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X Demographics
Mendeley readers
| Title |
Optimising pain management in children with acute otitis media through a primary care-based multifaceted educational intervention: study protocol for a cluster randomised controlled trial
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|---|---|
| Published in |
Trials, September 2018
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| DOI | 10.1186/s13063-018-2880-4 |
| Pubmed ID | |
| Authors |
Rick T. van Uum, Roderick P. Venekamp, Alies Sjoukes, Alma C. van de Pol, G. Ardine de Wit, Anne G. M. Schilder, Roger A. M. J. Damoiseaux |
| Abstract |
Whilst current guidelines highlight the importance of pain management for children with acute otitis media (AOM), there is evidence to suggest that this is not implemented in everyday practice. We have developed a primary care-based multifaceted educational intervention to optimise pain management in children with AOM, and we trial its clinical and cost effectiveness. This cluster randomised controlled trial aims to recruit 250 children aged 6 months to 10 years presenting with AOM to general practitioners (GPs) in 30 primary care centres (PCCs) across the Netherlands. GPs in the PCCs allocated to the intervention group receive a blended GP educational programme (online and face-to-face training). The intervention asks GPs to proactively discuss pain management with parents using an information leaflet, and to prescribe paracetamol and ibuprofen according to current guidelines. GPs in both groups complete an online module illustrating various otoscopic images to standardise AOM diagnosis. GPs in the PCCs allocated to the control group do not receive any further training and provide 'care as usual'. During the 4-week follow-up, parents complete a symptom diary. The primary outcome is the difference in parent-reported mean earache scores over the first 3 days. Secondary outcomes include both number of days with earache and fever, GP re-consultations for AOM, antibiotic prescriptions, and costs. Analysis will be by intention-to-treat. The optimal use of analgesics through the multifaceted intervention may provide symptom relief and thereby reduce re-consultations and antibiotic prescriptions in children with AOM. Netherlands Trial Register, NTR4920 . Registered on 19 December 2014. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 103 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 103 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 15 | 15% |
| Student > Bachelor | 9 | 9% |
| Researcher | 8 | 8% |
| Student > Ph. D. Student | 7 | 7% |
| Professor > Associate Professor | 5 | 5% |
| Other | 18 | 17% |
| Unknown | 41 | 40% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 24 | 23% |
| Nursing and Health Professions | 12 | 12% |
| Psychology | 4 | 4% |
| Economics, Econometrics and Finance | 3 | 3% |
| Pharmacology, Toxicology and Pharmaceutical Science | 3 | 3% |
| Other | 12 | 12% |
| Unknown | 45 | 44% |