Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Scott A. Bloch, Georgia Health Sciences University
ClinicalTrials.gov Identifier:
NCT01630265
First received: June 23, 2012
Last updated: June 27, 2012
Last verified: June 2012
  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

Resource links provided by NLM:


Further study details as provided by Georgia Regents University:

Primary Outcome Measures:
  • 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.


Secondary Outcome Measures:
  • 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
Criteria

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
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01630265

Locations
United States, Georgia
Medical College of Georgia
Augusta, Georgia, United States, 30912
Sponsors and Collaborators
Georgia Regents University
Investigators
Principal Investigator: Scott A Bloch, MD Georgia Regents University
  More Information

No publications provided by Georgia Regents University

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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 September 18, 2014