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

NCT01630265 | Completed

• 1 other identifier: 10-03-173
• Study Type: interventional
• Target: 436
• Locations: 1 country
• Sites: 1

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.

Conditions

Evaluation of Video Discharge Instructions in Improving Understanding

Keywords

Discharge Instructions; Video Discharge Instructions; Video; Emergency Department Discharge Instructions; ED Discharge

Outcome Measures

Primary Outcomes (1)

• Knowledge about the child's diagnosis, treatment and follow-up care.

  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.

  up to 5 days

Secondary Outcomes (1)

• Caregiver satisfaction with their discharge instructions

  Satisfaction will be assessed at two time points within 5 days of being evaluated in the Emergency Department

Study Arms (2)

Written Discharge Instructions

ACTIVE COMPARATOR

Group of caregivers who read written discharge instructions that are the standard discharge instructions given in our pediatric ED

Other: Standard written discharge instructions

Video Discharge Instructions

EXPERIMENTAL

Group of caregivers who watched the 3-minute video covering the information in the standard written discharge instructions

Other: Video Discharge Instructions

Interventions

Standard written discharge instructions OTHER

Group of caregivers who read the standard written discharge instructions prior to answering the questionnaire

Written Discharge Instructions

Video Discharge Instructions OTHER

Group of caregivers who watched the 3 minute video covering the information in the standard written discharge instructions prior to answering the questionnaire

Video Discharge Instructions

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• caregivers of pediatric patients age 29 days to 18 years old diagnosed with wheezing or asthma exacerbation, fever, or vomiting and/or diarrhea.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Augusta University: lead

Study Sites (1)

Medical College of Georgia

Augusta, Georgia, 30912, United States

Location

Related Publications (1)

• 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.

  PMID: 23714763 DERIVED

Study Officials

• Scott A Bloch, MD

  Augusta University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 23, 2012
• First Posted: June 28, 2012
• Study Start: April 1, 2010
• Primary Completion: June 1, 2010
• Study Completion: June 1, 2010
• Last Updated: June 28, 2012

Record last verified: 2012-06

Locations

US (1)