Neurology Inpatient Clinical Education Trial

NCT03826056 | Completed

• 1 other identifier: D19046
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study is to compare the effectiveness of a personalized patient education program to the current hospital education and evaluate its impact using patient satisfaction scores. The investigators hypothesize that a personalized patient education intervention will increase patient's understanding of their diagnosis and satisfaction with the care as reflected in the survey results.

Conditions

Myasthenia Gravis; Guillain-Barre Syndrome; Multiple Sclerosis; Seizures; Parkinsonism; Meningitis; Encephalitis; Headache; Vestibular Disorder; Spondylosis; Normal Pressure Hydrocephalus

Keywords

clinical education

Outcome Measures

Primary Outcomes (1)

• Patient satisfaction scores

  The patients will answer a survey consisting of seven multiple-choice questions regarding their perception of the education intervention. Each questions will be scored on a scale of one to four for a total possible score of 28 for all 7 questions. A score of 1 indicates a negative perception of the education whereas 4 indicates the most positive impression. Therefore the lowest possible score is 7 for a severely negative perception of the education and the highest score is 28 for a very positive impression of the education program. Only the total scores will be compared for statistical analysis. Scores from patients in the current standard and new personalized education intervention groups will be compared.

  Subjects will be expected to mail the feedback forms within 2 weeks of discharge. Investigators will mail a single reminder prepaid return mail with a copy of the questionnaire to patients who do not respond within this time allowing 1 month total time.

Study Arms (2)

Current standard education group

ACTIVE COMPARATOR

A study team member will use the current hospital standard educational material to explain the discharge diagnosis to the patient, the treatment, and the follow up needed. The study team member will also give a survey with a preaddressed envelope to each participant to complete at his or her convenience.

Behavioral: Current standard discharge educational intervention

New personalized education group

EXPERIMENTAL

A study team member will use the new personalized educational materials to explain the discharge diagnosis to the patient, the treatment, and the follow up needed. The study team member will also give a survey with a preaddressed envelope to each participant to complete at his or her convenience.

Behavioral: Personalized discharge educational intervention

Interventions

Current standard discharge educational intervention BEHAVIORAL

The patients will receive the current hospital standard discharge educational material which explains the diagnosis, new medications, follow up and any activity/diet restrictions. A member of the study team will explain this material to the patient and answer any questions.

Current standard education group

Personalized discharge educational intervention BEHAVIORAL

The patients will receive a new personalized discharge educational material which will explain the specifics of their disorder, the treatment, and prognosis. The materials will contain simple, organized explanations and graphics. A member of the study team will explain this material to the patient and answer any questions.

New personalized education group

Eligibility Criteria

• Age: 18 Years - 95 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Over the age of 18
• Must have the capacity to consent and understand the study related activities and education materials.

You may not qualify if:

• Under the age of 18
• Have a condition that impairs the ability to understand the study, its risks, and appropriately consent for the study

Sponsors & Collaborators

• Dartmouth-Hitchcock Medical Center: lead

Study Sites (1)

Dartmouth- Hitchcock Medical Center

Lebanon, New Hampshire, 03756, United States

Location

MeSH Terms

Conditions

Myasthenia Gravis; Guillain-Barre Syndrome; Multiple Sclerosis; Seizures; Parkinsonian Disorders; Meningitis; Encephalitis; Headache; Vestibular Diseases; Spondylosis; Hydrocephalus, Normal Pressure

Condition Hierarchy (Ancestors)

Paraneoplastic Syndromes, Nervous System; Nervous System Neoplasms; Neoplasms by Site; Neoplasms; Paraneoplastic Syndromes; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Neurodegenerative Diseases; Neuromuscular Junction Diseases; Neuromuscular Diseases; Autoimmune Diseases; Immune System Diseases; Polyradiculoneuropathy; Demyelinating Diseases; Polyneuropathies; Peripheral Nervous System Diseases; Post-Infectious Disorders; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Demyelinating Autoimmune Diseases, CNS; Neurologic Manifestations; Signs and Symptoms; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Movement Disorders; Neuroinflammatory Diseases; Pain; Labyrinth Diseases; Ear Diseases; Otorhinolaryngologic Diseases; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Hydrocephalus

Study Officials

• Vijay Renga, MD

  Dartmouth-Hitchcock Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: The patient will not be informed of whether he or she is receiving the current hospital standard or the new personalized patient education intervention. The study team member will known which intervention is being used for patient education. The intervention arm will not be blinded in the data analysis.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Study team members will randomize patients to receive either the current standard hospital education material or the new personalized education material. Investigators will use a stratified randomization process to allocate the patients from different categories including age range, gender, and discharge diagnosis into each group. Thereby the investigators will achieve equal distribution of diagnoses and other demographics among groups in real time. They will review the two groups when performing statistical analysis near the end of the study to ensure heterogeneity of distribution. A study team member who has also been a member of the care team will use the either the current hospital standard or the new personalized education materials to explain the discharge diagnosis to the patient, the treatment, and the follow up needed. The study team member will also give a survey with a preaddressed envelope to each participant to complete at his or her convenience.

Study Record Dates

• First Submitted: January 30, 2019
• First Posted: February 1, 2019
• Study Start: February 1, 2019
• Primary Completion: December 7, 2021
• Study Completion: December 7, 2021
• Last Updated: January 11, 2022

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)