Effect of the Head Computed Tomography Choice Decision Aid in Parents of Children With Minor Head Trauma | Zendy

Erik P. Hess | Zendy; James L. Homme | Zendy; Anupam B. Kharbanda | Zendy; Leah Tzimenatos | Zendy; Jeffrey P. Louie | Zendy; Daniel M. Cohen | Zendy; Lise E. Nigrovic | Zendy; Jessica J. Westphal | Zendy; Nilay D. Shah | Zendy; Jonathan Inselman | Zendy; Michael J. Ferrara | Zendy; Jeph Herrin | Zendy; Víctor M. Montori | Zendy; Nathan Kuppermann | Zendy

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Effect of the Head Computed Tomography Choice Decision Aid in Parents of Children With Minor Head Trauma

Author(s) -

Erik P. Hess,

James L. Homme,

Anupam B. Kharbanda,

Leah Tzimenatos,

Jeffrey P. Louie,

Daniel M. Cohen,

Lise E. Nigrovic,

Jessica J. Westphal,

Nilay D. Shah,

Jonathan Inselman,

Michael J. Ferrara,

Jeph Herrin,

Víctor M. Montori,

Nathan Kuppermann

Publication year - 2018

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2018.2430

Subject(s) - medicine , emergency department , computed tomography , head trauma , minor (academic) , pediatrics , emergency medicine , family medicine , medical emergency , surgery , psychiatry , political science , law

Key Points Question What is the effect of a decision aid in parents of children with minor head trauma? Findings In this cluster randomized trial of 172 clinicians caring for 971 children at intermediate risk of traumatic brain injury, the Head Computed Tomography Choice decision aid increased parental knowledge, decreased decisional conflict, and increased engagement. The intervention did not reduce the emergency department computed tomography rate but safely decreased 7-day health care utilization. Meaning Use of a decision aid in parents of children with minor head trauma had no effect on the emergency department computed tomography rate, but improved decisional quality and safely decreased downstream health care utilization.

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