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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01543438
Recruitment Status : Unknown
Verified January 2013 by David J Mathison, Children's Research Institute.
Recruitment status was:  Recruiting
First Posted : March 5, 2012
Last Update Posted : January 4, 2013
National Institutes of Health (NIH)
Information provided by (Responsible Party):
David J Mathison, Children's Research Institute

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Compliance Emergency Department Aftercare Emergency Department Utilization Other: Video Prescription (additional education) Not Applicable

Detailed Description:

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%

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 5000 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single
Primary Purpose: Prevention
Official Title: Optimizing Emergency Aftercare With Mobile Video Prescriptions
Study Start Date : January 2012
Estimated Primary Completion Date : June 2013
Estimated Study Completion Date : December 2013

Arm Intervention/treatment
No Intervention: Control
current standard of care
Experimental: Intervention Group
receives video prescription
Other: Video Prescription (additional education)
receives video prescriptions

Primary Outcome Measures :
  1. Video Prescription Utilization Rate [ Time Frame: 6 months ]
    measured with hyperlink click rate and successful streaming verification

Secondary Outcome Measures :
  1. ED Return Visit Rate [ Time Frame: 6 months ]
    ED return visits within 72 hrs and one week. Will also be stratified into 'unnecessary' return visits by assessing resource use and billing data.

Information from the National Library of Medicine

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Ages Eligible for Study:   up to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01543438

United States, District of Columbia
Children's National Medical Center (UMC and SZ campuses) Recruiting
Washington, District of Columbia, United States, 20010
Contact: David J Mathison, MD MBA   
Principal Investigator: David J Mathison, MD MBA         
Sponsors and Collaborators
healthEworks LLC
National Institutes of Health (NIH)

Responsible Party: David J Mathison, Assistant Professor of Pediatrics & Emergency Medicine, Children's Research Institute Identifier: NCT01543438     History of Changes
Other Study ID Numbers: R41MD006695-01 ( U.S. NIH Grant/Contract )
First Posted: March 5, 2012    Key Record Dates
Last Update Posted: January 4, 2013
Last Verified: January 2013

Keywords provided by David J Mathison, Children's Research Institute:
ED utilization
video education
mobile health
streaming media
underserved populations

Additional relevant MeSH terms:
Disease Attributes
Pathologic Processes