Objective: The aims of the study were to determine the following: 1) if a f
ever education program (interactive or written) reduces parent fever anxiet
y; 2) if an interactive fever program was more effective as a teaching styl
e than standard written material alone; and 3) if a fever program increases
parent fever home management and reduces return emergency department (ED)
visits.
Method: A quasiexperimental, pretest and post-test pilot study examining pa
rental fever anxiety was conducted at The Children's Hospital of Philadelph
ia. Eligible participants consisted of 87 parents and their children, aged
3 months to 5 years presenting with fever >38.4 degreesC, and without coexi
sting serious illness.
Results: Both the interactive fever education program and the standard writ
ten fever pamphlet were equally effective as teaching methods. Data reveale
d a 30% reduction in fever anxiety rated as moderate-severe on arrival to n
one-low post-fever education, increased parent fever home management skills
with correct use of thermometer and antipyretics, and reduced unnecessary
return ED visits.
Conclusion: Parents in the acute and nonacute care setting may benefit from
an interactive fever education program that includes the definition and be
nefit of fever, the correct use of a thermometer, fever home management ski
lls, and appropriate fever telephone follow-up.