کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6216440 1272229 2011 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Innovative Delivery of Newborn Anticipatory Guidance: A Randomized, Controlled Trial Incorporating Media-Based Learning Into Primary Care
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Innovative Delivery of Newborn Anticipatory Guidance: A Randomized, Controlled Trial Incorporating Media-Based Learning Into Primary Care
چکیده انگلیسی

ObjectiveRecent initiatives seek to incorporate efficient, evidence-based practices into primary care. This study tested the feasibility, impact, and acceptance of incorporating a DVD of newborn anticipatory guidance into routine well-child care.MethodsThis randomized trial tested a 15-minute educational DVD intervention versus control condition with paper handouts on newborn anticipatory guidance. We recruited parents of newborns ≤1 month old presenting for their first visit. Blinded research assistants conducted telephone follow-up 2 weeks later and medical chart reviews 2 months after enrollment. Clinic staff and providers completed semistructured surveys to rate the intervention. Primary outcomes included parent knowledge of infant development, self-efficacy with infant care skills, and problem-solving competence.ResultsWe enrolled 137 subjects (response rate 82%). Scores on knowledge, self-efficacy, and problem solving were high at baseline for both groups and did not significantly change. More parents in the DVD group reported feeling prepared to care for their baby after the visit (94% vs 81%, P = .03), feeling high confidence bathing their baby (93% vs 78%, P = .01), and recognizing congestion (70% vs 52%, P = .03) compared to the control group. Those in the DVD group also had fewer additional office visits between birth and 2 months (P = .01). Staff and providers agreed the DVD was useful for patients (88%) and did not disrupt patient flow (93%).ConclusionsA DVD of newborn anticipatory guidance was feasible, well accepted, and had a positive impact in a pediatric practice. Video and other technologies represent an efficient, innovative way to reach parents as part of the office encounter.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Academic Pediatrics - Volume 11, Issue 1, January–February 2011, Pages 27-33
نویسندگان
, , , , , ,