Video-recOrded hospItal dischaRge (VOIR)

NCT06512272 | Not Yet Recruiting

• 2 other identifiers: 320936423607
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study evaluates the suitability and acceptability of video-recorded discharge via the Patient Knows Best app. Through a randomized control trial, patients receive either standard discharge care or standard care supplemented with video-recorded discharge. Clinical teams record briefings covering medication and wound care, which patients can access multiple times on their smart devices. Patients and clinical staff complete questionnaires to assess acceptance and feasibility. Feasibility is determined by recruitment, retention, and completion rates, with patient engagement and viewing habits also analyzed. The study aims to enhance patient understanding and continuity of care through accessible discharge information.

Conditions

ALL, Adult

Keywords

hospital discharge; video recorded discharge; transition of care; mobile application

Outcome Measures

Primary Outcomes (1)

• Acceptability of video-discharge

  Questionnaire with close ended and open ended question based on validated questionnaire

  7 days and 30 days post-discharge

Secondary Outcomes (3)

• Patient satisfaction

  7 and 30 days post discharge

• Care of Transitions

  7 and 30 days post discharge

• Staff satisfaction of video recorded discharge

  within 7 days of post-discharge experience

Study Arms (2)

Control group

NO INTERVENTION

Usual hospital discharge include medical discharge letter and verbal advice from healthcare team.

Intervention group

OTHER

Usual hospital discharge + video recorded medical advice from the healthcare team uploaded in a mobile app

Other: Video recorded shared using a mobile application

Interventions

Video recorded shared using a mobile application OTHER

The routine hospital discharge explanation is video recorded \[up to three minutes\]. The video is uploaded by to a mobile app for the patient and patient/ relatives can review the advice multiple times

Intervention group

Eligibility Criteria

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

You may qualify if:

• Age \>18 years old
• Anticipated to be discharged to their own home or that of a relative;
• Staying for at least one night on a participating hospital ward;
• Recently discharge (in the last 2 months) from the participating hospital ward with the same clinical problem as assessed by the care professionals;
• From cardiothoracic centre-Basildon or Elderly ward-Southend
• Have a personal digital device (e.g., mobile or tablet)/ or their close relative and mobile app
• Able to read and understand English.
• Relative or patient willing and able to give informed consent
• Clinical Frailty scale of ≤ 8 using Rockwood Frailty Scale

You may not qualify if:

• Patients live out of the area or plan to be transferred to another acute hospital;
• Discharged after recurrent admissions for the same clinical complaint as assessed by the care professionals;
• Patient or immediate carer don't have a personal digital device capable of hosting Patient Knows Best/ Ortus-iHealth app;
• Patient or relative unable or unwilling to upload the personalised discharge video to mobile app;
• Admitted for psychiatric reasons (other than dementia/delirium);
• Identified as being at the end of life and whose care has become palliative / clinical Frailty scale of \> 8 using Rockwood Frailty Scale

Sponsors & Collaborators

• Anglia Ruskin University: lead
• Basildon and Thurrock Hospitals NHS FoundationTrust: collaborator
• Southend NHS Foundation Trust: collaborator

Related Publications (10)

• Barker RE, Jones SE, Banya W, Fleming S, Kon SSC, Clarke SF, Nolan CM, Patel S, Walsh JA, Maddocks M, Farquhar M, Bell D, Wedzicha JA, Man WD. The Effects of a Video Intervention on Posthospitalization Pulmonary Rehabilitation Uptake. A Randomized Controlled Trial. Am J Respir Crit Care Med. 2020 Jun 15;201(12):1517-1524. doi: 10.1164/rccm.201909-1878OC.

  PMID: 32182098 BACKGROUND

• Baxter R, Murray J, Cockayne S, Baird K, Mandefield L, Mills T, Lawton R, Hewitt C, Richardson G, Sheard L, O'Hara JK; PACT research team. Improving the safety and experience of transitions from hospital to home: a cluster randomised controlled feasibility trial of the 'Your Care Needs You' intervention versus usual care. Pilot Feasibility Stud. 2022 Oct 1;8(1):222. doi: 10.1186/s40814-022-01180-3.

  PMID: 36183129 BACKGROUND

• Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003 Feb 4;138(3):161-7. doi: 10.7326/0003-4819-138-3-200302040-00007.

  PMID: 12558354 BACKGROUND

• Hesselink G, Schoonhoven L, Barach P, Spijker A, Gademan P, Kalkman C, Liefers J, Vernooij-Dassen M, Wollersheim H. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2012 Sep 18;157(6):417-28. doi: 10.7326/0003-4819-157-6-201209180-00006.

  PMID: 22986379 BACKGROUND

• Hoek AE, Joosten M, Dippel DWJ, van Beeck EF, van den Hengel L, Dijkstra B, Papathanasiou D, van Rijssel D, van den Hamer M, Schuit SCE, Burdorf A, Haagsma JA, Rood PPM. Effect of Video Discharge Instructions for Patients With Mild Traumatic Brain Injury in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med. 2021 Mar;77(3):327-337. doi: 10.1016/j.annemergmed.2020.10.023.

  PMID: 33618811 BACKGROUND

• Kapoor A, Field T, Handler S, Fisher K, Saphirak C, Crawford S, Fouayzi H, Johnson F, Spenard A, Zhang N, Gurwitz JH. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019 Sep 1;179(9):1254-1261. doi: 10.1001/jamainternmed.2019.2005.

  PMID: 31329223 BACKGROUND

• Le Berre M, Maimon G, Sourial N, Gueriton M, Vedel I. Impact of Transitional Care Services for Chronically Ill Older Patients: A Systematic Evidence Review. J Am Geriatr Soc. 2017 Jul;65(7):1597-1608. doi: 10.1111/jgs.14828. Epub 2017 Apr 12.

  PMID: 28403508 BACKGROUND

• Laugaland K, Aase K, Barach P. Interventions to improve patient safety in transitional care--a review of the evidence. Work. 2012;41 Suppl 1:2915-24. doi: 10.3233/WOR-2012-0544-2915.

  PMID: 22317162 BACKGROUND

• Mallet KH, Shamloul RM, Lecompte-Collin J, Winkel J, Donnelly B, Dowlatshahi D. Telerehab at Home: Mobile Tablet Technology for Patients With Poststroke Communication Deficits-A Pilot Feasibility Randomized Control Trial. J Speech Lang Hear Res. 2023 Feb 13;66(2):648-655. doi: 10.1044/2022_JSLHR-21-00616. Epub 2023 Jan 12.

  PMID: 36634230 BACKGROUND

• Wang Q, Lee RL, Hunter S, Chan SW. Patients' experiences of using a mobile application-based rehabilitation programme after total hip or knee arthroplasty: a qualitative descriptive study. BMC Nurs. 2023 Jul 27;22(1):246. doi: 10.1186/s12912-023-01409-3.

  PMID: 37496003 BACKGROUND

MeSH Terms

Conditions

Precursor Cell Lymphoblastic Leukemia-Lymphoma

Condition Hierarchy (Ancestors)

Leukemia, Lymphoid; Leukemia; Neoplasms by Histologic Type; Neoplasms; Hematologic Diseases; Hemic and Lymphatic Diseases; Lymphoproliferative Disorders; Lymphatic Diseases; Immunoproliferative Disorders; Immune System Diseases

Study Officials

• Naim Abdulmohdi, PhD

  Anglia Ruskin University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Naim Abdulmohdi, PhD

CONTACT

(+44)1223695538; naim.abdulmohdi@aru.ac.uk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomisation on a ratio of 1:1 * A: allocated usual care * B: allocated intervention group which include usual care plus video-recorded discharge

Study Record Dates

• First Submitted: July 16, 2024
• First Posted: July 22, 2024
• Study Start: August 1, 2024
• Primary Completion: September 30, 2024
• Study Completion: October 31, 2024
• Last Updated: July 22, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share