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动画视频与小册子:比较教育家长正确使用抗生素的效果。

Animated video vs pamphlet: comparing the success of educating parents about proper antibiotic use.

机构信息

Department of Pediatric Emergency Medicine, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN 55404, USA.

出版信息

Pediatrics. 2010 May;125(5):990-6. doi: 10.1542/peds.2009-2916. Epub 2010 Apr 12.

Abstract

OBJECTIVE

The objective was to create an animated video to teach parents about the appropriate use of antibiotics and to compare their knowledge to parents who were provided with the American Academy of Pediatrics pamphlet. We hypothesized that the video format would result in improved comprehension and retention.

METHODS

This prospective randomized, controlled trial was conducted in an urban pediatric emergency department. Parent subjects were randomly assigned to a control group, a pamphlet group, and a video group and completed a survey at 3 time points. Analysis included the nonparametric matched Friedman test, Kruskal-Wallis test, and the Mann-Whitney U test. A 2-sided P value of < .05 was required for significance, and a Bonferroni-corrected P value of < .017 was required for paired comparisons.

RESULTS

Postintervention survey scores improved significantly in the pamphlet and video groups compared with baseline. The video group's follow-up scores were not significantly different from the postintervention-survey scores (P = .32). The pamphlet-group scores at follow-up were significantly lower than the postintervention-survey scores (P = .002). The control group's scores were similar at all 3 time periods. The pamphlet group had significantly better scores than the control group after the intervention (P < .001). The video-group scores exceeded the control-group scores at all 3 time periods.

CONCLUSIONS

An animated video is highly effective for educating parents about the appropriate use of antibiotics in the emergency department setting and results in long-term knowledge retention. The results of this study provide a foundation to further evaluate the use of animated video in additional populations.

摘要

目的

创建一个动画视频,向家长传授有关抗生素合理使用的知识,并将其与提供美国儿科学会宣传册的家长进行比较。我们假设视频形式将导致理解和保留能力的提高。

方法

这项前瞻性随机对照试验在城市儿科急诊室进行。家长受试者被随机分配到对照组、宣传册组和视频组,并在 3 个时间点完成调查。分析包括非参数匹配 Friedman 检验、Kruskal-Wallis 检验和 Mann-Whitney U 检验。双侧 P 值<0.05 为有统计学意义,配对比较需要校正的 Bonferroni P 值<0.017。

结果

与基线相比,宣传册组和视频组的干预后调查评分显著提高。视频组的随访评分与干预后调查评分无显著差异(P=0.32)。随访时的宣传册组评分明显低于干预后调查评分(P=0.002)。对照组在所有 3 个时间点的评分相似。干预后,宣传册组的评分明显高于对照组(P<0.001)。视频组在所有 3 个时间点的评分均高于对照组。

结论

在急诊环境中,动画视频是向家长传授有关抗生素合理使用知识的有效方法,并且可以长期保持知识的保留。这项研究的结果为进一步评估动画视频在其他人群中的应用提供了基础。

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