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Optimising decision making among childcare staff and parents on illness absenteeism from fever and common infections in children 0 to 4 attending child day care centers.


- candidate number27120
- NTR NumberNTR6402
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR21-apr-2017
- Secondary IDs14-N-171 METC
- Public TitleOptimising decision making among childcare staff and parents on illness absenteeism from fever and common infections in children 0 to 4 attending child day care centers.
- Scientific TitleOptimising decision making among childcare staff and parents on illness absenteeism from fever and common infections in children 0 to 4 attending at child day care centers: a cluster randomized controlled trial.
- ACRONYM
- hypothesisWe hypothesise that decision making on illness absenteeism can be improved by improving knowledge, attitude, self-efficacy, and risk perception among childcare staff and parents. As a result, illness absenteeism from fever or common infections will be reduced.
- Healt Condition(s) or Problem(s) studiedIllness absenteeism, Childhood fever , Infectious diseases
- Inclusion criteriaChildcare staff with a permanent tenure at the participating childcare locations.
Childcare staff who work as fixed replacement or trainee.
All children attending childcare locations of child day care organization MIK in the region of South of Limburg, the Netherlands. Chronically ill children will also be included.
- Exclusion criteriaChildren aged 4 years or older switch to preschool and school care facilities.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blinding[default]
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-jan-2017
- planned closingdate15-mei-2017
- Target number of participants520
- Interventions1) Educational session on childhood fever provided to childcare center staff
2) Interactive information booklet on childhood fever and common infections provided to childcare centers staff and parents
3) Decision-tool based on a traffic light system to decide the illness severity, and depending on the colour of symptoms, which advices to follow regarding childcare attendance, paracetamol use, doctor's consultations.
4) A 7-minute movie in which the key messages of the educational session are repeated.
- Primary outcomeAbsenteeism due to illness, defined as the percentage of childcare days absent due to illness on the total of childcare days during a 12-week period.
- Secondary outcomeOn the level of childcare staff:
1) Knowledge, attitude, risk perception, self-efficacy (survey)
On the level of parents:
1) Knowledge, attitude, risk perception, self-efficacy (survey)
2) Healthcare service use during illness episode for fever or common infections, paracetamol use for fever or common infections, productivity losses, incidence of fever and common infections, number and duration of illness episodes.
- TimepointsIllness absenteeism will be calculated for every 2 weeks during the 12-week study period at T0, T1, T2, T3, T4,T5, T6.

Knowledge, attitude, self-efficacy, and risk perception at T0 and T6 in childcare staff.

Knowledge, attitude, self-efficacy, and risk perception at T6 in parents.

Healthcare service use during illness episode for fever or common infections, paracetamol use for fever or common infections, productivity losses, incidence of fever and common infections, number and duration of illness episodes among parents after their child was called in sick or was sent home because of illness at T0, T1, T2, T3, T4, T5, T6.
- Trial web siteNone
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Kirsten Peetoom
- CONTACT for SCIENTIFIC QUERIES Kirsten Peetoom
- Sponsor/Initiator Maastricht University
- Funding
(Source(s) of Monetary or Material Support)
ZonMw
- PublicationsPeetoom, K.K.B., Ploum, L.J.L., Smits, J.J.M., Halbach, N.S.J., Dinant, G.J., Cals, J.W.L., Childhood fever in well-child clinics: a focus group study among doctors and nurses. BMC Health Services Research. 2016: 16(240). Peetoom KKB, Smits JJM, Ploum LJL, Verbakel JY, Dinant GJ, Cals JWL. Does well-child care education improve consultations and medication management for childhood fever and common infections? A systematic review. Arch Dis Child. 2017 Mar;102(3):261-267.
de Bont EG, Peetoom KK, Moser A, Francis NA, Dinant GJ, Cals JW. Childhood fever: a qualitative study on GPs' experiences during out-of-hours care. Fam Pract. 2015 Aug;32(4):449-55. Epub 2015/04/29.
- Brief summaryFever is common in children 0-4 years old and especially children in childcare acquire often infections. This study aims to optimise decision making on illness absenteeism from childhood fever or common infections among childcare staff and parents and thereby, to reduce illness absenteeism for fever and/or common infections in childcare. We hypothesise that decision making on illness absenteeism can be improved by improving knowledge, attitude, self-efficacy, and risk perception among childcare staff and parents. As a result, illness absenteeism from fever or common infections will be reduced. The intervention will be evaluated in a cluster randomized controlled trial among 18 CC locations of childcare organization MIK in Limburg, the Netherlands. Nine locations will receive the multicomponent intervention and 9 locations provide care-as-usual. The multicomponent intervention is developed according the stepwise approach of Intervention Mapping. The multicomponent intervention consists of: (1) a 2hr educational session on pathophysiology and treatment of fever and febrile seizures for childcare staff; (2) a 7-minute movie for childcare staff and parents, with the most important information from the educational session; (3) an information booklet on fever and common infections for childcare staff and parents; (4) a decision-tool to decide on illness severity and corresponding advices for childcare staff and parents.
- Main changes (audit trail)
- RECORD21-apr-2017 - 21-jun-2017


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