PULSE - Patient Understanding and Learning Through Structured Education - Effectiveness and Implementation of Patient Education Videos in a New Pediatric Cardiology Clinic: A Stepped Wedge Cluster Randomized Trial
PULSE
1 other identifier
interventional
300
1 country
1
Brief Summary
This study is looking at whether short educational videos shown during pediatric cardiology visits can help families better understand their child's condition while also making clinic visits run more efficiently. Families coming to a pediatric cardiology clinic may watch short videos related to why they are there (for example: chest pain, heart murmurs, fainting, sports clearance, or Kawasaki disease). The videos are meant to explain common heart-related conditions and answer questions before the doctor comes into the room. Researchers want to see if this:
- helps parents and patients learn more,
- improves satisfaction with the visit,
- helps families feel more involved in decisions,
- and reduces the amount of time doctors spend repeating the same explanations. How the study works: One clinic site in San Antonio, TX will start using the videos at different times. Researchers will compare clinic visits before and after the videos are introduced. Who is included: Children being seen in pediatric cardiology clinics and their caregivers. Pregnant women referred for fetal heart evaluations may also be included. What information is collected: Clinic timing information (such as wait times and doctor visit length), Satisfaction surveys, Optional knowledge questionnaires, Basic medical record information needed for the study. Risk level: The study is considered "minimal risk." Patients are still getting normal medical care. No drugs, devices, or experimental treatments are being tested. Privacy protections: Data will be stored on secure hospital systems. Researchers plan to remove identifying information when analyzing results. Medical record numbers are only temporarily used to connect survey data with clinic data. Why the study matters: The clinic hopes the videos can make visits less stressful, improve understanding for families, and help doctors spend more time on personalized care instead of repeating the same explanations over and over. It may also help clinics work more efficiently and reduce delays.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2026
CompletedFirst Submitted
Initial submission to the registry
May 11, 2026
CompletedFirst Posted
Study publicly available on registry
May 18, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2027
May 18, 2026
May 1, 2026
1 year
May 11, 2026
May 12, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Physician encounter time (minutes)
Measured from physician room entry to exit via EHR timestamps or direct observation.
During the 12 months of study interventions.
Secondary Outcomes (5)
Clinic throughput
During the 12 months of study interventions.
Shared decision-making quality
During the 12 months of study interventions.
Family knowledge
During the 12 months of study interventions.
Patient satisfaction
During the 12 months of study interventions.
Physician satisfaction
During the 12 months of study interventions.
Study Arms (3)
Group A: Murmur, Chest Pain
ACTIVE COMPARATOREducational video topic: Murmur, Chest Pain
Group B: Syncope, Palpitations
ACTIVE COMPARATOREducational video topic: Syncope, Palpitations
Group C: Sports Clearance, Kawasaki, General
ACTIVE COMPARATOREducational video topic: Sports Clearance, Kawasaki, General
Interventions
Video topics will be matched to patient referral reason: Murmur, Chest Pain
Video topics will be matched to patient referral reason: Syncope, Palpitations
Video topics will be matched to patient referral reason: Sports Clearance, Kawasaki, General
Eligibility Criteria
You may qualify if:
- Pediatric patients (ages 0-18 years) presenting for outpatient pediatric cardiology evaluation Caregiver present and able to complete surveys Referral reason matches available video topic (during intervention periods)
You may not qualify if:
- Emergency or urgent consultations Caregiver unable to read/understand English or Spanish Patient/family opts out of study participation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Driscoll Children's Cardiology Clinic- San Antonio
San Antonio, Texas, 78251, United States
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- OTHER
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Physician- CPSST Cardiology Services
Study Record Dates
First Submitted
May 11, 2026
First Posted
May 18, 2026
Study Start
May 1, 2026
Primary Completion (Estimated)
May 1, 2027
Study Completion (Estimated)
December 1, 2027
Last Updated
May 18, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will not share
At this time, results of the study are unknown and whether patients will feel comfortable sharing their experiences must first be determined.