Study of the Impact of a Pediatric Nurse's Consultation on Parental Anxiety During a Febrile Convulsion in Children (CONSULFE)

Toulouse University Hospital

Status: Terminated

Conditions: Febrile Seizure

Treatments: Other: Standard care; Other: CONSULFE consultation

Study type: Interventional

Funder types: Other

Identifiers

NCT05947006

RC31/22/0484

Details and patient eligibility

About

Febrile seizures are considered a very common syndrome presented in the pediatric emergency room. Witnessing these seizures may can cause anxiety in parents and generate them psychological sequelae such as major depressive disorder in the short term, or sleep disorders in the long term.

An appropriate care for parents must be put in place in the emergency department, with the objective of improving their knowledge of this pathology and its care, and thus to reduce their anxiety and prevent potential inappropriate or even deleterious behavior and maneuvers towards the child.

Full description

Febrile seizures occupy a large place in pediatric practice in the emergency room, their prevalence varies between 3 and 8% in children under 7 years old, hence the notion of a very common syndrome.

When parents witness this event, they can experience it as terrifying, and which can alone cause anxiety and generate psychological sequelae. In the literature, it is described that a third of the parents present a major depressive disorder after the event and a third of the parents still describe sleep disorders after one year.

After the arrival at the pediatric emergency room following the febrile seizure, the priority is given to the care of the child and parents are given succinct medical information. Due to parental anxiety, which may still be significant at this time, this information may not be understood. All of this can make the parent's level of knowledge about this pathology and its management low, potentially leading to future behaviors and maneuvers (such as shaking) that are inappropriate or even harmful to the child.

A different course with appropriate care for parents must be put in place in the emergency department, with the objective of improving their knowledge of this pathology, its care and to reduce parent's anxiety. This is why the CONSULFE childcare consultation is proposed in this research.

Enrollment: 8 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participant being an adult parent who attended the febrile seizure of their child aged 1 to 5, episode lasting less than 15 minutes occurring within 24 hours
• Participant having signed the free and informed consent
• Affiliation to a social security scheme

Exclusion criteria

• Parent who already has experience of febrile seizures in one of the siblings
• Parent of a child with a convulsive or neurological history
• Non-French speaking parents
• Parent with a diagnosed psychiatric illness
• Parent benefiting from a legal protection measure
• Parent participating in a study related to the management of anxiety

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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8 participants in 2 patient groups

Standard care

Active Comparator group

Description:

Patients in this arm will receive the standard care stablished in the emergency room after a febrile seizure

Treatment:

Other: Standard care

CONSULFE Consultation

Experimental group

Description:

Patients in this arm will receive a consultation managed by the pediatric nurse (CONSULFE)

Treatment:

Other: CONSULFE consultation