Stories to Educate Patients With Ankle, Foot, and Knee Injuries
Study will test the use of narratives on patient satisfaction and translation of an evidence-based approach to the use of X-rays for leg injuries in the Emergency Department (ED). The investigators will identify patients with foot, ankle, or knee injuries for whom X-rays are determined to not be needed. On discharge, patients will receive the current fact-based sheet or that plus a narrative explaining the work-up and treatment of these injuries. Outcomes will be assessed by a survey measuring patient satisfaction and understanding.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Health Services Research
|Official Title:||Comparative Effectiveness of Descriptive Versus Narrative Emergency Department Discharge Instructions for Patient Education on Unnecessary Testing for Ankle, Foot and Knee Injuries|
- Patient Satisfaction [ Time Frame: 5 minutes after intervention ] [ Designated as safety issue: No ]
To measure patient satisfaction, we will use a validated survey instrument. The survey asks patients 5 questions, which they answer by providing responses on a 5-point scale ranging from "Poor" to "Excellent." The questions include:
- My satisfaction with the amount of time spent with me by the person who evaluated and treated me was....
- The explanation I received of how my illness should be treated was...
- The way the health care provider treated me was...
- My overall satisfaction with my visit was...
- Your care provider determined that you did not need an X-ray for your injury. What is your level of satisfaction with that decision?
|Study Start Date:||March 2013|
|Estimated Primary Completion Date:||June 2013 (Final data collection date for primary outcome measure)|
This arm will receive information regarding leg injuries and X-ray usage in narrative form in addition to standard of care discharge information.
Narrative form as described above.
Placebo Comparator: Control
This arm will receive a blank piece of paper in addition to the standard of care discharge information.
Blank piece of paper
|Contact: Zachary Meisel, MD, MPH, MSfirstname.lastname@example.org|
|United States, Pennsylvania|
|Hospital of the University of Pennsylvania||Not yet recruiting|
|Philadelphia, Pennsylvania, United States, 19104|
|Principal Investigator: Zachary Meisel, MD, MPH, MS|