infection were randomized to a patient therapeutic education on antibiotic use (intervention group) or fever control (control group) delivered to the parents (in the presence of the children) by a pharmacist trained in therapeutic education. Education consisted in a 30-minute face-to-face session with four components: educational diagnosis, educational contract, education, and evaluation. The main outcome measure was parent satisfaction about information on antibiotics received at the hospital, as assessed by a telephone interview on day 14. The secondary outcome was attitudes about antibiotic use evaluated on day 14 and at month 6.
Results: Of the 300 randomized children, 150 per arm, 259 were evaluated on day 14. Parent satisfaction with information on antibiotics was higher in the intervention group (125/129, 96.9%, versus 108/130, 83.0%; P=0.002, exact Fisher test).
Intervention: Group parents had higher proportions of correct answers on day 14 to questions on attitudes about judicious antibiotic use than did control-group parents (P=0.017, Mann-Whitney U test).
Conclusion: Therapeutic education delivered by a clinical pharmacist in the pediatric emergency department holds promise for improving the use of antibiotics prescribed to pediatric outpatients.
Trial registration: ClinicalTrials.gov NCT00948779 https://ichgcp.net/clinical-trials-registry/NCT00948779.
Conflict of interest statement
Competing Interests: The authors have declared that no competing interests exist.
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References
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