Effects of an educational video film in fatigued children and adolescents: a randomised controlled trial
Effects of an educational video film in fatigued children and adolescents: a randomised controlled trial
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DOI：
10.1136/adc.2009.172072
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发表时间：
2011-05-01
影响因子：
5.2
通讯作者：
Sinnema, Gerben
中科院分区：
文献类型：
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作者：
Bakker, Rob J.;van de Putte, Elise M.;Sinnema, Gerben
背景 在许多情况下，儿童和青少年慢性疲劳综合症（CFS）的标准管理是无效的。 目的 评估视频干预措施在预防疲劳儿童和青少年出现持续性疲劳和严重缺课方面的功效。 设计随机对照试验。 参与者 91 名疲劳患者； 50 名患者被随机分配接受干预（视频电影加常规护理），41 名仅接受常规护理。干预 关于 CFS 和应对行为的视频电影。主要结果指标自我报告的疲劳严重程度、体力活动、动机、注意力和缺课情况。结果 79 名患者在 12 个月时拥有完整数据（视频电影组 42 名，常规护理组 37 名）。平均疲劳严重程度和缺勤分数没有显着差异，但在干预组中，动机降低的分数较高（差异 2.9（CI 0.1 至 5.7），p=0.038）。与常规护理组相比，干预组中出现持续性疲劳且严重缺课的患者数量增加了 18%。干预组中发生持续性疲劳和缺课超过 50% 的学校课程的几率比常规护理组高 3.3 倍（OR 3.3（CI 1.0 至 11.3），p=0.046）。结论 这种特殊的视频电影干预加上对不明原因疲劳的儿童和青少年的常规护理并不能防止不良结果，并且可能产生不利影响，因为它降低了积极性，增加了严重缺课的持续性疲劳的发生率。不建议使用这种特殊的薄膜。
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.