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

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

Research output: Contribution to journalArticle

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.

Original languageEnglish
JournalJournal of Pediatrics
DOIs
StateAccepted/In press - 2020
Externally publishedYes

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    Goggin, K., Hurley, E. A., Bradley-Ewing, A., Bickford, C., Lee, B. R., Pina, K., De Miranda, E. D., Mackenzie, A., Yu, D., Weltmer, K., Linnemayr, S., Butler, C. C., Miller, M., Newland, J. G., & Myers, A. L. (Accepted/In press). Reductions in Parent Interest in Receiving Antibiotics following a 90-Second Video Intervention in Outpatient Pediatric Clinics. Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2020.06.027