Effects of a web-based educational module on pediatric emergency medicine physicians' knowledge, attitudes, and behaviors regarding youth violence

Tracy E. Madsen, Alison Riese, Esther Choo, Megan L. Ranney

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: Youth seen in the emergency department (ED) with injuries from youth violence (YV) have increased risk for future violent injury and death. Pediatric emergency medicine (PEM) physicians rarely receive training in, or perform, YV screening and intervention. Our objective was to examine effects of a web-based educational module on PEM physicians' knowledge, attitudes, and behaviors regarding YV screening and interventions in the ED. Methods: We invited all PEM fellows and attendings at an urban Level I pediatric trauma center to complete an interactive web-based education module (and 1-month booster) with information on YV's public health impact and how to screen, counsel and refer YV-involved patients. Consenting subjects completed electronic assessments of YV prevention knowledge and attitudes (using validated measures when possible) before and after the initial module and after the booster. To measure behavior change, chart review identified use of YV-specific discharge instructions in visits by YV-injured PEM patients (age 12-17; identified by E codes) 6 months before and after the intervention. We analyzed survey data were analyzed with Fisher's exact for binary outcomes and Kruskal-Wallis for Likert responses. Proportion of patients given YV discharge instructions before and after the intervention was compared using chi-square. Results: Eighteen (67%) of 27 PEM physicians participated; 1 was lost at post-module assessment and 5 at 1 month. Module completion time ranged from 15-30 minutes. At baseline, 50% of subjects could identify victims' re-injury rate; 28% were aware of ED YV discharge instructions. After the initial module and at 1 month, there were significant increases in knowledge (p

Original languageEnglish (US)
Pages (from-to)615-622
Number of pages8
JournalWestern Journal of Emergency Medicine
Volume15
Issue number5
DOIs
StatePublished - 2014
Externally publishedYes

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Violence
Physicians
Hospital Emergency Service
Wounds and Injuries
Pediatric Emergency Medicine
Trauma Centers
Public Health
Pediatrics
Education

Keywords

  • Injury prevention
  • Theory of planned behavior
  • Youth violence

ASJC Scopus subject areas

  • Emergency Medicine
  • Medicine(all)

Cite this

Effects of a web-based educational module on pediatric emergency medicine physicians' knowledge, attitudes, and behaviors regarding youth violence. / Madsen, Tracy E.; Riese, Alison; Choo, Esther; Ranney, Megan L.

In: Western Journal of Emergency Medicine, Vol. 15, No. 5, 2014, p. 615-622.

Research output: Contribution to journalArticle

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