Tamunobubelebara Igoni Folasade Odeniyi Dr. Kristen Feemster

Transcription

1 Tamunobubelebara Igoni Folasade Odeniyi Dr. Kristen Feemster

2 Agenda Overview Significance Aims Method Next Steps Role in the project Lessons Learned

3 Overview To develop and evaluate video-based educational materials to inform parents and their children about respiratory virus transmission and respiratory etiquette behavior in pediatric outpatient settings especially related to influenza like illness(ili).

4 Influenza like illness(ili) Influenza like illnesses (ILI)are upper and lower respiratory tract infections caused by respiratory viruses It is very contagious and very common in kids Common symptoms Fever, chills, headache, body aches and a hacking cough.

5 ILI and pediatric primary care settings Burden of influenza like illnesses on parents and families. Sharing of common waiting rooms. Behavioral characteristics of young children. Current Infection control guidelines. Respiratory etiquette behaviors- hand hygiene and mask use. Challenges to promoting infection control guidelines in ambulatory settings. Centers for Disease Control. FluView Accessed June 01, 2016, 2016.

6 Do kids get sick after well clinic visits? 500,000 encounters among 150,000 children <6 years old. 3% ILI encounters à 14% after clinic visit ~30% increased incidence of ILI after a clinic visit for kids <6 years old risk highest in children 2 years and older. Simmering JE, Polgreen LA, Cavanaugh JE, Polgreen PM. Are well-child visits a risk factor for subsequent influenza-like illness visits? Infect Control Hosp Epidemiol. 2014;35(3):

7 Do parents and kids use respiratory etiquette supplies? Direct observations of 3,635 parent-patient pairs in 21 CHOP clinics show: ~2% of dyads used any method of hand hygiene (alcohol hand rub, hand wipes). < 1% of dyads used a mask or tissue. Open Forum Infectious Diseases, Volume 3, Issue suppl_1, 1 December 2016, 384,

8 Focus Groups with parents and clinic staff Improved Education Clinician Prompts/reminders via electronic medical record. More job aides. Increased awareness of policies. Parent Community outreach to educate families on virus transmission. Use of My CHOP to educate parents. Survey parents about clinician hand hygiene practices. Use text messages or to send facts of virus transmission. Patient Educate patients using interactive media.

9 AIMS AIM 1: Develop a series of short educational videos to inform parents and patients about respiratory etiquette behavior in pediatric outpatient settings and prompt use of respiratory etiquette practices. AIM 2: Assess parent and child acceptability of these videos and its impact on knowledge of respiratory virus transmission, cough etiquette and hand hygiene.

10 METHODS: AIM 1 Develop video content and review with infection prevention and control experts for comments. Create draft of video based on content. Show the videos during focus groups (parents and patients).

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12 METHODS: AIM 2 Pre assessment of Knowledge of respiratory virus transmission and respiratory etiquette behavior among parents. Have parents watch the video(s). Post assessment of Knowledge of respiratory virus transmission and respiratory etiquette behavior among parents.

13 Codes and Survey RedCap domains Coding

14 Next steps Deploy videos in a pediatric primary care setting. Observe respiratory etiquette behavior before, during and after video deployment.

15 Role on project Video Content. Carried out systemic literature reviews. Building survey tool using redcap database. Piloting and testing the database to ensure accurate data capture. Writing the code, based on the database to ease data reporting.

16 Lessons Learned Systemic literature review. Data Analysis using STATA. Building a survey tool using redcap database. Insight into Infectious disease department at CHOP.

17 Special Thanks Dr. Kristen Feemster Folasade Odeniyi Joanne Levy Safa Browne Leonard Davis institute SUMR Cohort 2017

18 Questions?