Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Scott A. Bloch, Georgia Health Sciences University
ClinicalTrials.gov Identifier:
NCT01630265
First received: June 23, 2012
Last updated: June 27, 2012
Last verified: June 2012

June 23, 2012
June 27, 2012
April 2010
June 2010   (final data collection date for primary outcome measure)
Knowledge about the child's diagnosis, treatment and follow-up care. [ Time Frame: up to 5 days ] [ Designated as safety issue: No ]
After reading standard written discharge instructions or watching a 3 minute video covering the information in the written discharge instructions, a questionnaire was completed by each caregiver. Knowledge was assessed based on the number of correct responses given by each caregiver at the time of ED discharge and 2-5 days post-discharge.
Same as current
Complete list of historical versions of study NCT01630265 on ClinicalTrials.gov Archive Site
Caregiver satisfaction with their discharge instructions [ Time Frame: Satisfaction will be assessed at two time points within 5 days of being evaluated in the Emergency Department ] [ Designated as safety issue: No ]
Caregivers either read standard written discharge instructions or watched a 3 minute video covering the information in the discharge instructions. Caregivers were then asked to rate their satisfaction with the discharge instructions using a 5-point Likert scale.
Same as current
Not Provided
Not Provided
 
Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video
Not Provided

Previous studies demonstrate that patients often have difficulty understanding their discharge instructions. Video discharge instructions have the potential to mitigate factors such as illiteracy and limited physician time, which may affect comprehension. Our goal is to determine if adding video discharge instructions affects caregivers' understanding of their child's emergency department (ED) visit, plan and follow-up.

Caregivers of patients, age 29 days to 18 years, with a diagnosis of fever, vomiting or diarrhea, and wheezing or asthma were randomized into written or video discharge instruction groups. In the ED, caregivers read standard written discharge instructions or watched a 3-minute video based on their child's diagnosis. They were then asked questions regarding information covered in these instructions. After completing the 20-point questionnaire, standard discharge procedure was followed. Caregivers were contacted by phone 2-5 days after discharge for a follow-up questionnaire. Usefulness of the discharge instructions was also assessed.

Interventional
Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Evaluation of Video Discharge Instructions in Improving Understanding
  • Other: Standard written discharge instructions
    Group of caregivers who read the standard written discharge instructions prior to answering the questionnaire
  • Other: Video Discharge Instructions
    Group of caregivers who watched the 3 minute video covering the information in the standard written discharge instructions prior to answering the questionnaire
  • Active Comparator: Written Discharge Instructions
    Group of caregivers who read written discharge instructions that are the standard discharge instructions given in our pediatric ED
    Intervention: Other: Standard written discharge instructions
  • Experimental: Video Discharge Instructions
    Group of caregivers who watched the 3-minute video covering the information in the standard written discharge instructions
    Intervention: Other: Video Discharge Instructions
Bloch SA, Bloch AJ. Using video discharge instructions as an adjunct to standard written instructions improved caregivers' understanding of their child's emergency department visit, plan, and follow-up: a randomized controlled trial. Pediatr Emerg Care. 2013 Jun;29(6):699-704. doi: 10.1097/PEC.0b013e3182955480.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
436
June 2010
June 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • caregivers of pediatric patients age 29 days to 18 years old diagnosed with wheezing or asthma exacerbation, fever, or vomiting and/or diarrhea.

Exclusion Criteria:

  • Caregivers of patients who were critical in the ED,
  • Admitted to the hospital, or given an alternate diagnosis prior to discharge were excluded from the study.
  • Also, non-English speaking caregivers were excluded.
Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01630265
10-03-173
No
Scott A. Bloch, Georgia Health Sciences University
Georgia Regents University
Not Provided
Principal Investigator: Scott A Bloch, MD Georgia Regents University
Georgia Regents University
June 2012

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