Title

Reductions in Parent Interest in Receiving Antibiotics following a 90-Second Video Intervention in Outpatient Pediatric Clinics.

Creator(s)

Kathy Goggin, Children's Mercy Kansas CityFollow
Emily A. Hurley, Children's Mercy HospitalFollow
Andrea Bradley-Ewing, Children's Mercy HospitalFollow
Carey Bickford, Children's Mercy Hospital
Brian R. Lee, Children's Mercy HospitalFollow
Kimberly Pina, Children's Mercy HospitalFollow
Evelyn Donis De Miranda, Children's Mercy HospitalFollow
Alexander Mackenzie, Children's Mercy Hospital
David Yu
Kirsten Weltmer
Sebastian Linnemayr
Christopher C. Butler
Melissa K. Miller, Children's Mercy HospitalFollow
Jason G. Newland
Angela Myers, Children's Mercy HospitalFollow

Document Type

Article

Publication Date

10-2020

Identifier

DOI: 10.1016/j.jpeds.2020.06.027

Abstract

OBJECTIVES: To assess the impact of a 90-second animated video on parents' interest in receiving an antibiotic for their child.

STUDY DESIGN: 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."

RESULTS: 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.

CONCLUSIONS: 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.

TRIAL REGISTRATION: ClinicalTrials.gov: NCT03037112.

Journal Title

The Journal of pediatrics

Volume

225

First Page

138

Last Page

145

Recommended Citation

Goggin, K., Hurley, E. A., Bradley-Ewing, A., Bickford, C., Lee, B. R., Pina, K., Donis De Miranda, E., Mackenzie, A., Yu, D., Weltmer, K., Linnemayr, S., Butler, C. C., Miller, M. K., Newland, J. G., Myers, A. Reductions in Parent Interest in Receiving Antibiotics following a 90-Second Video Intervention in Outpatient Pediatric Clinics. The Journal of pediatrics 225, 138-145 (2020).