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Video Discharge Instructions (VDI) as Adjuncts to Written Discharge Instructions in the Emergency Department

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ClinicalTrials.gov Identifier: NCT02882256
Recruitment Status : Recruiting
First Posted : August 29, 2016
Last Update Posted : January 2, 2018
Sponsor:
Information provided by (Responsible Party):
Melissa McCarthy, George Washington University

Brief Summary:
Patients seen in the ED with either a laceration, minor head injury, or urinary tract infection will be randomized to one of two groups. Both groups will receive the standard written discharge instructions; in addition, one group will watch video discharge instructions. Each patient will be asked to complete a short survey with questions related to the discharge instructions received in the ED, and will be called 5-7 days after the ED visit to ask questions about discharge instructions and the ED visit.

Condition or disease Intervention/treatment Phase
Urinary Tract Infection Head Injury Laceration Other: Video discharge instructions Not Applicable

Detailed Description:
Patients will be enrolled in the study at George Washington University Hospital's Emergency Department. Patients who consent will be randomly assigned to one of two groups; (1) standard Written Discharge Instructions from the nursing staff (2) standard Written Discharge Instructions from the nursing staff AND watching the Video Discharge Instructions on a tablet. Subjects will complete a survey after they have received their discharge instructions and before leaving the ER. Several (5-7) days after leaving the Emergency Department, subjects will receive a phone call from one of the investigators staff members asking 2-3 questions about their ED visit and how they treated the condition at home. The survey questions at discharge and at follow-up will pertain to how to care for the condition and will be based on the discharge instructions. The study is designed to determine if patients retain health information more accurately if they watch a video in addition to being given written information. A total sample size of 200 participants will be recruited. Enrollment for this study will begin June of 2016 and will continue until the investigators have enough participants. The data analyst will be blinded to treatment assignment when analyzing the data.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Video Discharge Instructions (VDI) as Adjuncts to Written Discharge Instructions for 3 Common Chief Complaints in the Emergency Department (ED)
Study Start Date : June 2016
Estimated Primary Completion Date : September 2018
Estimated Study Completion Date : September 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Intervention
Patients will receive video discharge instructions in addition to standard written discharge instructions.
Other: Video discharge instructions
Discharge instructions provided in video form

No Intervention: Control
Patients will receive standard written discharge instructions.



Primary Outcome Measures :
  1. Understanding of discharge diagnosis using questionnaire [ Time Frame: Immediately before leaving the emergency department for discharge home. ]
    Right after the provider who discharges the patient goes over the discharge instructions with the subject, the investigators will administer the discharge questionnaire.


Secondary Outcome Measures :
  1. Patient satisfaction of overall care in ED using questionnaire [ Time Frame: Five to seven days after the index ED visit. ]
    Subjects will complete a telephone follow-up interview 5-7 days after ED discharge.

  2. Self-reported compliance with post-discharge care using questionnaire [ Time Frame: Five to seven days after the index ED visit. ]
    Subjects will complete a telephone follow-up interview 5-7 days after ED discharge.

  3. Comprehension of return precautions using questionnaire [ Time Frame: Five to seven days after the index ED visit. ]
    Subjects will complete a telephone follow-up interview 5-7 days after ED discharge.

  4. Retention of understanding of discharge diagnosis using questionnaire [ Time Frame: Five to seven days after the index ED visit. ]
    Subjects will complete a telephone follow-up interview 5-7 days after ED discharge.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patient is ≥ 18 years of age
  • Patient speaks English fluently
  • Patient was diagnosed with Urinary Tract Infection, Laceration, or Minor Head Injury

Exclusion Criteria:

  • Patient is presently a prisoner or in police custody
  • Patient unable to understand consent
  • Patient does not have a cell phone or house line
  • Patient is blind or hearing impaired

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 ClinicalTrials.gov identifier (NCT number): NCT02882256


Contacts
Contact: Paige Kulie, MPH 202-741-2955 pkulie@mfa.gwu.edu
Contact: Melissa McCarthy, ScD 202-994-7407 melmccar@gwu.edu

Locations
United States, District of Columbia
George Washington University Hospital Recruiting
Washington, District of Columbia, United States, 20037
Contact: Paige Kulie, MPH    202-741-2955    pkulie@mfa.gwu.edu   
Contact: Melissa McCarthy, ScD    202-994-7407    melmccar@gwu.edu   
Principal Investigator: Griffin Davis, MD         
Sponsors and Collaborators
George Washington University
Investigators
Principal Investigator: Griffin Davis, MD GW Medical Faculty Associates

Publications of Results:
Other Publications:
Responsible Party: Melissa McCarthy, Associate Professor, George Washington University
ClinicalTrials.gov Identifier: NCT02882256     History of Changes
Other Study ID Numbers: 061612
First Posted: August 29, 2016    Key Record Dates
Last Update Posted: January 2, 2018
Last Verified: December 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Melissa McCarthy, George Washington University:
laceration
urinary tract infection
minor head injury
concussion

Additional relevant MeSH terms:
Lacerations
Emergencies
Urinary Tract Infections
Craniocerebral Trauma
Disease Attributes
Pathologic Processes
Infection
Urologic Diseases
Trauma, Nervous System
Nervous System Diseases
Wounds and Injuries