Ignite Creation Date:
2024-05-05 @ 4:48 PM
Last Modification Date:
2024-10-26 @ 9:24 AM
Study NCT ID:
NCT00311831
Status:
COMPLETED
Last Update Posted:
2018-04-17
First Post:
2006-04-04
Brief Title:
The Implementation of a Gastroenteritis Education Program
Sponsor:
The Hospital for Sick Children
Organization:
The Hospital for Sick Children
Study Overview
Official Title:
The Implementation of a Gastroenteritis Education Program
Status:
COMPLETED
Status Verified Date:
2018-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to determine whether the caregivers of children presenting to the emergency department ED with acute gastroenteritis who receive extensive gastroenteritis education standard education plus home nursing visit will improve their gastroenteritis knowledge more than those who receive standard education an information sheet in the emergency department
Detailed Description:
Worldwide diarrhea remains a leading cause of childhood morbidity and mortality with 25 million deaths estimated to occur annually among children 5 years of age In the United States acute gastroenteritis accounts for 15 million outpatient visits 200000 hospitalizations and approximately 300 deathsyear The incidence of diarrhea varies between one and 25 episodes per child per year In Ontario children account for over 28000 Emergency Department visits for gastroenteritis annually and the pediatric admission rate for gastroenteritis remains greater than 400100000 In a Toronto based report from 1978 viral gastroenteritis was found as the etiologic agent in the deaths of 21 children over a 5 year period Over 10 of patients seen at The Hospital for Sick Children ED present with acute gastroenteritis vomiting diarrhea or both Last year over 4500 children with these complaints were seen
It has been suggested that education can improve caregiver knowledge beliefs and practices related to gastroenteritis Children of caregivers who are less knowledgeable about diarrhea dehydration and oral rehydration have been found to be at increased risk for presenting to a hospital secondary to dehydration
However it has been difficult to determine if this will translate into a reduction in non-urgent ED use Very few studies have evaluated education in the ED When it has been studied they have been unsuccessful in altering ED utilization habits One possible explanation for the lack of success is that some interventions have attempted to teach the parents while they were awaiting discharge At that point in time the parents are tired distracted and probably anxious to leave thereby diminishing the effect of the intervention Furthermore providing patients with information handouts is not the optimal approach to achieve patientparent education
This study will compare two interventions for caregivers of children with gastroenteritis extensive gastroenteritis education standard education plus home nursing visit and standard education in the emergency departmentan information sheet By adding on a home health nurse visit 12 to 36 hours later we hope to achieve several benefits
1 Increased parental knowledge regarding gastroenteritis This includes etiology and prevention signs and symptoms of dehydration when to seek care the appropriate use of oral rehydration solutions re-feeding and the role of medications or lack thereof
2 Increased parental knowledge will hopefully translate into reduced resource use This may translate into improved use for other non-acute illnesses such as fever and colds Improved resource use may include a reduction in ED visits and potentially even primary care provider use
3 This may also translate into improved patient outcomes by avoiding dehydration decreasing transmission and seeking medications for the illness Fewer ED visits may additionally translate into fewer investigations and intravenous requirements
Thus we will compare improvement in caregiver knowledge of gastroenteritis and dehydration and number of emergency department visits at one year in the two treatment groups
It has been suggested that education can improve caregiver knowledge beliefs and practices related to gastroenteritis Children of caregivers who are less knowledgeable about diarrhea dehydration and oral rehydration have been found to be at increased risk for presenting to a hospital secondary to dehydration
However it has been difficult to determine if this will translate into a reduction in non-urgent ED use Very few studies have evaluated education in the ED When it has been studied they have been unsuccessful in altering ED utilization habits One possible explanation for the lack of success is that some interventions have attempted to teach the parents while they were awaiting discharge At that point in time the parents are tired distracted and probably anxious to leave thereby diminishing the effect of the intervention Furthermore providing patients with information handouts is not the optimal approach to achieve patientparent education
This study will compare two interventions for caregivers of children with gastroenteritis extensive gastroenteritis education standard education plus home nursing visit and standard education in the emergency departmentan information sheet By adding on a home health nurse visit 12 to 36 hours later we hope to achieve several benefits
1 Increased parental knowledge regarding gastroenteritis This includes etiology and prevention signs and symptoms of dehydration when to seek care the appropriate use of oral rehydration solutions re-feeding and the role of medications or lack thereof
2 Increased parental knowledge will hopefully translate into reduced resource use This may translate into improved use for other non-acute illnesses such as fever and colds Improved resource use may include a reduction in ED visits and potentially even primary care provider use
3 This may also translate into improved patient outcomes by avoiding dehydration decreasing transmission and seeking medications for the illness Fewer ED visits may additionally translate into fewer investigations and intravenous requirements
Thus we will compare improvement in caregiver knowledge of gastroenteritis and dehydration and number of emergency department visits at one year in the two treatment groups
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None