Anticipatory guidance through DVD

Clin Pediatr (Phila). 2014 Mar;53(3):256-60. doi: 10.1177/0009922813520069. Epub 2014 Jan 24.


The major purpose of the study was to determine if a 5-minute DVD is an effective method for communicating anticipatory guidance to parents at their child's 4-month well-child visit. A total of 84 caregivers were randomly assigned to receive anticipatory guidance through standard care (written anticipatory guidance handout and free talk) or DVD (DVD format + standard care). Participants completed a brief questionnaire immediately before and after their visit. As anticipated, knowledge scores improved significantly from pre-test to post-test. There was also a significant interaction between format used for anticipatory guidance and time. Specifically, there was greater improvement in knowledge over time for parents in the DVD group as compared with the standard care group. Additionally, the mean knowledge level of those in the DVD group as compared with those in the standard care group trended toward significance. Finally, visit length was shortened by nearly 3 minutes in the DVD group, and close to 100% of all respondents, regardless of anticipatory guidance format, indicated that they were very satisfied with their visit and amount of information learned.

Keywords: anticipatory guidance; information technology; visit length; well-baby visit.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Audiovisual Aids / statistics & numerical data*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Infant
  • Infant Care / methods*
  • Infant Care / statistics & numerical data
  • Male
  • Parents*
  • Patient Education as Topic / methods*
  • Patient Education as Topic / statistics & numerical data
  • Pediatrics / methods
  • Pediatrics / statistics & numerical data
  • Physical Examination / methods
  • Physical Examination / statistics & numerical data
  • Physician-Patient Relations*
  • Program Evaluation / methods*
  • Program Evaluation / statistics & numerical data
  • Surveys and Questionnaires
  • Young Adult