Volume 27, Issue 6 pp. 657-664
Research Report

Interactive web-based format vs conventional brochure material for information transfer to children and parents: a randomized controlled trial regarding preoperative information

Gunilla Lööf

Corresponding Author

Gunilla Lööf

Department of Paediatric Anaesthesia and Intensive Care, Karolinska University Hospital, Stockholm, Sweden

Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden

Correspondence

Mrs. Gunilla Lööf, Department of Paediatric Anaesthesia and Intensive Care, Astrid Lindgren Children's Hospital, Q9:00, Karolinska University Hospital, Stockholm SE-171 76, Sweden

Email: [email protected]

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Cecilia Liljeberg

Cecilia Liljeberg

Department of Paediatric Anaesthesia and Intensive Care, Karolinska University Hospital, Stockholm, Sweden

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Staffan Eksborg

Staffan Eksborg

Department of Women's and Children's Health, Childhood Cancer Research Unit, Karolinska Institutet, Stockholm, Sweden

Division of Paediatrics, Karolinska University Hospital, Astrid Lindgren Children's Hospital, Stockholm, Sweden

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Per-Arne Lönnqvist

Per-Arne Lönnqvist

Department of Paediatric Anaesthesia and Intensive Care, Karolinska University Hospital, Stockholm, Sweden

Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden

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First published: 10 April 2017
Citations: 16

Summary

Background

Information transfer to patients is an integral part of modern medicine. Internet-based alternatives represent a new and attractive way for information transfer.

Methods

The study used a prospective observer-blinded design. Children (3–12 years) and parents were instructed to get further preoperative information either through an interactive web-based platform, the Anaesthesia-Web, or conventional brochure material until day of outpatient surgery. On the day of surgery, children and parents were separately asked six different questions. The primary end-point was to compare the total question score in children between the two information options (maximum score = 36). Secondary aims were the total question score for parents and the influence of age, sex, and time between the preoperative visit and day of surgery.

Results

A total of 125 children were recruited, of which 103 were included in the final analysis (the Anaesthesia-Web group, n = 49; the brochure material group, n = 54). At the predetermined interim analysis, the total question score in children was found to be substantially higher in the Anaesthesia-Web group than in the brochure material group (median score: 27; IQR: 16.5–33 and median score: 19.5; IQR: 11.25–27.75, respectively, P = 0.0076). The median difference in score was 6; 95% CI: 0–9. The total question score in parents was also higher in the Anaesthesia-Web group than in the brochure material group. Increasing child age was associated with a higher total question score in both groups. Sex did not influence the total question score in the Anaesthesia-Web group, whereas girls scored better than boys in the brochure material group.

Conclusions

Children in the age range 3–12 years of age as well as their parents do better attain preoperative information from an interactive web-based platform compared to conventional brochure material.

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