Digital Otoscope vs Education for Ear Infections
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to enhance how pediatric clinicians diagnose and treat middle ear infections, or otitis media. It will compare four approaches: providing education and feedback, using a digital otoscope (a tool for examining the ear), combining both methods, or maintaining current practices as a control. Pediatric primary care clinicians who often diagnose and treat ear infections but have not yet adopted a digital otoscope may be well-suited for this trial. As an unphased trial, this study presents a unique opportunity to advance pediatric ear infection care.
Will I have to stop taking my current medications?
The trial information does not specify whether participants must stop taking their current medications.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that using a digital otoscope to diagnose ear infections is safe and well-received. One study found that digital otoscopes, such as the Wispr, reduced unnecessary antibiotic prescriptions for ear infections, demonstrating their effectiveness and safety. Another review confirmed no safety issues when using them in medical settings.
Regarding education with personalized feedback, no safety concerns exist. This method involves providing feedback to doctors to enhance their diagnostic skills. It resembles other educational techniques that improve medical practices without involving physical procedures.
Combining education and the digital otoscope also appears safe. The digital otoscope maintains a strong safety record, and educational methods are non-invasive.
Overall, both strategies aim to improve diagnostic and treatment accuracy without compromising participant safety.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it's exploring innovative ways to diagnose ear infections more effectively. Traditional methods rely on visual examination with a standard otoscope, but this trial is testing the use of a digital otoscope, which could provide clearer images and more accurate diagnoses. Additionally, the trial is looking at how personalized education with performance feedback might improve diagnosis rates by aligning with guidelines from the American Academy of Pediatrics. By comparing these new methods against the usual practices, researchers hope to improve how ear infections are diagnosed and treated.
What evidence suggests that this trial's treatments could be effective for ear infections?
This trial will compare different methods for diagnosing and managing ear infections. Research has shown that personalized training and feedback improve doctors' ability to diagnose and treat ear infections. One study found that this approach led to more accurate treatment of middle ear infections. In this trial, some participants will receive education with personalized performance feedback.
Another group will use a digital otoscope, a tool that helps doctors see inside the ear. This tool has been shown to reduce unnecessary antibiotic prescriptions and cut down on follow-up visits, indicating more accurate initial diagnoses. A third group will combine education with the use of a digital otoscope, which improves diagnostic accuracy and leads to better treatment decisions. These approaches aim to enhance the diagnosis and management of ear infections, potentially resulting in better outcomes for patients.12678Who Is on the Research Team?
Louis Vernacchio, MD, MSc
Principal Investigator
Pediatric Physicians' Organization at Children's
Are You a Good Fit for This Trial?
This trial is for pediatric primary care clinicians with a high frequency of diagnosing and treating middle ear infections in young children. Specific eligibility criteria are not provided, but typically participants would be active healthcare professionals in pediatrics.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Clinicians are randomly assigned to one of four arms: education and feedback, use of digital otoscope, both interventions, or control, for a three-month period
Follow-up
Participants are monitored for changes in antibiotic prescribing patterns and clinician confidence post-intervention
What Are the Treatments Tested in This Trial?
Interventions
- Education with personalized performance feedback
- Use of digital otoscope
Trial Overview
The study is testing if personalized education with feedback or the use of a digital otoscope can improve the diagnosis and treatment of ear infections. Clinicians will be randomly placed into one of four groups: education only, digital otoscope only, both interventions, or no intervention.
How Is the Trial Designed?
4
Treatment groups
Experimental Treatment
Active Control
Use of the Wispr digital otoscope to diagnose otitis media in place of a traditional visual otoscope
Education about proper otitis media diagnosis following criteria from the American Academy of Pediatrics with personalized performance feedback on otitis media diagnosis and treatment rates delivered via email plus use of the Wispr digital otoscope to diagnose otitis media in place of a traditional visual otoscope
Education about proper otitis media diagnosis following criteria from the American Academy of Pediatrics with personalized performance feedback on otitis media diagnosis and treatment rates delivered via email
Control arm, no intervention
Find a Clinic Near You
Who Is Running the Clinical Trial?
Boston Children's Hospital
Lead Sponsor
Citations
Digital Otoscope Versus Education and Feedback for Otitis ...
Ten enrolled clinicians will be randomly assigned to each of 4 arms for a three-month trial: 1) personalized education and feedback about proper ...
Digital Otoscope vs Education for Ear Infections
What data supports the effectiveness of the treatment Education with personalized performance feedback and use of digital otoscope for ear infections?
3.
publications.aap.org
publications.aap.org/pediatrics/article/156/3/e2024070155/203127/Increasing-Short-Course-Treatment-of-Acute-OtitisIncreasing Short-Course Treatment of Acute Otitis Media in ...
PDSA cycle 2 (education with performance, feedback, and preference list) demonstrated an immediate statistically significant increase in the ...
Parents' Knowledge of and Attitude toward Acute Otitis Media ...
The outcomes of this study emphasize the important need for focused educational programs and healthcare policies aimed at improving parental ...
The wicked problem of otitis media: summary of recent ...
The wicked problem of otitis media: summary of recent systematic reviews on otitis media with effusion. Author links open overlay panel
6.
journals.lww.com
journals.lww.com/pqs/fulltext/2019/07000/impact_of_education_and_peer_comparison_on.13.aspxImpact of Education and Peer Comparison on Antibiotic...
The objective was to improve guideline-concordant care for 3 common acute respiratory tract infections (ARTIs) and to reduce broad-spectrum antibiotic ...
A Learning Collaborative to Improve Antibiotic Prescribing ...
A 6-month, mostly online quality improvement (QI) learning collaborative to improve antibiotic prescribing and patient education for upper respiratory ...
Shared decision-making for pediatric acute otitis media in the ...
Secondary outcomes included antibiotic use (immediate and overall), duration of the clinician–parent interaction, and safety outcomes.
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