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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01630265
Recruitment Status : Completed
First Posted : June 28, 2012
Last Update Posted : June 28, 2012
Sponsor:
Information provided by (Responsible Party):
Scott A. Bloch, Augusta University

Tracking Information
First Submitted Date  ICMJE June 23, 2012
First Posted Date  ICMJE June 28, 2012
Last Update Posted Date June 28, 2012
Study Start Date  ICMJE April 2010
Actual Primary Completion Date June 2010   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 27, 2012)
Knowledge about the child's diagnosis, treatment and follow-up care. [ Time Frame: up to 5 days ]
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.
Original Primary Outcome Measures  ICMJE Same as current
Change History No Changes Posted
Current Secondary Outcome Measures  ICMJE
 (submitted: June 27, 2012)
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 ]
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.
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video
Official Title  ICMJE Not Provided
Brief Summary 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.
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.
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Condition  ICMJE Evaluation of Video Discharge Instructions in Improving Understanding
Intervention  ICMJE
  • Other: Standard written discharge instructions
    Group of caregivers who read the standard written discharge instructions prior to answering the questionnaire
  • 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
Study Arms  ICMJE
  • Active Comparator: Written Discharge Instructions
    Group of caregivers who read written discharge instructions that are the standard discharge instructions given in our pediatric ED
    Intervention: Other: Standard written discharge instructions
  • Experimental: Video Discharge Instructions
    Group of caregivers who watched the 3-minute video covering the information in the standard written discharge instructions
    Intervention: Other: Video Discharge Instructions
Publications * Bloch SA, Bloch AJ. Using video discharge instructions as an adjunct to standard written instructions improved caregivers' understanding of their child's emergency department visit, plan, and follow-up: a randomized controlled trial. Pediatr Emerg Care. 2013 Jun;29(6):699-704. doi: 10.1097/PEC.0b013e3182955480.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: June 27, 2012)
436
Original Actual Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE June 2010
Actual Primary Completion Date June 2010   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

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.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE Child, Adult, Older Adult
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT01630265
Other Study ID Numbers  ICMJE 10-03-173
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Responsible Party Scott A. Bloch, Augusta University
Study Sponsor  ICMJE Augusta University
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Scott A Bloch, MD Augusta University
PRS Account Augusta University
Verification Date June 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP