Study of the Impact of Parental Note Taking on the Effectiveness of Anticipatory Guidance - Full Text View

Purpose

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.

Condition	Intervention
Health Education Sudden Infant Death	Behavioral: Note taking

Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Health Services Research
Official Title:	A Randomized Controlled Trial of The Impact of Parental Note Taking on the Effectiveness of Anticipatory Guidance: the Suzuki Music Model Applied to Urban Pediatrics

Resource links provided by NLM:

MedlinePlus related topics: Breast Feeding Sudden Infant Death Syndrome

U.S. FDA Resources

Further study details as provided by Boston Medical Center:

Primary Outcome Measures:

The Primary Outcome of Interest is Maternal Practice Related to Supine Infant Sleep Position. [ Time Frame: two days after discharge ] [ Designated as safety issue: Yes ]
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.

Secondary Outcome Measures:

Maternal Practice Related to Breastfeeding Initiation [ Time Frame: two days after discharge ] [ Designated as safety issue: No ]
This measure assesses maternal report of breastfeeding. The number analyzed is the number who reported any breastfeeding.
Maternal Practice Related to Correct Car Seat Use [ Time Frame: two days after discharge ] [ Designated as safety issue: Yes ]
Correct car seat use by all subjects who use cars was defined as placing the car seat in the back seat facing backwards and using the car seat every time the infant travels by car. The number reported is the number who report using the car seat correctly.

Enrollment:	126
Study Start Date:	December 2009
Study Completion Date:	December 2010
Primary Completion Date:	December 2010 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
No Intervention: Usual care 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.
Experimental: Note taking 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 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.

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Eligibility

Ages Eligible for Study:	15 Years and older
Genders Eligible for Study:	Female
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

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

Exclusion Criteria:

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

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01014169

Locations

United States, Massachusetts
Boston Medical Center
Boston, Massachusetts, United States, 02118

Sponsors and Collaborators

Boston Medical Center

The Joel and Barbara Alpert Endowment For The Children of The City

Investigators

Principal Investigator:

C. Jason Wang, MD

Boston Medical Center

More Information

Publications:

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

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

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

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.

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

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

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.

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.

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.

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.

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

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.

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. Review.

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.

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

Responsible Party:	Boston Medical Center
ClinicalTrials.gov Identifier:	NCT01014169 History of Changes
Other Study ID Numbers:	H-28356
Study First Received:	November 13, 2009
Results First Received:	August 20, 2012
Last Updated:	September 20, 2012
Health Authority:	United States: Institutional Review Board

Keywords provided by Boston Medical Center:

Health education
Sudden Infant Death
Breast Feeding
Infant Equipment

Additional relevant MeSH terms:

Death
Sudden Infant Death
Pathologic Processes
Death, Sudden

ClinicalTrials.gov processed this record on May 22, 2013