Enhancing Postpartum Discharge Instructions for Cesarean Incision Care With Assessment of Comprehension: A Pilot Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Comprehension Score Two Weeks Post-Discharge
研究概览
简要总结
Post-cesarean delivery discharge instructions are not currently at an appropriate health literacy level. Enhancing discharge instructions with a visual aid did not improve scores on comprehension quizzes, either immediately or two-weeks post-discharge. However, participants preferred to have access to visual images with discharge instructions.
详细描述
Objective
To evaluate the effect of a visual aid on improving comprehension of hospital discharge instructions for cesarean wound care.
Methods:
A randomized control trial with a 1:1 allocation ratio and an intention to treat analysis was performed at an urban, tertiary care center from June-November 2017. Fifty English-speaking patients ages 18-50 who had undergone a cesarean delivery were randomized to receive either standard or enhanced discharge instructions regarding post-cesarean incision care. Enhanced instructions included a visual aid not present in the standard instructions. Participants completed a comprehension quiz prior to hospital discharge and again 2 weeks after discharge as well as the REALM literacy assessment prior to discharge.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Able to consent
- •Identified as English speaking
- •Had a cesarean delivery during the index hospitalization for delivery of their living newborn
排除标准
- •Non-English speaking
- •Declined to participate
- •Required a translator for communication
- •Intellectual disability (as self-identified or as determined by healthcare provider)
- •Currently incarcerated
研究组 & 干预措施
Standard Instructions
Subjects enrolled in this arm received standardized teach-back regarding discharge instructions as well as the standard printed discharge instructions regarding post-cesarean wound care.
干预措施: Standard Instructions (Other)
Enhanced Instruction
Subjects enrolled in this arm received standardized teach-back regarding discharge instructions as well as the standard printed discharge instructions regarding post-cesarean wound care AND they received an additional printed visual diagram.
干预措施: Visual Aid (Other)
结局指标
主要结局
Comprehension Score Two Weeks Post-Discharge
时间窗: Two weeks
Total score on 11-point quiz (Discharge Instructions Comprehension Quiz) administered via phone two weeks post-discharge, score range 1-11 with one point assigned for each correct answer (no subtractions for incorrect answers); higher scores are favorable indicating answers consistent with higher comprehension
次要结局
- Immediate Comprehension(15 minutes)
研究者
Rebekah McCurdy
Associate Professor
Thomas Jefferson University