Video Discharge Instructions (VDI) as Adjuncts to Written Discharge Instructions in the Emergency Department

Study Overview
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Brief Summary
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Patients seen in the ED with either a laceration, minor head injury, or urinary tract infection will be randomized to one of two groups. Both groups will receive the standard written discharge instructions; in addition, one group will watch video discharge instructions. Each patient will be asked to complete a short survey with questions related to the discharge instructions received in the ED, and will be called 5-7 days after the ED visit to ask questions about discharge instructions and the ED visit.

Detailed Description
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Patients will be enrolled in the study at George Washington University Hospital's Emergency Department. Patients who consent will be randomly assigned to one of two groups; (1) standard Written Discharge Instructions from the nursing staff (2) standard Written Discharge Instructions from the nursing staff AND watching the Video Discharge Instructions on a tablet. Subjects will complete a survey after they have received their discharge instructions and before leaving the ER. Several (5-7) days after leaving the Emergency Department, subjects will receive a phone call from one of the investigators staff members asking 2-3 questions about their ED visit and how they treated the condition at home. The survey questions at discharge and at follow-up will pertain to how to care for the condition and will be based on the discharge instructions. The study is designed to determine if patients retain health information more accurately if they watch a video in addition to being given written information. A total sample size of 200 participants will be recruited. Enrollment for this study will begin June of 2016 and will continue until the investigators have enough participants. The data analyst will be blinded to treatment assignment when analyzing the data.

Official Title
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Video Discharge Instructions (VDI) as Adjuncts to Written Discharge Instructions for 3 Common Chief Complaints in the Emergency Department (ED)

Conditions
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Urinary Tract Infection, Head Injury, Laceration

Intervention / Treatment
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* Other: Video discharge instructions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient is ≥ 18 years of age Patient speaks English fluently Patient was diagnosed with Urinary Tract Infection, Laceration, or Minor Head Injury Exclusion Criteria: Patient is presently a prisoner or in police custody Patient unable to understand consent Patient does not have a cell phone or house line Patient is blind or hearing impaired

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Patients will receive video discharge instructions in addition to standard written discharge instructions. | Other: Video discharge instructions<br>* Discharge instructions provided in video form<br>|
| No Intervention: Control<br>Patients will receive standard written discharge instructions. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Understanding of discharge diagnosis using questionnaire | Right after the provider who discharges the patient goes over the discharge instructions with the subject, the investigators will administer the discharge questionnaire. | Immediately before leaving the emergency department for discharge home. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction of overall care in ED using questionnaire | Subjects will complete a telephone follow-up interview 5-7 days after ED discharge. | Five to seven days after the index ED visit. | 
| Self-reported compliance with post-discharge care using questionnaire | Subjects will complete a telephone follow-up interview 5-7 days after ED discharge. | Five to seven days after the index ED visit. | 
| Comprehension of return precautions using questionnaire | Subjects will complete a telephone follow-up interview 5-7 days after ED discharge. | Five to seven days after the index ED visit. | 
| Retention of understanding of discharge diagnosis using questionnaire | Subjects will complete a telephone follow-up interview 5-7 days after ED discharge. | Five to seven days after the index ED visit. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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laceration, urinary tract infection, minor head injury, concussion