Study of the Impact of Parental Note Taking on the Effectiveness of Anticipatory Guidance

NCT01014169 | Completed Results

• 1 other identifier: H-28356
• Study Type: interventional
• Target: 126
• Locations: 1 country
• Sites: 1

Brief Summary

The delivery of anticipatory guidance is an essential component of pediatric practice. Given the large amount of information to be shared during each encounter and the limited time available, there is a need for an effective and efficient means of communication between health care providers and families. The investigators hypothesize that more active parental participation in the form of note taking during the delivery of anticipatory guidance will lead to increased knowledge, higher levels of satisfaction with the encounter, and increased adoption of recommended parenting practices. In this study, the investigators propose a randomized controlled trial of the impact of note taking during the delivery of newborn anticipatory guidance on maternal practices related to newborn care. The investigators plan to compare a control group of mothers receiving standard of care anticipatory guidance with an intervention group of mothers who are encouraged to take written notes while receiving the anticipatory guidance. The primary outcome of interest is maternal practice related to infant sleep position, and the secondary outcomes of interest are maternal practice related to breastfeeding initiation and car seat use. The investigators also plan to evaluate the impact of note taking on mothers' knowledge of recommended practices related to newborn care and on mothers' satisfaction with the guidance received.

Conditions

Health Education; Sudden Infant Death

Keywords

Health education; Sudden Infant Death; Breast Feeding; Infant Equipment

Outcome Measures

Primary Outcomes (1)

• The Primary Outcome of Interest is Maternal Practice Related to Supine Infant Sleep Position.

  This measure assesses maternal report of placing the infant on the back to sleep (supine sleep position) as opposed to putting the infant on its side or stomach.

  two days after discharge

Secondary Outcomes (2)

• Maternal Practice Related to Breastfeeding Initiation

  two days after discharge

• Maternal Practice Related to Correct Car Seat Use

  two days after discharge

Study Arms (2)

Usual care

NO INTERVENTION

Mothers in the control group will receive the nursing discharge newborn information from the nurse practitioner \[sometimes via a Spanish interpreter, if required\] according to current standard of care, which includes verbal information and written handouts.

Note taking

EXPERIMENTAL

The mothers in the intervention group will be given a pen and encouraged to take written notes in the notes section of the discharge envelope using their language of preference when receiving the standard newborn information.

Behavioral: Note taking

Interventions

Note taking BEHAVIORAL

The mothers in the intervention group will be given a pen and encouraged to take written notes in the notes section of a discharge envelope using their language of preference when receiving standard newborn discharge information.

Note taking

Eligibility Criteria

• Age: 15 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• newborn gestational age greater than 35 weeks
• maternal spoken fluency in either English or Spanish
• a working telephone in the home.

You may not qualify if:

• either the newborn or the mother has a medical condition requiring hospitalization for longer than 4 days after a cesarean section or 2 days after a vaginal delivery
• mother not expected to retain custody of the infant at the time of discharge

Sponsors & Collaborators

• Boston Medical Center: lead
• The Joel and Barbara Alpert Endowment For The Children of The City: collaborator

Study Sites (1)

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

Related Publications (17)

• Kendall J. Suzuki's Mother Tongue Method. Music Educators Journal. 1986;72:47-50

  BACKGROUND

• Creech A and Hallam S. Parent-teacher-pupil interactions in instrumental music tuition: a literature review. B.J. Music Ed. 2003;20:29-44.

  BACKGROUND

• Grilli S. An interview with Dr. Shin'ichi Suzuki at the Talent Education Institute. International Review of Education. 1992; 38: 547-551.

  BACKGROUND

• Intons-Peterson MJ, Fournier J. External and Internal Memory Aids: When and How Often Do We Use Them? Journal of Experimental Psychology: General. 1986;115:267-280.

  BACKGROUND

• Kiewra KA DuBois NF, McShane CD, et al. Note-taking functions and techniques. Journal of Educational Psychology. 1991;83:240-245.

  BACKGROUND

• Andrade J. What Does Doodling Do? Appl Cognit Psychol.2009;23:1-7.

  BACKGROUND

• Gielen AC, Wilson ME, McDonald EM, Serwint JR, Andrews JS, Hwang WT, Wang MC. Randomized trial of enhanced anticipatory guidance for injury prevention. Arch Pediatr Adolesc Med. 2001 Jan;155(1):42-9. doi: 10.1001/archpedi.155.1.42.

  PMID: 11177061 BACKGROUND

• Rosenthal MS, Lannon CM, Stuart JM, Brown L, Miller WC, Margolis PA. A randomized trial of practice-based education to improve delivery systems for anticipatory guidance. Arch Pediatr Adolesc Med. 2005 May;159(5):456-63. doi: 10.1001/archpedi.159.5.456.

  PMID: 15867120 BACKGROUND

• Kreuter MW, Chheda SG, Bull FC. How does physician advice influence patient behavior? Evidence for a priming effect. Arch Fam Med. 2000 May;9(5):426-33. doi: 10.1001/archfami.9.5.426.

  PMID: 10810947 BACKGROUND

• Isaacman DJ, Purvis K, Gyuro J, Anderson Y, Smith D. Standardized instructions: do they improve communication of discharge information from the emergency department? Pediatrics. 1992 Jun;89(6 Pt 2):1204-8.

  PMID: 1594378 BACKGROUND

• Green M, Kessel SS. Diagnosing and treating health: bright futures. Pediatrics. 1993 May;91(5):998-1000. No abstract available.

  PMID: 8474827 BACKGROUND

• 2008. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, Third Edition. Elk Grove Village, IL: American Academy of Pediatrics.

  BACKGROUND

• Moon RY, Oden RP, Grady KC. Back to Sleep: an educational intervention with women, infants, and children program clients. Pediatrics. 2004 Mar;113(3 Pt 1):542-7. doi: 10.1542/peds.113.3.542.

  PMID: 14993547 BACKGROUND

• United States Preventative Services Task Force: Recommendations of Breastfeeding Counseling. www.ahrq.gov/clinic/uspstf/uspsbrfd.htm. Accessed on 11/25/08.

  BACKGROUND

• Zaza S, Sleet DA, Thompson RS, Sosin DM, Bolen JC; Task Force on Community Preventive Services. Reviews of evidence regarding interventions to increase use of child safety seats. Am J Prev Med. 2001 Nov;21(4 Suppl):31-47. doi: 10.1016/s0749-3797(01)00377-4.

  PMID: 11691560 BACKGROUND

• Schuster MA, Duan N, Regalado M, Klein DJ. Anticipatory guidance: what information do parents receive? What information do they want? Arch Pediatr Adolesc Med. 2000 Dec;154(12):1191-8. doi: 10.1001/archpedi.154.12.1191.

  PMID: 11115301 BACKGROUND

• Moon RY, Omron R. Determinants of infant sleep position in an urban population. Clin Pediatr (Phila). 2002 Oct;41(8):569-73. doi: 10.1177/000992280204100803.

  PMID: 12403373 BACKGROUND

MeSH Terms

Conditions

Health Education; Sudden Infant Death; Breast Feeding

Condition Hierarchy (Ancestors)

Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Death, Sudden; Death; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Infant Death; Feeding Behavior

Limitations and Caveats

Conducted as a pilot study and not powered to demonstrate a significant difference between the two groups; subjects and NPs were aware of the group assignment; outcomes were determined using maternal self report.

Results Point of Contact

• Title: Dr Caroline Kistin
• Organization: Boston University School of Medicine/Boston Medical Center

caroline.kistin@bmc.org

617-414-3642

Study Officials

• C. Jason Wang, MD

  Boston Medical Center

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 13, 2009
• First Posted: November 16, 2009
• Study Start: December 1, 2009
• Primary Completion: December 1, 2010
• Study Completion: December 1, 2010
• Last Updated: October 19, 2012
• Results First Posted: October 19, 2012

Record last verified: 2012-09

Locations

US (1)