Electronic KIDCLOT Interactive Thrombosis/Thrombophilia Education; A Quality Assurance Initiative

Active, not recruiting

Brief Summary: Effective patient education improves health literacy and engagement thus improving long-term health outcomes. Health literacy is imperative to make informed health decisions and relies on the ability to obtain, process and understand health information; and is the cornerstone of safe health management. It is necessary to evaluate educational initiatives to determine their effectiveness in knowledge translation.

A more effective way to provide patient education is to utilize media technology. Current education styles do not teach patients in the best way as they are not consistent with how people of all ages currently learn (through technology). In addition, patient teaching most commonly occurs during highly stressful times like hospital visits with new diagnoses. Current patient educational methods are costly given the amount of health provider time required.

Electronic KITE teaching modules are infographic visual representations that present information quickly and clearly, integrating words and graphics to tell a story to reveal information. Infographic presentations are tools which facilitate self-directed learning with understandable, accessible information presented in an engaging way with an aim to enhance learning for children and their families. Patients are able to learn at a pace consistent with their learning style to facilitate knowledge development and health literacy.

Detailed Description: A more effective way to provide patient education is to utilize media technology. Current education styles do not teach patients in the best way as they are not consistent with how people of all ages currently learn (through technology). In addition, patienteaching most commonly occurs during highly stressful times like hospital visits with new diagnoses. Current patient educational methods are costly given the amount of health provider time required.

Electronic KITE teaching modules are infographic visual representations that have been developed to provide patient teaching related to warfarin and its management.

How much patients have learned will be assessed using the KIDCLOT validated knowledge quizzes. Children 8 years and older to have cognitive capacity will complete the quizzes if able. Caregivers will complete all quizzes linked with the modules they have completed.

Patients may be enrolled into the appropriate cohort based on the health provider decision for management.

1. Warfarin international normalized ratio (INR) testing

2. Warfarin with home INR testing

3. Warfarin transition from home INR testing to warfarin self management.

Recruitment & Eligibility

Inclusion Criteria

Pediatric patients and their caregivers who are receiving treatment with anticoagulant therapy.

Exclusion Criteria

Primary Outcome Measures

Name	Time	Method
Kidclot Home INR testing Quiz 5	6 and 18 months	Quiz to assess change in patient knowledge of of important concepts related to home INR testing
Kidclot Warfarin Self Management Quiz 6	18 months	Quiz to assess change in patient knowledge of of important concepts related to Warfarin Self Management
Kidclot safety on an anticoagulant Quiz 4	6 months and 18 months	Quiz to assess change in patient knowledge of important concepts related to patient safety on an anticoagulant
Kidclot Warfarin Quiz 2	6 months and 18 months	Quiz to assess patient learning of important concepts related to warfarin
KIDCLOT What is an Anticoagulant Quiz1	6 months and 18 months	Quiz to assess change in patient knowledge of important concepts related to anticoagulants
KIdclot INR testing Quiz 3	6 and 18 months	Quiz to assess change in patient knowledge of important concepts related to INR testing

Secondary Outcome Measures

Name	Time	Method
Stress Around Learning Score STAI-1	enrolment	Survey to Assess patient stress around learning about warfarin and its management using the on-line modules. Total score out of 40. Measure of Worry- Total score out of 40 with lower score indicates low stress indicating a positive outcome
Patient preference	enrolment	Questionnaire
Pediatric Anticoagulation Quality of Life	18 months	Quality of life score to assess any change in impact of warfarin therapy on health related quality of life. Lower score indicates low impact. Score is a percentage

Locations (6): St. Louis Children's Hospital
🇺🇸
Saint Louis, Missouri, United States
Ann & Robert H Lurie Children's Hospital
🇺🇸
Chicago, Illinois, United States
Boston Children's Hospital
🇺🇸
Boston, Massachusetts, United States
Texas Children'Hospital
🇺🇸
Houston, Texas, United States
Stollery Children's Hospital
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Edmonton, Alberta, Canada
Children's Hospital of Easter Ontario
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Ottawa, Ontario, Canada