Effect of lumbar puncture educational video on parental knowledge and self-reported intended practice

doi:10.1016/j.ijpam.2020.11.003

. 2021 Jun;8(2):112-116.

doi: 10.1016/j.ijpam.2020.11.003. Epub 2020 Nov 19.

Effect of lumbar puncture educational video on parental knowledge and self-reported intended practice

Mohamad-Hani Temsah^{1

2}, Ayman Al-Eyadhy^{1

2}, Fahad Alsohime^{1

2}, Khalid A Alhasan^{1

3}, Fahad A Bashiri^{1

4}, Hashim Bin Salleeh^{1

5}, Gamal M Hasan⁶, Ali Alhaboob^{1

2}, Narjes Al-Sabei⁷, Abdullah Al-Wehaibi¹, Omar Temsah⁸, Ali M Somily^{1

9}, Fahad Al-Zamil^{1

10}

Affiliations

¹ College of Medicine, King Saud University, Riyadh, Saudi Arabia.
² Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
³ Division of Pediatric Nephrology, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
⁴ Division of Pediatric Neurology, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
⁵ Pediatric Emergency Medicine, Department of Emergency Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.
⁶ Pediatric Department, Assiut Faculty of Medicine, Assiut University, Assiut, Egypt.
⁷ Division of General Pediatrics, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
⁸ College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
⁹ Department of Pathology and Laboratory Medicine College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia.
¹⁰ Pediatric Infectious Disease Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.

PMID: 34084883
PMCID: PMC8144859
DOI: 10.1016/j.ijpam.2020.11.003

Effect of lumbar puncture educational video on parental knowledge and self-reported intended practice

Mohamad-Hani Temsah et al. Int J Pediatr Adolesc Med. 2021 Jun.

. 2021 Jun;8(2):112-116.

doi: 10.1016/j.ijpam.2020.11.003. Epub 2020 Nov 19.

Authors

Affiliations

¹ College of Medicine, King Saud University, Riyadh, Saudi Arabia.
² Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
³ Division of Pediatric Nephrology, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
⁴ Division of Pediatric Neurology, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
⁵ Pediatric Emergency Medicine, Department of Emergency Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.
⁶ Pediatric Department, Assiut Faculty of Medicine, Assiut University, Assiut, Egypt.
⁷ Division of General Pediatrics, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
⁸ College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
⁹ Department of Pathology and Laboratory Medicine College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia.
¹⁰ Pediatric Infectious Disease Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.

PMID: 34084883
PMCID: PMC8144859
DOI: 10.1016/j.ijpam.2020.11.003

Abstract

Background: Lumbar puncture (LP) remains an essential diagnostic procedure for neurological and infectious diseases. However, it remains a source of anxiety to patients and families. This research aimed to assess the impact of a newly developed educational simplified video about LP, in the parents' native language, that is tailored to their social background and beliefs and to assess whether it can facilitate their consent for the procedure.

Methods: This prospective, interventional study was conducted at the outpatient pediatric clinics at a teaching hospital. The conventional arm used verbal explanation about LP. The second method utilized a standardized video, having the same information as the conventional arm, with streaming of graphic depictions. Parents' knowledge and perceived LP risks were measured before and after the intervention.

Results: Two hundred and one parents were enrolled, with no significant differences in the socio-demographic and baseline characteristics. Both verbal and video-based counseling were found to provide a statistically significant increase in knowledge scores, and a Wilcoxon signed-rank test showed that knowledge gains for both groups were statistically significant (Verbal Explanation: W = 2693, n = 83, P < .001 and Video: W = 5538, n = 117, P < .001). However, the conventional verbal counseling resulted in more consistent gain of knowledge (SD = 14.5) as compared to the video group (SD = 18.94). The video group reported higher perceived risk (Mean 8.2, SD 3.59) than the verbal explanation group (Mean 7.12, SD 2.51). The less educated parents perceived LP procedure to be of significantly higher risk after watching the video (P < .001). It was found that 73.6% of persons with perceived intention to refuse LP changed their opinion after either of the counseling interventions, with significant opinion difference pre- and post-counseling intervention (P value .002).

Conclusions: Video education in parents' native language about LP is as effective as conventional verbal education for informed consent, with the additional advantage of reproducibility and more illustrations to give parents better insight. However, this video should be followed by direct interaction with parents to ensure their full understanding and address any further concerns.

Keywords: Consent; Educational video; Lumbar puncture; Parents’ knowledge.

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Conflict of interest statement

None.

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References

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[1] Ling S.G., Boey C.C. Lumbar puncture refusal in febrile convulsion. Singap Med J. 2000;41(10):485–488. - PubMed

[2] Ling S.G., Boey C.C. Lumbar puncture refusal in febrile convulsion. Singap Med J. 2000;41(10):485–488. - PubMed

[3] Deng C.T., Zulkifli H.I., Azizi B.H. Parents’ views of lumbar puncture in children with febrile seizures. Med J Malaysia. 1994;49(3):263–268. - PubMed

[4] Deng C.T., Zulkifli H.I., Azizi B.H. Parents’ views of lumbar puncture in children with febrile seizures. Med J Malaysia. 1994;49(3):263–268. - PubMed

[5] Narchi H., Ghatasheh G., Al Hassani N., Al Reyami L., Khan Q. Why do some parents refuse consent for lumbar puncture on their child? A qualitative study. Hosp Pediatr. 2012;2(2):93–98. - PubMed

[6] Narchi H., Ghatasheh G., Al Hassani N., Al Reyami L., Khan Q. Why do some parents refuse consent for lumbar puncture on their child? A qualitative study. Hosp Pediatr. 2012;2(2):93–98. - PubMed

[7] Easton R.B., Graber M.A., Monnahan J., Hughes J. Defining the scope of implied consent in the emergency department. Am J Bioeth. 2007;7(12):35–38. - PubMed

[8] Easton R.B., Graber M.A., Monnahan J., Hughes J. Defining the scope of implied consent in the emergency department. Am J Bioeth. 2007;7(12):35–38. - PubMed

[9] Patel P.B., Anderson H.E., Keenly L.D., Vinson D.R. Informed consent documentation for lumbar puncture in the emergency department. West J Emerg Med. 2014;15(3):318–324. - PMC - PubMed

[10] Patel P.B., Anderson H.E., Keenly L.D., Vinson D.R. Informed consent documentation for lumbar puncture in the emergency department. West J Emerg Med. 2014;15(3):318–324. - PMC - PubMed

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Effect of lumbar puncture educational video on parental knowledge and self-reported intended practice

Affiliations

Effect of lumbar puncture educational video on parental knowledge and self-reported intended practice

Authors

Affiliations

Abstract

Conflict of interest statement

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References

LinkOut - more resources

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