Web-based Education Module for Pain Management

Study Overview
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Brief Summary
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This study's objectives are as follows: 1. To evaluate the utility of a website to provide information and guidance about pain management in children 2. To educate parents about the pathophysiology of pain, proper use of analgesic medications and signs of pain in children 3. To reduce the functional impact of pain in children following treatment for fracture 4. To endow parents with confidence to manage their child's pain at home 5. To dispel misconceptions about the use and safety of analgesics in children 6. To increase awareness of complications of fractures such as compartment syndrome

Detailed Description
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This study will compare the effectiveness of three mediums of parental education among parents of children treated for non-operative fractures in the emergency department (ED): 1) A novel website entitled, Online User-Centered Home Pain Management for Fractures (OUCH PMF) 2) An online educational video (OV) and 3) standard discharge instructions (SOC). The investigators primary goal is to see which modality results in a greater improvement in scores on a on a knowledge questionnaire. The investigators secondary goals are to see which modality results in better parental satisfaction, confidence in managing pain, and lower impact of injury on the child and family. As participants will receive the standard-of-care that includes a pamphlet on how to take care of the cast. During their stay in the ED, participants will be randomly assigned to one of the three aforementioned groups. Participants will then be given the pre-intervention knowledge questionnaire, followed by the intervention and then the post-intervention knowledge questionnaire, prior to being discharged. At 120 hours post-discharge, participants will be asked to access an online survey to obtain information about the functional impact of the injury on their child. The investigators goal is to compare online and video education tools in their ability to improve parental knowledge, confidence, and satisfaction regarding the treatment of fracture pain.

Official Title
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A Web-based Education Module Versus Standard of Care for Pain Management Following a Fracture in Children: a Randomized Controlled Trial

Conditions
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Bone Fractures

Intervention / Treatment
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* Other: Interactive website
* Other: Video
* Other: Standard of care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All caregivers who are in attendance with their child (any age) for a primary complaint of a non-operative fracture managed by the paediatric emergency physician AND will be the primary caregiver for the child at home. Exclusion Criteria: Poor parental English fluency Lack of a home computer with Internet access Child with a history of renal disease, liver disease, bleeding diathesis, chronic pain issues, or pregnancy.

Ages Eligible for Study
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Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Interactive website<br>The interactive website called Online User Centered Home Pain Management for Fractures (OUCH PMF) will cover 4 domains of knowledge: 1. Fracture-related pain 2. Analgesic dosing regimens 3. Indications, risks and safety of analgesia in children 4. Signs and symptoms of pain in children | Other: Interactive website<br>* The interactive website called Online User Centered Home Pain Management for Fractures (OUCH PMF) will cover 4 domains of knowledge: 1. Fracture-related pain 2. Analgesic dosing regimens 3. Indications, risks and safety of analgesia in children 4. Signs and symptoms of pain in children<br>|
| Active Comparator: Video<br>The online video will contain the same information within the website. | Other: Video<br>* The online video will contain the same information within the website.<br>|
| Active Comparator: Standard of care<br>Standard of care includes a pamphlet with cast care instructions and verbal instructions on caring for the child at home. | Other: Standard of care<br>* Standard of care includes a pamphlet with cast care instructions and verbal instructions on caring for the child at home.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in 21-item knowledge questionnaire total score between groups |  | 120 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of days of work missed for parent |  | 120 hours | 
| Parental confidence in recognizing pain and providing analgesia using a 5-point Likert scale |  | 120 hours | 
| Number of sleep-interrupted nights for child |  | 120 hours | 
| Number of days of school missed for child |  | 120 hours | 
| Number of days before resumption of normal diet for child |  | 120 hours | 
| Other educational resources used |  | 120 hours |