Evaluation of a Video-Based Education Intervention for Parents of Children Undergoing Fontan Surgery: A Cluster Randomized Controlled Trial.

Autor:	Rehman JK; Stollery Children's Hospital, Edmonton, Alberta, Canada.; Faculty of Health Disciplines, Athabasca University, Athabasca, Alberta, Canada., Rempel GR; Faculty of Health Disciplines, Athabasca University, Athabasca, Alberta, Canada., Williams E; Western Canadian Children's Heart Network, Edmonton, Alberta, Canada., Meakins L; Stollery Children's Hospital, Edmonton, Alberta, Canada., Bauman ME; Stollery Children's Hospital, Edmonton, Alberta, Canada., Massicotte MP; Stollery Children's Hospital, Edmonton, Alberta, Canada.; Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada., Davis R; Stollery Children's Hospital, Edmonton, Alberta, Canada., Dahl J; Stollery Children's Hospital, Edmonton, Alberta, Canada., Mackie AS; Stollery Children's Hospital, Edmonton, Alberta, Canada.; Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Jazyk:	angličtina
Zdroj:	CJC pediatric and congenital heart disease [CJC Pediatr Congenit Heart Dis] 2023 May 11; Vol. 2 (4), pp. 176-186. Date of Electronic Publication: 2023 May 11 (Print Publication: 2023).
DOI:	10.1016/j.cjcpc.2023.05.003
Abstrakt:	Background: Fontan surgery is performed at 2-4 years of age and is the third planned surgical intervention for children with a univentricular heart. Major challenges for children and parents after Fontan include (a) psychological distress, (b) prolonged pleural drainage, and (c) the need for postoperative anticoagulation. The aim of this study was to evaluate a pre-Fontan video-based intervention for parents to address these challenges. Methods: This study is a single-centre mixed-methods cluster randomized controlled trial. The intervention consisted of 3 brief whiteboard videos offered online from preadmission clinic to 1 month postoperatively. The parent's State Trait Anxiety Inventory score and the child's Post Hospital Behaviour Questionnaire score were measured 1 week and 1 month postoperatively. Semistructured interviews were conducted to obtain parental feedback on the videos. Results: We enrolled 26 children (13 female patients; 16 intervention group) and 1 parent per child. Mean State Trait Anxiety Inventory scores were similar between groups at both 1 week (52.8 vs 55.5, P  = 0.25) and 1 month postoperatively (50.9 vs 53.9, P  = 0.25). Post Hospital Behaviour Questionnaire scores were in the maladaptive range but did not differ between groups. Parents agreed or strongly agreed that the videos were helpful but should be provided earlier in the preoperative process. The main value of the videos was recognized as being a method for standardizing information provided to parents. Conclusions: A video-based education intervention did not impact State Trait Anxiety Inventory or Post Hospital Behaviour Questionnaire scores. However, the majority of parents agreed that the videos were helpful. (© 2023 The Author(s).)
Databáze:	MEDLINE
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