Effect of Modality on Discharge Instruction in Patients Receiving Outpatient Antibiotic Prescriptions From the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,874
- 试验地点
- 1
- 主要终点
- 72-hour antibiotic pickup
研究概览
简要总结
Outpatient antibiotics are frequently prescribed from the emergency department, and limited health literacy may impact compliance with recommended treatments. The investigators are looking to determine if patient preference for multimodality discharge instructions for outpatient antibiotic therapy varies by health literacy level, and if modality effected patient-reported antibiotic compliance and 72-hour antibiotic pick-up.
详细描述
This is a prospective randomized trial that includes consenting patients discharged with outpatient antibiotics. Health literacy is assessed using a validated health literacy assessment, the Newest Vital Sign (NVS). Patients are randomized to a discharge instruction modality: 1) standard of care, typed and verbal medication and case-specific instructions; 2) standard of care plus text messaged instructions sent to the patient's cell phone; or 3) standard of care plus voicemailed instructions sent to the patient's cell phone. Antibiotic pick-up is verified with the patient's pharmacy at 72 hours. Patients are called at 30 days to determine antibiotic compliance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Emergency department patient being prescribed an outpatient antibiotic or the parent of a patient under the age of 18 being prescribed on outpatient antibiotic
排除标准
- •Doesn't have a cell phone that can receive text messages and voicemail messages
- •Unable to provide informed consent
- •Prisoners
研究组 & 干预措施
Voicemail
Written discharge instructions plus a voicemail with antibiotic prescription instructions
干预措施: Voicemail (Other)
Standard of Care
Written discharge instructions only
Text Message
Written discharge instructions plus a text message with antibiotic prescription instructions
干预措施: Text Message (Other)
结局指标
主要结局
72-hour antibiotic pickup
时间窗: 72 hours
Whether or not the patient picked up their antibiotic prescription at the pharmacy
Antibiotic compliance
时间窗: 30 days
If the patient completed the entire course of antibiotics
次要结局
未报告次要终点