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Haasz M, Sigel E, Betz ME, Leonard J, Brooks-Russell A, Ambroggio L. Acceptability of Long Versus Short Firearm Safety Education Videos in the Emergency Department: A Pilot Randomized Controlled Trial. Ann Emerg Med 2023; 82:482-493. [PMID: 37140494 DOI: 10.1016/j.annemergmed.2023.03.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 03/07/2023] [Accepted: 03/20/2023] [Indexed: 05/05/2023]
Abstract
STUDY OBJECTIVE Safe firearm storage is protective against pediatric firearm injuries. We sought to compare a 3-minute versus 30-second safe firearm storage video in terms of acceptability of video content and use in the pediatric emergency department (PED). METHODS We conducted a randomized controlled trial in a large PED (from March to September 2021). Participants were English-speaking caregivers of noncritically ill patients. Participants were surveyed about child safety behaviors (including firearm storage), then shown 1 of 2 videos. Both videos described safe storage principles; the 3-minute video included temporary firearm removal and a survivor testimonial. The primary outcome was acceptability, measured by responses on a 5-point Likert scale (strongly disagree to strongly agree). A survey at 3 months evaluated information recall. Baseline characteristics and outcomes were compared between groups using Pearson chi-squared, Fisher exact, and Wilcoxon Mann Whitney tests as appropriate. Absolute risk difference for categoric variables and mean difference for continuous variables are reported with 95% confidence interval (CI). RESULTS Research staff screened 728 caregivers; 705 were eligible and 254 consented to participate (36%); 4 withdrew. Of 250 participants, most indicated acceptability in terms of setting (77.4%) and content (86.6%), and doctors discussing firearm storage (78.6%), with no difference between groups. More caregivers viewing the longer video felt the length appropriate (99.2%) compared with the shorter video (81.1%, difference 18.1%, 95% CI 11.1 to 25.1). CONCLUSIONS We show that video-based firearm safety education is acceptable among study participants. This can provide consistent education to caregivers in PEDs and needs further study in other settings.
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Affiliation(s)
- Maya Haasz
- Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO.
| | - Eric Sigel
- Department of Pediatrics, Section of Adolescent Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO
| | - Marian E Betz
- Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO
| | - Jan Leonard
- Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO
| | - Ashley Brooks-Russell
- Injury and Violence Prevention Center, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO
| | - Lilliam Ambroggio
- Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO; Department of Pediatrics, Section of Hospital Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO
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Karim J, Gabrielli S, Mule P, Torabi B, Byrne A, De Schryver S, Gadoury-Lévesque V, Alizadehfar R, McCusker C, Zhang X, Ben-Shoshan M. Bridging knowledge gaps in paediatric chronic urticaria through a video-based educational tool. Clin Exp Dermatol 2023; 48:108-111. [PMID: 36730510 DOI: 10.1093/ced/llac054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Accepted: 10/27/2022] [Indexed: 01/22/2023]
Abstract
BACKGROUND There is a lack of patient educational resources about chronic urticaria (CU). AIMS To develop and test the effectiveness of an education tool to help paediatric patients and their families better understand CU and its management. METHODS From July 2020 to May 2022, paediatric patients with a history of CU who presented to the allergy outpatient clinics at our institution were recruited. Consenting families and patients were asked to complete five questions related to the definition, causes and management of CU at the time of presentation to the clinic. Participants were shown a 5-min animated video addressing the main knowledge gaps about CU. At the end of the video, participants were redirected to the same five questions to respond again. The scores were recorded as a proportion of correct answers (range 0·0-1·0). RESULTS In total, 53 patients [30 girls (56·6%), 23 boys (43·4%); mean age 9·7 ± 5·1 years, range 1·4-18·5 years] were recruited. The mean baseline pre-video education questionnaire score was 0·67 ± 0·2 (range 0·2-1·0), while the mean post-video score was 0·94 ± 0·1 (range 0·4-1·0), a mean score difference of 0·27, which was statistically significant (P < 0·001). At the 1-year follow-up, 14 (26·4%) patients answered the questionnaire again to assess retention of knowledge; the mean score was 0·83 ± 0·2 (range 0·2-1·0). CONCLUSIONS Our educational video was successful in educating patients and their families to better understand urticaria. Future studies should aim to optimize patient education through nontraditional tools such as videos, and compare knowledge gain using different methods of education.
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Affiliation(s)
- Jumanah Karim
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Sofianne Gabrielli
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Pasquale Mule
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Bahar Torabi
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Adam Byrne
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Sarah De Schryver
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Vanessa Gadoury-Lévesque
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Reza Alizadehfar
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Christine McCusker
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Xun Zhang
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
| | - Moshe Ben-Shoshan
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada, UK
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Karim J, Gabrielli S, Torabi B, Byrne A, De Schryver S, Gadoury-Lévesque V, Alizadehfar R, McCusker C, Vincent M, Morris J, Gerdts J, Zhang X, Ben-Shoshan M. Bridging Knowledge Gaps in Anaphylaxis Management Through a Video-Based Educational Tool. PEDIATRIC ALLERGY, IMMUNOLOGY, AND PULMONOLOGY 2022; 35:153-157. [PMID: 36537701 DOI: 10.1089/ped.2022.0152] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Introduction: We aimed to develop and test the effectiveness of an education tool to help pediatric patients and their families better understand anaphylaxis and its management, and to improve current knowledge and treatment guidelines adherence. Methods: From June 2019 to May 2022, 128 pediatric patients with history of food-triggered anaphylaxis who presented to the allergy outpatient clinics at the study institution were recruited. Consenting families were asked to complete 6 questions related to the triggers, recognition, and management of anaphylaxis at the time of presentation to the clinic. Participants were shown a 5-min animated video on the causes, presentation, and management of anaphylaxis. At the end of the video, the participants were redirected to the same 6 questions to respond again. The scores were recorded in proportion of correct answers (minimum 0.0; maximum 1.0). Results: The mean age of the patients was 5.8 ± 4.5 years (range: 0.5-18.8 years). The majority were males (70 patients; 54.7%). The mean baseline prevideo education questionnaire score was 0.76 ± 0.2 (range: 0.3-1.0), whereas the mean follow-up score was 0.82 ± 0.2 (range: 0.3-1.0). This score difference of 0.06 was statistically significant (P < 0.001). There were no significant associations between change in scores and age or gender of the participants. Conclusion: Our video teaching method was successful in educating patients and their families to better understand anaphylaxis and its management at the moment of the clinical encounter. Retention of knowledge at long-term follow-up should be assessed.
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Affiliation(s)
- Jumanah Karim
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Sofianne Gabrielli
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Bahar Torabi
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Adam Byrne
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Sarah De Schryver
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Vanessa Gadoury-Lévesque
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Reza Alizadehfar
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Christine McCusker
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Matthieu Vincent
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Judy Morris
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Jennifer Gerdts
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Xun Zhang
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
| | - Moshe Ben-Shoshan
- Division of Pediatric Allergy and Immunology, Department of Pediatrics, McGill University Health Centre, Montreal, Quebec, Canada
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Aydin M. Maintenance of Medical Care of Children and Adolescents With Asthma During the SARS-CoV-2/COVID-19 Pandemic: An Opinion. Int J Public Health 2022; 67:1604849. [PMID: 35712648 PMCID: PMC9195580 DOI: 10.3389/ijph.2022.1604849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 04/27/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Malik Aydin
- Laboratory of Experimental Pediatric Pneumology and Allergology, Department of Human Medicine, Center for Biomedical Education and Research, School of Life Sciences (ZBAF), Faculty of Health, Witten/Herdecke University, Witten, Germany
- Center for Child and Adolescent Medicine, Center for Clinical and Translational Research (CCTR), Helios University Hospital Wuppertal, Witten/Herdecke University, Wuppertal, Germany
- *Correspondence: Malik Aydin,
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