Comparative Effectiveness of Descriptive Versus Narrative Emergency Department Discharge Instructions for Patient Education on Unnecessary Testing for Ankle, Foot and Knee Injuries
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 1
- 主要终点
- Patient Satisfaction
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •X-ray obtained
- •Need for X-ray by established Ottawa Rules criteria
- •Pregnant women
- •Patient to be admitted to the hospital
- •Patient non-English speaking or illiterate
研究组 & 干预措施
Narrative
This arm will receive information regarding leg injuries and X-ray usage in narrative form in addition to standard of care discharge information.
干预措施: Narrative (Behavioral)
Control
This arm will receive a blank piece of paper in addition to the standard of care discharge information.
干预措施: Control (Behavioral)
结局指标
主要结局
Patient Satisfaction
时间窗: 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?
次要结局
未报告次要终点