"Anticipatory Guidance in the Nursery and Its Impact on Non-urgent Emergency Department Visits"

Summary

Kennedy et al, in a study of pediatric Emergency Department (ED) use by newborns less than 14 days of age, revealed that half of all visits in this population were non-acute problems. Other pediatric ED utilization studies have shown similar findings in that 32% to 72% of all visits were for non-urgent problems.

Many studies have found that primiparity and young maternal age are associated with non-acute ED presentations. A recent factor that has been investigated is the effect of early neonatal discharge. Some other factors are nonwhite mothers and mothers on Medicaid. Zandieh et al, found additional predisposing determinants for non-urgent ED visits, such as single parenthood, Hispanic ethnicity, and having perceptions that their child's overall physical health was poor.

Paradis et al found that parents receiving a video intervention rated higher confidence with specific infant care skills and reported feeling better prepared to care for their baby, compared to parents receiving only handouts. However, there isn't any reported study that evaluates the benefits of receiving both, a video intervention along with handouts.

Aim: to demonstrate whether conducting anticipatory guidance related to non-urgent problems will reduce non-urgent ED visits, compared to care as usual (CAU) anticipatory guidance (Sudden Infant Death Syndrome and Shaken Baby Syndrome videos; and unstructured talk about jaundice, vaccinations, appointments, care of umbilical stump, normal urination and bowel movement, fever).

Conditions

• Health Knowledge, Attitudes, Practice
• Sneezing
• Constipation
• Nasal Congestion and Inflammations

Interventions

BEHAVIORAL

Intensified anticipatory guidance

Mothers receive video-based and handout-based anticipatory guidance regarding non-urgent problems in addition to the routine anticipatory guidance

BEHAVIORAL

Routine

Routine anticipatory guidance (control)

Sponsors & Collaborators

• Bronx-Lebanon Hospital Center Health Care System

  lead OTHER

Principal Investigators

• Ayoade Adeniyi, MD · Bronx-Lebanon Hospital Center

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

CROSSOVER

Eligibility

Sex

FEMALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2011-12-31

Primary Completion

2012-04-30

Completion

2012-04-30

Countries

• United States

Study Locations