Using Point-of-Care Video Prescriptions to Improve Aftercare Following Discharge From a Pediatric Emergency Department

This study is currently recruiting participants. (see Contacts and Locations)
Verified January 2013 by healthEworks LLC
Sponsor:
Collaborator:
Information provided by (Responsible Party):
David J Mathison, Children's Research Institute
ClinicalTrials.gov Identifier:
NCT01543438
First received: February 22, 2012
Last updated: January 2, 2013
Last verified: January 2013
  Purpose

The goal of this project is to develop the content and delivery platform that electronically distributes mobile video discharge education for underserved populations and to demonstrate utilization, satisfaction, and improved health outcomes.


Condition Intervention
Compliance
Emergency Department Aftercare
Emergency Department Utilization
Other: Video Prescription (additional education)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Prevention
Official Title: Optimizing Emergency Aftercare With Mobile Video Prescriptions

Further study details as provided by healthEworks LLC:

Primary Outcome Measures:
  • Video Prescription Utilization Rate [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    measured with hyperlink click rate and successful streaming verification


Secondary Outcome Measures:
  • ED Return Visit Rate [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    ED return visits within 72 hrs and one week. Will also be stratified into 'unnecessary' return visits by assessing resource use and billing data.


Estimated Enrollment: 5000
Study Start Date: January 2012
Estimated Study Completion Date: December 2013
Estimated Primary Completion Date: June 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Control
current standard of care
Experimental: Intervention Group
receives video prescription
Other: Video Prescription (additional education)
receives video prescriptions

Detailed Description:

Emergency department (ED) visits have increased by 25% over the past decade. 85% of these patients are discharged, and the standard of care is to provide each patient/caregiver with written instructions that highlight how to care for a particular illness at home and signs to return to the hospital. Compliance with such ED discharge instructions is limited, leading to suboptimal medical care and unnecessary return visits to the ED. Inadequate health literacy, language disparities, and poor comprehension of written discharge information contribute to this problem. This health gap is more prevalent in children of young parents, low-income families, and minority populations where a disproportionate number of patients visit the ED for non-emergent care, often because of a lack of health education. The ED environment is chaotic and distracting and suboptimal to educate patients. Such education is best accomplished where aftercare occurs—in the home, but many patients lack direction and motivation to seek reliable sources of focused health education.

healthEworks LLC has developed Video Prescriptions™ - concise 3-5 minute video modules specific to the most common discharge diagnoses that patients receive in the ED. Further work is needed to develop a professional, diagnosis-specific product. These videos will feature Dr. Christina Johns, an emergency physician who specializes in delivering health information on camera. Each video will be interactive, high definition, designed for small screen size, such as for a smartphone or laptop computer. Each video prescription™ will highlight the transition from hospital to home and focuses on what the diagnosis means, how to treat it at home, and which signs should prompt the patient to return to the ED or seek urgent care. A HIPAA-compliant tablet-based platform will link ED patients with their personalized video education, establishing an innovative system of post-discharge information sharing.

The use of video prescriptions™ will improve patient health education for the 100 million patients who are discharged from U.S. ED's annually. This technology is particularly applicable for hospitals that face increasing pressures to provide performance measures for hospital discharge.

Video prescriptions™ will be utilized by ED patients, regardless of socioeconomic status, will improve patient satisfaction and reduce unnecessary ED return visits.

  • Specific Aim 1: Demonstrate patient utilization of video prescriptions Criteria for acceptance: a hyperlink click rate of greater than 70%
  • Specific Aim 2: Demonstrate improved health outcomes. Criteria for acceptance: a reduction in return visits by 10%
  • Specific Aim 3: Demonstrate quality of video content by showing improved patient satisfaction scores. Criteria for acceptance: improvement in patient satisfaction scores by 20%
  Eligibility

Ages Eligible for Study:   up to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • fits one of diagnostic criteria
  • not previously enrolled in past week

Exclusion Criteria:

  • primary language other than english or spanish
  • does not consent to receive email communication
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01543438

Locations
United States, District of Columbia
Children's National Medical Center (UMC and SZ campuses) Recruiting
Washington, District of Columbia, United States, 20010
Contact: David J Mathison, MD MBA       dmathiso@childrensnational.org   
Principal Investigator: David J Mathison, MD MBA         
Sponsors and Collaborators
healthEworks LLC
  More Information

No publications provided

Responsible Party: David J Mathison, Assistant Professor of Pediatrics & Emergency Medicine, Children's Research Institute
ClinicalTrials.gov Identifier: NCT01543438     History of Changes
Other Study ID Numbers: R41MD006695-01
Study First Received: February 22, 2012
Last Updated: January 2, 2013
Health Authority: United States: Institutional Review Board
United States: Federal Government

Keywords provided by healthEworks LLC:
ED utilization
video education
mobile health
streaming media
underserved populations

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on October 23, 2014