Evidence map›Paper›PMID 31739785›Full record

Trial reportBMC pediatrics2019

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

M Kelly, L Sahm, S McCarthy, R O'Sullivan, A Mc Gillicuddy, F Shiely

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02903342 (Fever and Febrile Support for Parents and Carers of Children 2016), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02903342 nacompletednot on this map

Fever and Febrile Support for Parents and Carers of Children 2016

TypeinterventionalSponsorUniversity College CorkRan2016 to 2016Enrolled100ConditionsFever, Febrile IllnessArmsLeaflet
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
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  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

M KellyPharmaceutical Care Research Group, School of Pharmacy, University College, Cork, Ireland.
L SahmPharmaceutical Care Research Group, School of Pharmacy, University College, Cork, Ireland.
S McCarthyPharmaceutical Care Research Group, School of Pharmacy, University College, Cork, Ireland.
R O'SullivanSchool of Medicine, University College Cork, Cork, Ireland.
A Mc GillicuddyPharmaceutical Care Research Group, School of Pharmacy, University College, Cork, Ireland.
F ShielyTrials Research and Methodologies Group (TRAMS), HRB Clinical Research Facility, Mercy University Hospital, Cork, Ireland. f.shiely@ucc.ie.ORCID 0000-0003-0969-8321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe 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.

methodsA 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).

resultsA 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).

conclusionsOur 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.

trial registrationClinicalTrials.gov NCT02903342, September 16, 2016, Retrospectively registered.

Indexed as

Health Knowledge, Attitudes, PracticeAdultChild, PreschoolFemaleFeverHumansInfantInfant, NewbornMaleMiddle AgedParentsProspective StudiesYoung AdultFeverInformation leafletKnowledgeParentRandomised controlled trial

Identifiers

PMID31739785
PMCPMC6863059

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.