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June 1989, Vol 143, No. 6 >
Article | June 1989

The Impact of Fever Health Education on Clinic Utilization FREE

J. Stephen Robinson, MD, PhD, MPH; Mei-Ling M. Schwartz, MPH; Katherine S. Magwene, MPH; Saundra A. Krengel, LVN; Diane Tamburello, MPH
[+] Author Affiliations

Accepted for publication December 20, 1988.

Presented at the 13th World Conference on Health Education, Houston, Tex, August 29, 1988.

Reprint requests to Department of Member Health Education, Kaiser Permanente Medical Center, 13652 Cantara St, Panorama City, CA 91402 (Ms Schwartz).


Am J Dis Child. 1989;143(6):698-704. doi:10.1001/archpedi.1989.02150180076024.
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References
Comments

• We evaluated the ability of an office health education program to (1) increase parental knowledge about fever in children, (2) improve parental satisfaction with services, and (3) affect the number of fever-associated clinic visits. Randomly selected experimental and control groups differed only in that the former group viewed a slide-tape presentation. Testing of population samples before and after the presentation disclosed a highly significant improvement in knowledge about fever in the experimental population that persisted for almost 6 months. Monitoring of subsequent clinic visits revealed a 30% to 35% decrease in visits for fever and a 20% to 25% decrease in all visits for acute problems. These findings suggest that an audiovisual health education intervention can significantly improve patient confidence in managing fever as reflected by decreased clinic visits. This program is potentially useful in both the office and clinic in a health maintenance organization setting.

(AJDC. 1989;143:698-704)

REFERENCES

1 +
Casey R, McMahon F, McCormick M, Pasquariello PS, Zavod W, King FH.  Fever therapy: an intervention for parents . Pediatrics . 1984;;73:600-605.
2 +
Dershewitz RA, Williamson JW.  Prevention of childhood household injuries: a controlled clinical trial . Am J Public Health . 1977;;67:1148-1153.
3 +
Hletko PJ, Robin SS, Hletko JD, Stone MS.  Infant safety seat use: reaching the hard to reach . AJDC . 1987;;141:1301-1304.
4 +
Macknin ML, Gustafson C, Gassman J, Barich D.  Office education by pediatricians to increase seat belt use . AJDC . 1987;;141:1305-1307.
5 +
Morisky DE, Levine DM, Green LH, Shapiro S, Russell RP, Smith CR.  Five-year blood pressure control and mortality following health education for hypertensive patients . Am J Public Health . 1983;;73:153-162.
6 +
Schlesinger ER, Dickson DG, Westaby J, Lowen L, Logrillo VM, Maiwald AA.  A controlled study of health education in accident prevention . AJDC . 1966;;111:490-496.
7 +
O'Dell SL, Mahoney ND, Horton WG, Turner PE.  Media-assisted parent training: alternative models . Behav Ther . 1979;;10:103-110.
8 +
Nay WR.  A systematic comparison of instructional techniques for parents . Behav Ther . 1976;;6:14-21.
9 +
Webster-Stratton C.  Videotape modeling: a method of parent education . J Clin Child Psychology . (Summer) 1981;:93-98.
10 +
Fulginiti VA.  Role of the pediatrician in patient education . Pediatrics . 1984;;74( (suppl) ):914-916.
11 +
Green LW:  Manual for scoring socioeconomic status for research on health behavior . Public Health Rep . 1970;;70:815-824.
12 +
Green LW:  Educational strategies to improve compliance with therapeutic and preventive regimens: the recent evidence . In: Haynes RB, Taylor DW, Sackett DL, eds. Compliance in Health Care . Baltimore, Md: Johns Hopkins University Press; 1979;:157-173.
13 +
Bauchner HC, Howland J, Adair R.  The impact of pediatric asthma education on morbidity: assessing the evidence . AJDC . 1988;;142:398-399.
14 +
Lund AK, Kegeles SS, Weisenberg M.  Motivational techniques for increasing acceptance of preventive health measures . Med Care . 1977;; 15:678-692.
15 +
Kleemeier CP, Hazzard AP.  Videotaped parent education in pediatric waiting rooms . Patient Educ Counseling . 1983;;6:122-124.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Casey R, McMahon F, McCormick M, Pasquariello PS, Zavod W, King FH.  Fever therapy: an intervention for parents . Pediatrics . 1984;;73:600-605.
2 +
Dershewitz RA, Williamson JW.  Prevention of childhood household injuries: a controlled clinical trial . Am J Public Health . 1977;;67:1148-1153.
3 +
Hletko PJ, Robin SS, Hletko JD, Stone MS.  Infant safety seat use: reaching the hard to reach . AJDC . 1987;;141:1301-1304.
4 +
Macknin ML, Gustafson C, Gassman J, Barich D.  Office education by pediatricians to increase seat belt use . AJDC . 1987;;141:1305-1307.
5 +
Morisky DE, Levine DM, Green LH, Shapiro S, Russell RP, Smith CR.  Five-year blood pressure control and mortality following health education for hypertensive patients . Am J Public Health . 1983;;73:153-162.
6 +
Schlesinger ER, Dickson DG, Westaby J, Lowen L, Logrillo VM, Maiwald AA.  A controlled study of health education in accident prevention . AJDC . 1966;;111:490-496.
7 +
O'Dell SL, Mahoney ND, Horton WG, Turner PE.  Media-assisted parent training: alternative models . Behav Ther . 1979;;10:103-110.
8 +
Nay WR.  A systematic comparison of instructional techniques for parents . Behav Ther . 1976;;6:14-21.
9 +
Webster-Stratton C.  Videotape modeling: a method of parent education . J Clin Child Psychology . (Summer) 1981;:93-98.
10 +
Fulginiti VA.  Role of the pediatrician in patient education . Pediatrics . 1984;;74( (suppl) ):914-916.
11 +
Green LW:  Manual for scoring socioeconomic status for research on health behavior . Public Health Rep . 1970;;70:815-824.
12 +
Green LW:  Educational strategies to improve compliance with therapeutic and preventive regimens: the recent evidence . In: Haynes RB, Taylor DW, Sackett DL, eds. Compliance in Health Care . Baltimore, Md: Johns Hopkins University Press; 1979;:157-173.
13 +
Bauchner HC, Howland J, Adair R.  The impact of pediatric asthma education on morbidity: assessing the evidence . AJDC . 1988;;142:398-399.
14 +
Lund AK, Kegeles SS, Weisenberg M.  Motivational techniques for increasing acceptance of preventive health measures . Med Care . 1977;; 15:678-692.
15 +
Kleemeier CP, Hazzard AP.  Videotaped parent education in pediatric waiting rooms . Patient Educ Counseling . 1983;;6:122-124.

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