Clinical Research Directory

Effect of an Intervention Combining the Use of Standardized Information and Sending an SMS Advice Message to Parents Calling the SAMU Center 15 for Uncomplicated Fever in Children

During the winter of 2022/23, a standardized protocol for managing fever in children aged 3 months to 10 years was implemented at Annecy Genevois Hospital for a period of one month. This protocol included advice given by the regulator and sending a text message to parents after the call. A total of 182 calls were handled in one month: 95 during a 15-day period before the intervention was rolled out and 87 during a 15-day period during the intervention (43 with unread text messages and 44 with read text messages). All parents who read the text message understood it. The rate of compliance with advice was improved by the intervention when the text message was read (p \< 0.01), in terms of increased paracetamol intake, avoidance of cold baths, undressing the child, and administering fluids. When the text message was read, the rate of calls to the 15 emergency center fell from 13% before the intervention to 2% when the text message was read (p = 0.04). A downward trend in emergency room visits was also observed, from 13% before the intervention to 5% when the text message was read and 19% when the text message was not read (p = 0.13). These encouraging data suggest that a randomized study would demonstrate the value of this approach in routine practice. Even if the effect of such protocols is moderate, the target audience is such that their impact on the use of unscheduled care and on the healthcare system could be significant, at a low implementation cost. The use of a standardized protocol involving the sending of text messages in cases of uncomplicated fever in children makes it possible to: * standardize the advice given by call center doctors, * ensure the traceability of advice, * help parents monitor their children. The objective of this study is to determine, in a randomized trial, whether the combined use of standardized advice for children with fever and text messages sent to parents by the emergency medical service (EMS) can: i) reduce the use of unscheduled medical care; ii) improve compliance with advice; iii) reduce the rate of callbacks to the emergency medical service; iv) improve parent satisfaction.

Impact of Artificial Intelligence-Supported Educational Intervention on Mothers' Fever Management

This study aims to evaluate the effect of an artificial intelligence (AI)-based educational program on mothers' knowledge and anxiety related to fever management in children. Fever is a common symptom in pediatric patients, especially under the age of three, causing repeated health concerns for parents. Despite the prevalence of fever, parents often lack sufficient knowledge and skills to manage it properly, which may lead to unnecessary anxiety and inappropriate care practices. The study will be conducted as a pretest-posttest experimental design including 80 mothers of children who visit the Pediatric Emergency Clinic at Kayseri City Hospital. Participants will be assigned to either an intervention group receiving AI-supported fever management education or a control group receiving standard care. Data will be collected using validated scales to assess parental fever management knowledge and anxiety levels before and after the intervention. The educational material was developed using ChatGPT 4.0, a large language model AI platform, and reviewed by pediatric experts. The results of this study may improve fever management education and reduce anxiety among mothers, potentially leading to better health outcomes for children.