Engaging Patients for Physical Exams During Virtual Care Visits

Not Applicable

Completed

• Conditions: Self-preformed Hand Examination
• Interventions: Other: Physician-oriented Video; Other: Patient-oriented video

• Registration Number: NCT05790811
• Lead Sponsor: Henry Ford Health System

Brief Summary

The goal of this clinical trial is to validate patient-oriented edits to a guided video on self-performed hand examination in participants with no prior hand diagnoses or medical background. The study aims to:

* examine the effect of adding interactive components to an existing orthopedic provider video

* determine if these changes enhance patients' understanding of hand and wrist anatomy as well as carpal tunnel syndrome

* determine if patients are able to use this video to perform an effective physical exam Participants will watch an original physician-oriented training video and a second version (patient-oriented video), which was edited with the input of a patient advisory committee to include interactive elements and a slower speed. The order in which the participants will watch the video will be randomized.

If there is a comparison group: Researchers will compare knowledge scores and general patient preference between the two videos being examined.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-01-19
• Study First Submitted QC: 2023-03-16
• Study First Posted: 2023-03-30
• Study Start: 2023-06-01
• Primary Completion: 2023-12-31
• Study Completion: 2023-12-31
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-15
• Last Update Posted: 2024-02-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Patients older than 18 years of age
• Patients who comprehend and speak English
• Patients with carpal tunnel syndrome confirmed on EMG and/or symptoms consistent with carpal tunnel syndrome, including bilateral hand pain, non-traumatic hand pain, and/or numbness/tingling in hand.

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Exclusion Criteria

• Patients under 18 years of age
• Patients who do not speak or comprehend English
• Patients who have cognitive impairments that would be detrimental to understanding of video
• Patients whose symptoms do not match carpal tunnel syndrome

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
physician-oriented training video	Physician-oriented Video	A physician-oriented video with the goal of instructing physicians on the maneuvers needed to make specific diagnoses of the hand and wrist.
patient-oriented video	Patient-oriented video	A patient-oriented video with the goal of instructing patients about the maneuvers needed to make specific diagnoses of the hand and wrist. Wording was changed so that it was more patient friendly and text was added to the screen.

Primary Outcome Measures

Name	Time	Method
Knowledge Score immediately following the viewing of a video presenting the knowledge	10 minutes after viewing the video	Score of the quiz examining the understanding of the contents of the video by the participants. Scoring was a likert scale of 1-5 where 5 represented easy to understand and 1 was very difficult to understand. Separate questions scored as a 1 or 0 where 1 equated to answering the knowledge question correctly and 0 was answering the question incorrectly.

Secondary Outcome Measures

Name	Time	Method
Knowledge Score immediately prior to the viewing of a video presenting the knowledge	10 minutes before viewing the video	Score of the quiz examining the participants' understanding prior to watching the video. Scoring was a likert scale of 1-5 where 5 represented easy to understand and 1 was very difficult to understand. Separate questions scored as a 1 or 0 where 1 equated to answering the knowledge question correctly and 0 was answering the question incorrectly.

Trial Locations

Locations (1)

Henry Ford Health System; 🇺🇸 Detroit, Michigan, United States