Stories to Educate Patients With Ankle, Foot, and Knee Injuries

Not Applicable

Withdrawn

• Conditions: Injury
• Interventions: Behavioral: Control; Behavioral: Narrative

• Registration Number: NCT01810523
• Lead Sponsor: University of Pennsylvania

Brief Summary

Study will test the use of narratives on patient satisfaction and translation of an evidence-based approach to the use of X-rays for leg injuries in the Emergency Department (ED). The investigators will identify patients with foot, ankle, or knee injuries for whom X-rays are determined to not be needed. On discharge, patients will receive the current fact-based sheet or that plus a narrative explaining the work-up and treatment of these injuries. Outcomes will be assessed by a survey measuring patient satisfaction and understanding.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2013-03
• Study First Submitted: 2013-03-07
• Study First Submitted QC: 2013-03-12
• Study First Posted: 2013-03-13
• Primary Completion: 2013-06
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-18
• Last Update Posted: 2016-08-22

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Acute traumatic knee, ankle or foot injury presenting to ED
• No indication for X-ray by Ottawa Rules criteria
• ED provider planning to discharge patient

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Exclusion Criteria

• X-ray obtained
• Need for X-ray by established Ottawa Rules criteria
• Children
• Pregnant women
• Patient to be admitted to the hospital
• Patient non-English speaking or illiterate

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control	Control	This arm will receive a blank piece of paper in addition to the standard of care discharge information.
Narrative	Narrative	This arm will receive information regarding leg injuries and X-ray usage in narrative form in addition to standard of care discharge information.

Primary Outcome Measures

Name	Time	Method
Patient Satisfaction	5 minutes after intervention	To measure patient satisfaction, we will use a validated survey instrument. The survey asks patients 5 questions, which they answer by providing responses on a 5-point scale ranging from "Poor" to "Excellent." The questions include: 1. My satisfaction with the amount of time spent with me by the person who evaluated and treated me was....; 2. The explanation I received of how my illness should be treated was...; 3. The way the health care provider treated me was...; 4. My overall satisfaction with my visit was...; 5. Your care provider determined that you did not need an X-ray for your injury. What is your level of satisfaction with that decision?

Trial Locations

Locations (1)

Hospital of the University of Pennsylvania; 🇺🇸 Philadelphia, Pennsylvania, United States