Angoulvant, FrançoisRouault, AnneProt-Labarthe, SoniaBoizeau, PriscillaSkurnik, DavidMorin, LaurenceMercier, Jean-ChristopheAlberti, CorinneBourdon, Olivier2014-03-102013Angoulvant, François, Anne Rouault, Sonia Prot-Labarthe, Priscilla Boizeau, David Skurnik, Laurence Morin, Jean-Christophe Mercier, Corinne Alberti, and Olivier Bourdon. 2013. “Randomized Controlled Trial of Parent Therapeutic Education on Antibiotics to Improve Parent Satisfaction and Attitudes in a Pediatric Emergency Department.” PLoS ONE 8 (9): e75590. doi:10.1371/journal.pone.0075590. http://dx.doi.org/10.1371/journal.pone.0075590.1932-6203http://nrs.harvard.edu/urn-3:HUL.InstRepos:11878943Objective: To evaluate therapeutic education delivered in a pediatric emergency department to improve parents’ satisfaction and attitudes about judicious antibiotic use. Methods: In an emergency department of a tertiary pediatric hospital, children aged 1 month to 6 years and discharged with an oral antibiotic prescription for an acute respiratory or urinary tract infection were randomized to a patient therapeutic education on antibiotic use (intervention group) or fever control (control group) delivered to the parents (in the presence of the children) by a pharmacist trained in therapeutic education. Education consisted in a 30-minute face-to-face session with four components: educational diagnosis, educational contract, education, and evaluation. The main outcome measure was parent satisfaction about information on antibiotics received at the hospital, as assessed by a telephone interview on day 14. The secondary outcome was attitudes about antibiotic use evaluated on day 14 and at month 6. Results: Of the 300 randomized children, 150 per arm, 259 were evaluated on day 14. Parent satisfaction with information on antibiotics was higher in the intervention group (125/129, 96.9%, versus 108/130, 83.0%; P=0.002, exact Fisher test). Intervention Group parents had higher proportions of correct answers on day 14 to questions on attitudes about judicious antibiotic use than did control-group parents (P=0.017, Mann-Whitney U test). Conclusion: Therapeutic education delivered by a clinical pharmacist in the pediatric emergency department holds promise for improving the use of antibiotics prescribed to pediatric outpatients. Trial Registration ClinicalTrials.gov NCT00948779 http://clinicaltrials.gov/show/NCT00948779en-USJournal Article2014-03-1010.1371/journal.pone.0075590