Effect of Videogames on Real-life Triage Patterns

NCT04516044 | Completed

• 2 other identifiers: STUDY20070012DP2LM012339
• Study Type: observational
• Target: 686
• Locations: 1 country
• Sites: 1

Brief Summary

In 2016 and 2017 the investigators conducted two clinical trials in which emergency medicine physicians were randomized either to an intervention (customized, theoretically-based video games) or to a control (nothing or text-based education). This study will now assess long-term outcomes for physicians enrolled in those two trials to evaluate the effect of the interventions on triage practices for trauma patients who presented initially to non-trauma centers in the US between December 2016 and November 2018.

Conditions

Trauma; Physician's Role

Outcome Measures

Primary Outcomes (1)

• Number of patients triaged to trauma centers

  The investigators will use Medicare claims to measure the number of patients, treated by study participants, who present initially to non-trauma centers after a moderate-severe injury and are transferred to a Level I/II trauma center during that episode of care. They will compare triage patterns for patients treated by physicians in the intervention and in the control groups.

  1 year following the intervention

Secondary Outcomes (2)

• Number of moderate-severely injured patients who die 30-days after initial evaluation

  1 year following the intervention

• Frequency of resources used for patients with moderate-severe injuries treated by participants

  1 year following intervention

Study Arms (2)

Video game

Patients treated by physicians who were randomized to either play an adventure-based video game that used narrative engagement to recalibrate physician heuristics in trauma triage or a puzzle-based video game that used analogical encoding to recalibrate physician heuristics in trauma triage.

Behavioral: Video games

Control

Patients treated by physicians who were randomized either to nothing at all or to a text-based educational program.

Interventions

Video games BEHAVIORAL

See arm description

Video game

Eligibility Criteria

• Age: 25 Years - 100 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients older than 65 who presented after a moderate-severe injury to a non-trauma center in the US during 2016-2018.

You may qualify if:

• Participated in two prior clinical trials (Physician)
• ≥65 years old (Patient)
• enrolled in Medicare fee-for-service
• sustained a moderate-severe injury (i.e. ISS \[injury severity score\] \>15) (Patient)
• treated by physician enrolled in prior clinical trials (Patient)

You may not qualify if:

• Did not participate in two prior clinical trials (Physician)
• \<65 years old (Patient)

Sponsors & Collaborators

• University of Pittsburgh: lead
• National Library of Medicine (NLM): collaborator

Study Sites (1)

University of Pittsburgh

Pittsburgh, Pennsylvania, 15213, United States

Location

Related Publications (2)

• Mohan D, Farris C, Fischhoff B, Rosengart MR, Angus DC, Yealy DM, Wallace DJ, Barnato AE. Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. BMJ. 2017 Dec 12;359:j5416. doi: 10.1136/bmj.j5416.

  PMID: 29233854 BACKGROUND

• Mohan D, Fischhoff B, Angus DC, Rosengart MR, Wallace DJ, Yealy DM, Farris C, Chang CH, Kerti S, Barnato AE. Serious games may improve physician heuristics in trauma triage. Proc Natl Acad Sci U S A. 2018 Sep 11;115(37):9204-9209. doi: 10.1073/pnas.1805450115. Epub 2018 Aug 27.

  PMID: 30150397 BACKGROUND

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Deepika Mohan, MD

  University of Pittsburgh

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Critical Care Medicine

Study Record Dates

• First Submitted: August 12, 2020
• First Posted: August 17, 2020
• Study Start: October 30, 2016
• Primary Completion: December 1, 2018
• Study Completion: December 1, 2020
• Last Updated: February 4, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ANALYTIC CODE
• Time Frame: 3 years
• Access Criteria: Contact the PI

Locations

US (1)