Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO; University of Missouri - Kansas City School of Medicine, Kansas City, MO; University of Missouri - Kansas City School of Pharmacy, Kansas City, MO.
Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO; University of Missouri - Kansas City School of Medicine, Kansas City, MO.
J Pediatr. 2020 Oct;225:138-145.e1. doi: 10.1016/j.jpeds.2020.06.027. Epub 2020 Jun 15.
To assess the impact of a 90-second animated video on parents' interest in receiving an antibiotic for their child.
This pre-post test study enrolled English and Spanish speaking parents (n = 1051) of children ages 1-5 years presenting with acute respiratory tract infection symptoms. Before meeting with their provider, parents rated their interest in receiving an antibiotic for their child, answered 6 true/false antibiotic knowledge questions, viewed the video, and then rated their antibiotic interest again. Parents rated their interest in receiving an antibiotic using a visual analogue scale ranging from 0 to 100, with 0 being "I definitely do not want an antibiotic," 50 "Neutral," and 100 "I absolutely want an antibiotic."
Parents were 84% female, with a mean age of 32 ± 6.0, 26.0% had a high school education or less, 15% were black, and 19% were Hispanic. After watching the video, parents' average antibiotic interest ratings decreased by 10 points (mean, 57.0 ± 20 to M ± 21; P < .0001). Among parents with the highest initial antibiotic interest ratings (≥60), even greater decreases were observed (83.0 ± 12.0 to 63.4 ± 22; P < .0001) with more than one-half (52%) rating their interest in the low or neutral ranges after watching the video.
A 90-second video can decrease parents' interest in receiving antibiotics, especially among those with higher baseline interest. This scalable intervention could be used in a variety of settings to reduce parents' interest in receiving antibiotics.
ClinicalTrials.gov: NCT03037112.
评估一段 90 秒的动画视频对父母为孩子接受抗生素意愿的影响。
这项前瞻性测试研究纳入了 1051 名 1-5 岁患有急性呼吸道感染症状的英语和西班牙语儿童的父母。在与医生见面之前，父母会对他们为孩子接受抗生素的意愿进行评分，回答 6 个关于抗生素知识的是非题，观看视频，然后再次对他们的抗生素意愿进行评分。父母使用 0 到 100 的视觉模拟量表对他们接受抗生素的意愿进行评分，0 表示“我肯定不想接受抗生素”，50 表示“中立”，100 表示“我绝对想要接受抗生素”。
父母中 84%为女性，平均年龄为 32±6.0 岁，26.0%接受过高中或以下教育，15%为黑人，19%为西班牙裔。观看视频后，父母的平均抗生素意愿评分降低了 10 分（平均 57.0±20 到 M±21；P<0.0001）。在初始抗生素意愿评分最高（≥60）的父母中，观察到更大的降幅（83.0±12.0 到 63.4±22；P<0.0001），超过一半（52%）的父母在观看视频后将他们的兴趣评定为低或中性范围。
一段 90 秒的视频可以降低父母接受抗生素的意愿，尤其是那些基线意愿较高的父母。这种可扩展的干预措施可以在各种环境中使用，以降低父母接受抗生素的意愿。
ClinicalTrials.gov：NCT03037112。
