Effectiveness of Multimedia Exposure in Patients Transferred to Hospital Suffering From Acute Myocardial Infarction
- Conditions
- Myocardial Infarction, AcuteAnxiety StateEmergencies
- Interventions
- Other: Exposition to multimedia content
- Registration Number
- NCT04560023
- Lead Sponsor
- University of Cadiz
- Brief Summary
Randomised clinical trial, single-center, blinded assessment, controlled with standard practice with two-group parallel design.
Eligible patients are those assisted and transferred suffering from ST-Elevation myocardial infarction in an Advanced Life Support ambulance from an public Emergency Medical Service in the Cadiz area (Spain).
Experimental group will watch an ad hoc design multimedia content in a tablet (video with sound and subtitles) during the transfer and control group will be assisted as standard procedures.
Main outcome variables will be conformed by patient reported outcomes (anxiety State, pain and comfort) and patient experience (transfer experience).
- Detailed Description
Due to intrinsic characteristics of ambulance transport raises stress or anxiety in patients. Moreover, other outcomes such as pain and some specific vital signs are affected. In the last years, empowerment patient strategies have been launched in several clinical settings but none in the ER field.
Main objective Comparative assessment of the effectiveness of multimedia exposure vs standard clinical procedures to improve the experience and patient reported outcomes in patients suffering from ST-Elevation myocardial infarction transferred to hospital in an Advanced Life Support ambulance for a percutaneous coronary intervention (PCI).
Methods Randomised clinical trial, single-center, blinded assessment, controlled with usual practice with two-group parallel design.
Eligible patients are those assisted and transferred suffering from STEMI in an Advance Life Support (ALS) ambulance from public Emergency Medical System in the Cadiz region.
Experimental group will watch multimedia content on a tablet (movie or image with sound) ad hoc designed, control group will be assisted as usual procedures.
Main outcomes will be conformed by informed patient results (anxiety State, pain and comfort) and patient experience (transfer experience).
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 96
- All genders patients.
- Assisted by ALS ambulance.
- Diagnosed with STEMI, "Killip I".
- Transferred by an ambulance to the hospital to receive a percutaneous coronary intervention.
- Informed consent must be signed.
- Conscious and oriented patients.
- Sedation and/or assisted ventilation.
- Blinded or visual defects.
- Deafness.
- Severe mental disorders or behavior disorders.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Exposition to multimedia content Exposition to multimedia content Ad hoc design multimedia content in a tablet (video with sound and subtitles).
- Primary Outcome Measures
Name Time Method Anxiety state Minute 0. Tool State-Trait Anxiety Scale (STAI-E6). Less punctuation means better outcomes. Range 0-18.
Anxiety state change Minute 10. Tool State-Trait Anxiety Scale (STAI-E6). Less punctuation means better outcomes. Range 0-18.
Experience measure of the ambulance service 1 measure: one week after the patient has been discharge from hospital. Qualitative interview tool. Tool Ambulance Patient Reported Experience Measure (APREMS)
Comfort Minute 0. "Kolcaba General Comfort Questionnaire scale". More punctuation means better outcomes. Range 0-10.
Comfort change Minute 10. "Kolcaba General Comfort Questionnaire scale". More punctuation means better outcomes. Range 0-10.
- Secondary Outcome Measures
Name Time Method Pain assessment change Minute 10. Analogic Pain Scale. Less punctuation means better outcomes. Range 0-10.
Pain assessment Minute 0. Analogic Pain Scale. Less punctuation means better outcomes. Range 0-10.
Trial Locations
- Locations (1)
Universidad de Cádiz
🇪🇸Cadiz, Spain