Audio-Recorded Discharge Instructions for LEP Parents

NCT03195842 | Completed

• 1 other identifier: 00000016
• Study Type: interventional
• Target: 83
• Locations: 0 countries
• Sites: N/A

Brief Summary

In this pilot study, limited English proficient (LEP) parents of children at Seattle Children's Hospital for day surgery will be randomized to usual discharge care or usual discharge plus language-concordant, audio-recorded instructions via recordable card. these cards are similar to recordable greeting cards, and can record up to 180 seconds of information. They can be played back over 100 times. We will follow-up with families 2-7 days later to assess satisfaction and comprehension of discharge instructions.

Conditions

Limited English Proficiency; Disparities

Outcome Measures

Primary Outcomes (1)

• Comprehension of discharge instructions

  Parent-reported instructions (medication, home care, follow-up, and return precautions) compared to documented instructions

  2-7 days after discharge

Secondary Outcomes (2)

• Confidence in caring for the child post-discharge

  2-7 days after discharge

• Satisfaction with card

  2-7 days after discharge

Study Arms (2)

Usual discharge care

NO INTERVENTION

Standard discharge instructions, meaning conversation with physician, usually via interpreter, along with written instructions compiled by the nurse. Written instructions include pre-translated handouts for common languages, and untranslated (English) patient-specific instructions.

Recordable card

EXPERIMENTAL

Usual care, as above, plus patient-specific and standard instructions recorded in the patient's preferred language for care and given to them on a card to take home.

Other: Recordable card

Interventions

Recordable card OTHER

Recordable card

Eligibility Criteria

• Age: Up to 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Limited English proficient (LEP) parents of day surgery patients at Seattle Children's Hospital (main campus) who prefer one of the following languages for care: Spanish, Somali, Russian, Ukrainian, Vietnamese, Mandarin, or Cantonese. Eligible parents are those receiving condition-specific discharge instructions about one or more of the following: a new medication, wound care, diet advancement, return precautions, or more than 1 follow-up appointment

You may not qualify if:

• Child being kept overnight at hospital following surgery

Sponsors & Collaborators

• Seattle Children's Hospital: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Pediatrics

Study Record Dates

• First Submitted: June 20, 2017
• First Posted: June 22, 2017
• Study Start: March 10, 2016
• Primary Completion: September 26, 2016
• Study Completion: September 26, 2016
• Last Updated: June 22, 2017

Record last verified: 2017-06

Data Sharing

• IPD Sharing: Will not share