Effects of structured encounter forms on pediatric house staff knowledge, parent satisfaction, and quality of care. A randomized, controlled trial

Arch Pediatr Adolesc Med. 1996 Sep;150(9):975-80. doi: 10.1001/archpedi.1996.02170340089017.


Objective: To evaluate the effects of health supervision structured encounter forms on pediatric house staff knowledge, parent satisfaction, and quality of care.

Design: Randomized, controlled trial.

Setting: Pediatric house staff continuity clinic in a university-based children's hospital.

Participants: 53 pediatric house officers and 153 parents.

Interventions: House staff were randomized to use structured encounter forms focused on developmental milestones (group 1) or anticipatory guidance/preventive care (group 2) during health supervision visits.

Outcome measures: Changes in house staff knowledge were assessed with pretests and posttests. Parent satisfaction was assessed with surveys. Quality of care, defined as compliance with recommended guidelines for age-specific health supervision, was assessed by audiotaping visits.

Results: Group 1 demonstrated greater but not significantly different improvement in knowledge of developmental milestones than group 2, while group 2 improved more than group 1 in knowledge of anticipatory guidance/ preventive care. Parent satisfaction with developmental screening was significantly greater for group 1 visits than for group 2 visits (P < .001). Group 1 demonstrated significantly greater compliance than group 2 with recommended standards of developmental screening (P = .001).

Conclusions: The use of structured encounter forms for health supervision in pediatric house staff continuity clinics may increase house staff knowledge of developmental milestones and anticipatory guidance/preventive care, increases parent satisfaction with developmental assessment during health supervision, and improves compliance with recommended guidelines for developmental assessment.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child Development
  • Child, Preschool
  • Counseling
  • Forms and Records Control
  • Humans
  • Infant
  • Infant, Newborn
  • Medical History Taking / standards*
  • Medical Staff, Hospital / education*
  • Parents / education
  • Parents / psychology*
  • Patient Satisfaction*
  • Pediatrics / education*
  • Primary Prevention
  • Quality of Health Care*