Clinical pediatrics
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Clinical pediatrics · Jan 2016
Randomized Controlled TrialDoes Health Literacy Level Influence the Effectiveness of a Kiosk-Based Intervention Delivered in the Pediatric Emergency Department?
This study assesses parents' literacy skills and evaluates how literacy levels influenced the effectiveness of a health communication intervention designed to improve safety knowledge in low-income, urban families. ⋯ Participants reading level had an independent and significant effect on safety knowledge outcomes. Literacy level should be considered in all patient education efforts.
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Clinical pediatrics · Sep 2014
Randomized Controlled Trial Comparative StudyReconnecting patients with their primary care provider: an intervention for reducing nonurgent pediatric emergency department visits.
Intervention to reduce nonurgent pediatric emergency department (PED) visits over a 12-month follow-up. ⋯ Intervention designed in cooperation with pediatricians was able to decrease nonurgent PED utilization and redirect patients to their PCP for future sick visits over a 12-month period.
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Clinical pediatrics · Jun 2014
Randomized Controlled TrialA randomized controlled trial of clinician-led tactile stimulation to reduce pain during vaccination in infants.
Clinician-led tactile stimulation (rubbing the skin adjacent to the injection site or applying pressure) has been demonstrated to reduce pain in children and adults undergoing vaccination. ⋯ Tactile stimulation cannot be recommended as a strategy to reduce vaccination pain in infants because of insufficient evidence of a benefit.
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Clinical pediatrics · Jun 2014
Randomized Controlled TrialFrequency of bathing in the management of atopic dermatitis: to bathe or not to bathe?
Atopic dermatitis prevalence has increased in the developed world in recent decades, and effective management is vital to improve patients' quality of life. ⋯ The frequency of bathing did not seem to play an important role in the management of atopic dermatitis. Clinicians should focus on the need for adequate skin hydration.
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Clinical pediatrics · Mar 2014
Randomized Controlled TrialAddressing dental fear in children with autism spectrum disorders: a randomized controlled pilot study using electronic screen media.
Dental care is a significant unmet health care need for children with autism spectrum disorders (ASD). Many children with ASD do not receive dental care because of fear associated with dental procedures; oftentimes they require general anesthesia for regular dental procedures, placing them at risk of associated complications. Many children with ASD have a strong preference for visual stimuli, particularly electronic screen media. The use of visual teaching materials is a fundamental principle in designing educational programs for children with ASD. ⋯ These findings suggest that certain electronic screen media technologies may be useful tools for reducing fear and uncooperative behaviors among children with ASD undergoing dental visits. Further studies are needed to assess the efficacy of these strategies using larger sample sizes. Findings from future studies could be relevant for nondental providers who care for children with ASD in other medical settings.