Parental information needs during a large group a streptococcus upsurge: A secondary analysis of a cross-sectional, mixed methods study.

Objectives: Upsurges of Group A streptococcus (Strep A) and invasive Group A Strep (iGAS) among children can lead to severe health outcomes. Little is known about parents' information needs during upsurges. Study design: Secondary analysis of an online cross-sectional survey of 503 parents in the UK, conducted during an upsurge of Strep A/iGAS in 2022. Methods: Data were available on perceived severity of Strep A and iGAS, levels of worry, knowledge about their symptoms, and whether parents had sought information and if so what. Results: Thirty-seven participants (7.4 %) had not heard of Strep A, versus 140 (27.8 %) for iGAS. Most participants who had heard of either condition had searched for information, commonly in relation to symptoms. Percentages of participants giving high ratings for severity and worry (scores of 5 or more out of 7) were similar for Strep A (severity: 78.7 %, worry: 65.9 %) and iGAS (severity: 81.1 %, worry: 61.8 %). The only symptoms shown to participants that were correctly identified by more than 50 % were 'flu-like symptoms' (recognised by 51.8 % for Strep A and 40.2 % for iGAS) and sore throat (52.5 % and 37.3 % respectively). There was no association between looking for information, or where participants had received information from, and symptom knowledge scores. Conclusions: High levels of worry existed among parents during the 2022 upsurge in Strep A/iGAS in the UK. This was accompanied by uncertainty about the symptoms associated with Strep A/iGAS and a high desire for more information about symptoms. During future outbreaks, providing clear information about the symptoms to watch out for should continue to be prioritised.