Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video
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Purpose
Previous studies demonstrate that patients often have difficulty understanding their discharge instructions. Video discharge instructions have the potential to mitigate factors such as illiteracy and limited physician time, which may affect comprehension. Our goal is to determine if adding video discharge instructions affects caregivers' understanding of their child's emergency department (ED) visit, plan and follow-up.
| Condition | Intervention |
|---|---|
|
Evaluation of Video Discharge Instructions in Improving Understanding |
Other: Standard written discharge instructions Other: Video Discharge Instructions |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label |
- Knowledge about the child's diagnosis, treatment and follow-up care. [ Time Frame: up to 5 days ] [ Designated as safety issue: No ]After reading standard written discharge instructions or watching a 3 minute video covering the information in the written discharge instructions, a questionnaire was completed by each caregiver. Knowledge was assessed based on the number of correct responses given by each caregiver at the time of ED discharge and 2-5 days post-discharge.
- Caregiver satisfaction with their discharge instructions [ Time Frame: Satisfaction will be assessed at two time points within 5 days of being evaluated in the Emergency Department ] [ Designated as safety issue: No ]Caregivers either read standard written discharge instructions or watched a 3 minute video covering the information in the discharge instructions. Caregivers were then asked to rate their satisfaction with the discharge instructions using a 5-point Likert scale.
| Enrollment: | 436 |
| Study Start Date: | April 2010 |
| Study Completion Date: | June 2010 |
| Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Written Discharge Instructions
Group of caregivers who read written discharge instructions that are the standard discharge instructions given in our pediatric ED
|
Other: Standard written discharge instructions
Group of caregivers who read the standard written discharge instructions prior to answering the questionnaire
|
|
Experimental: Video Discharge Instructions
Group of caregivers who watched the 3-minute video covering the information in the standard written discharge instructions
|
Other: Video Discharge Instructions
Group of caregivers who watched the 3 minute video covering the information in the standard written discharge instructions prior to answering the questionnaire
|
Detailed Description:
Caregivers of patients, age 29 days to 18 years, with a diagnosis of fever, vomiting or diarrhea, and wheezing or asthma were randomized into written or video discharge instruction groups. In the ED, caregivers read standard written discharge instructions or watched a 3-minute video based on their child's diagnosis. They were then asked questions regarding information covered in these instructions. After completing the 20-point questionnaire, standard discharge procedure was followed. Caregivers were contacted by phone 2-5 days after discharge for a follow-up questionnaire. Usefulness of the discharge instructions was also assessed.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- caregivers of pediatric patients age 29 days to 18 years old diagnosed with wheezing or asthma exacerbation, fever, or vomiting and/or diarrhea.
Exclusion Criteria:
- Caregivers of patients who were critical in the ED,
- Admitted to the hospital, or given an alternate diagnosis prior to discharge were excluded from the study.
- Also, non-English speaking caregivers were excluded.
Contacts and Locations| United States, Georgia | |
| Medical College of Georgia | |
| Augusta, Georgia, United States, 30912 | |
| Principal Investigator: | Scott A Bloch, MD | Georgia Regents University |
More Information
No publications provided
| Responsible Party: | Scott A. Bloch, Principal Investigator, Georgia Health Sciences University |
| ClinicalTrials.gov Identifier: | NCT01630265 History of Changes |
| Other Study ID Numbers: | 10-03-173 |
| Study First Received: | June 23, 2012 |
| Last Updated: | June 27, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Georgia Regents University:
|
Discharge Instructions Video Discharge Instructions Video Emergency Department Discharge Instructions ED Discharge |
ClinicalTrials.gov processed this record on May 21, 2013