Effects of an educational video film in fatigued children and adolescents: a randomised controlled trial.
Summary of "Effects of an educational video film in fatigued children and adolescents: a randomised controlled trial."
Background In many cases standard management for chronic fatigue syndrome (CFS) in children and adolescents is ineffective. Objective To evaluate the efficacy of a video film intervention in preventing the development of persistent fatigue and significant school absence in fatigued children and adolescents. Design Randomised controlled trial. Participants 91 patients with fatigue; 50 were randomly assigned to receive the intervention (video film plus usual care) and 41 to usual care only. Intervention A video film on CFS and coping behaviour. Main outcome measures Self-reported fatigue severity, physical activity, motivation, concentration and school absence. Results 79 patients had complete data at 12 months (42 in the video film and 37 in the usual care group). Mean fatigue severity and school absenteeism scores did not differ significantly, but in the intervention group the score for reduced motivation was higher (difference 2.9 (CI 0.1 to 5.7), p=0.038). 18% more patients in the intervention compared to the usual care group also had persistent fatigue with significant school absence. The odds of developing persistent fatigue and of missing >50% of school classes was 3.3 times higher in the intervention than in the usual care group (OR 3.3 (CI 1.0 to 11.3), p=0.046). Conclusion This particular video film intervention plus usual care in children and adolescents with unexplained fatigue did not prevent an unfavourable outcome and possibly had an adverse effect in that it reduced motivation and increased the incidence of persistent fatigue with significant school absence. The use of this particular film is not recommended.
Affiliation
Department of Pediatrics, Antonius Ziekenhuis, Sneek, The Netherlands.
Journal Details
This article was published in the following journal.
Name: Archives of disease in childhood
ISSN: 1468-2044
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20861404
- DOI: http://dx.doi.org/10.1136/adc.2009.172072
Medical and Biotech [MESH] Definitions
Film Dosimetry
Use of a device (film badge) for measuring exposure of individuals to radiation. It is usually made of metal, plastic, or paper and loaded with one or more pieces of x-ray film.
Video-audio Media
Used with articles which include video files or clips, or for articles which are entirely video.
Animation
A film or video wholly or partially created by photographing drawings, sculptures, or other inanimate things in sequence to create the illusion of motion. Animations are also generated by computers. (From Moving Image Materials: Genre Terms, 1988)
Video-assisted Surgery
Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).
Video Games
A form of interactive entertainment in which the player controls electronically generated images that appear on a video display screen. This includes video games played in the home on special machines or home computers, and those played in arcades. (McGraw Hill Encyclopedia of Science & Technology, 7th ed, v19, p223)
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