Using Point-of-Care Video Prescriptions to Improve Aftercare Following Discharge From a Pediatric Emergency Department

This study is currently recruiting participants.
Verified January 2013 by healthEworks LLC
Sponsor:
Collaborator:
Information provided by (Responsible Party):
David J Mathison, Children's Research Institute
ClinicalTrials.gov Identifier:
NCT01543438
First received: February 22, 2012
Last updated: January 2, 2013
Last verified: January 2013

February 22, 2012
January 2, 2013
January 2012
June 2013   (final data collection date for primary outcome measure)
Video Prescription Utilization Rate [ Time Frame: 6 months ] [ Designated as safety issue: No ]
measured with hyperlink click rate and successful streaming verification
Same as current
Complete list of historical versions of study NCT01543438 on ClinicalTrials.gov Archive Site
ED Return Visit Rate [ Time Frame: 6 months ] [ Designated as safety issue: No ]
ED return visits within 72 hrs and one week. Will also be stratified into 'unnecessary' return visits by assessing resource use and billing data.
Same as current
Not Provided
Not Provided
 
Using Point-of-Care Video Prescriptions to Improve Aftercare Following Discharge From a Pediatric Emergency Department
Optimizing Emergency Aftercare With Mobile Video Prescriptions

The goal of this project is to develop the content and delivery platform that electronically distributes mobile video discharge education for underserved populations and to demonstrate utilization, satisfaction, and improved health outcomes.

Emergency department (ED) visits have increased by 25% over the past decade. 85% of these patients are discharged, and the standard of care is to provide each patient/caregiver with written instructions that highlight how to care for a particular illness at home and signs to return to the hospital. Compliance with such ED discharge instructions is limited, leading to suboptimal medical care and unnecessary return visits to the ED. Inadequate health literacy, language disparities, and poor comprehension of written discharge information contribute to this problem. This health gap is more prevalent in children of young parents, low-income families, and minority populations where a disproportionate number of patients visit the ED for non-emergent care, often because of a lack of health education. The ED environment is chaotic and distracting and suboptimal to educate patients. Such education is best accomplished where aftercare occurs—in the home, but many patients lack direction and motivation to seek reliable sources of focused health education.

healthEworks LLC has developed Video Prescriptions™ - concise 3-5 minute video modules specific to the most common discharge diagnoses that patients receive in the ED. Further work is needed to develop a professional, diagnosis-specific product. These videos will feature Dr. Christina Johns, an emergency physician who specializes in delivering health information on camera. Each video will be interactive, high definition, designed for small screen size, such as for a smartphone or laptop computer. Each video prescription™ will highlight the transition from hospital to home and focuses on what the diagnosis means, how to treat it at home, and which signs should prompt the patient to return to the ED or seek urgent care. A HIPAA-compliant tablet-based platform will link ED patients with their personalized video education, establishing an innovative system of post-discharge information sharing.

The use of video prescriptions™ will improve patient health education for the 100 million patients who are discharged from U.S. ED's annually. This technology is particularly applicable for hospitals that face increasing pressures to provide performance measures for hospital discharge.

Video prescriptions™ will be utilized by ED patients, regardless of socioeconomic status, will improve patient satisfaction and reduce unnecessary ED return visits.

  • Specific Aim 1: Demonstrate patient utilization of video prescriptions Criteria for acceptance: a hyperlink click rate of greater than 70%
  • Specific Aim 2: Demonstrate improved health outcomes. Criteria for acceptance: a reduction in return visits by 10%
  • Specific Aim 3: Demonstrate quality of video content by showing improved patient satisfaction scores. Criteria for acceptance: improvement in patient satisfaction scores by 20%
Interventional
Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Prevention
  • Compliance
  • Emergency Department Aftercare
  • Emergency Department Utilization
Other: Video Prescription (additional education)
receives video prescriptions
  • No Intervention: Control
    current standard of care
  • Experimental: Intervention Group
    receives video prescription
    Intervention: Other: Video Prescription (additional education)
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
5000
December 2013
June 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • fits one of diagnostic criteria
  • not previously enrolled in past week

Exclusion Criteria:

  • primary language other than english or spanish
  • does not consent to receive email communication
Both
up to 18 Years
Yes
Not Provided
United States
 
NCT01543438
R41MD006695-01
Yes
David J Mathison, Children's Research Institute
healthEworks LLC
National Institutes of Health (NIH)
Not Provided
healthEworks LLC
January 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP