Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 436
- 试验地点
- 2
- 主要终点
- Knowledge about the child's diagnosis, treatment and follow-up care.
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •caregivers of pediatric patients age 29 days to 18 years old diagnosed with wheezing or asthma exacerbation, fever, or vomiting and/or diarrhea.
排除标准
- •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.
结局指标
主要结局
Knowledge about the child's diagnosis, treatment and follow-up care.
时间窗: up to 5 days
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.
次要结局
- Caregiver satisfaction with their discharge instructions(Satisfaction will be assessed at two time points within 5 days of being evaluated in the Emergency Department)
研究者
Scott A. Bloch
Principal Investigator
Augusta University