Enhancing Postpartum Discharge Instructions

NCT03592628 | Completed

• 1 other identifier: 16D.794
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Post-cesarean delivery discharge instructions are not currently at an appropriate health literacy level. Enhancing discharge instructions with a visual aid did not improve scores on comprehension quizzes, either immediately or two-weeks post-discharge. However, participants preferred to have access to visual images with discharge instructions.

Conditions

Health Literacy; Randomized Controlled Trial; Postpartum; Cesarean Delivery Affecting Newborn

Outcome Measures

Primary Outcomes (1)

• Comprehension Score Two Weeks Post-Discharge

  Total score on 11-point quiz (Discharge Instructions Comprehension Quiz) administered via phone two weeks post-discharge, score range 1-11 with one point assigned for each correct answer (no subtractions for incorrect answers); higher scores are favorable indicating answers consistent with higher comprehension

  Two weeks

Secondary Outcomes (1)

• Immediate Comprehension

  15 minutes

Study Arms (2)

Standard Instructions

PLACEBO COMPARATOR

Subjects enrolled in this arm received standardized teach-back regarding discharge instructions as well as the standard printed discharge instructions regarding post-cesarean wound care.

Other: Standard Instructions

Enhanced Instruction

EXPERIMENTAL

Subjects enrolled in this arm received standardized teach-back regarding discharge instructions as well as the standard printed discharge instructions regarding post-cesarean wound care AND they received an additional printed visual diagram.

Other: Visual Aid

Interventions

Visual Aid OTHER

The visual aid was a one-sheet diagram with illustrations of important features of post-cesarean wound care.

Enhanced Instruction

Standard Instructions OTHER

Standard discharge instructions WITHOUT supplement of visual aid.

Standard Instructions

Eligibility Criteria

• Age: 18 Years - 50 Years
• Gender Eligibility Details: All participants were in-hospital status post a cesarean delivery for delivery of their newborn.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Able to consent
• Identified as English speaking
• Had a cesarean delivery during the index hospitalization for delivery of their living newborn

You may not qualify if:

• Non-English speaking
• Declined to participate
• Required a translator for communication
• Intellectual disability (as self-identified or as determined by healthcare provider)
• Currently incarcerated

Sponsors & Collaborators

• Thomas Jefferson University: lead
• Rebecca Lawrence, BS: collaborator
• Sarah Cohen, MD: collaborator
• Rebecca Newbrander, MD: collaborator
• Jason K. Baxter, MD: collaborator

Study Sites (1)

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, 19107, United States

Location

MeSH Terms

Interventions

Audiovisual Aids

Intervention Hierarchy (Ancestors)

Educational Technology; Technology; Technology, Industry, and Agriculture

Study Officials

• Rebekah McCurdy, MD

  Thomas Jefferson University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: July 5, 2018
• First Posted: July 19, 2018
• Study Start: June 1, 2017
• Primary Completion: November 30, 2017
• Study Completion: July 3, 2018
• Last Updated: July 19, 2018

Record last verified: 2018-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)