Alexa, What is Eliquis and Xarelto?

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the effectiveness of providing patient medication education about Eliquis and Xarelto through an Amazon Alexa based voice recording.

Detailed Description
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Anticoagulants are considered high-risk medications due to the risk of major bleeding. The Federal Drug and Food Administration (FDA) MedWatch reporting system found that anticoagulants had the most adverse drug event (ADE) reports in 2011. Anticoagulants have also been reported as one of the leading drug classes contributing to emergency department visits3. Given the potential for serious adverse events, providing effective education to increase patient knowledge and awareness of those risks are essential. Incorporating technology into health care is becoming increasingly popular and has been shown to be effective for patient education. One reason is that technology can consistently provide complete patient education and is not subject to educator variability in providing this education.

Official Title
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Alexa, What is Eliquis and Xarelto?

Conditions
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Patient Engagement, Patient Satisfaction

Intervention / Treatment
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* Other: Amazon Alexa based voice recording patient education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria (Patients): 18 years of age or older Have been prescribed either apixaban or rivaroxaban during their inpatient stay Consent to participating in the study Inclusion Criteria (Nurses): Providing direct patient care in select general medicine and orthopedic surgical units Consent to participating in the study Exclusion Criteria: Patients will be excluded if they have documented altered mental status, do not speak English, or are being prescribed rivaroxaban or apixaban on discharge only. Nurses will be excluded if not providing direct patient care in select general medicine and orthopedic surgical units Nurses declining participation

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: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard of care<br>Patient's will receive standard education on Xarelto and Eliquis per usual process without use of Alexa based voice recording. | |
| Active Comparator: Alexa Education<br>Patient's will opt in to receive initial education via Alexa based voice recording on Xarelto and Eliquis. | Other: Amazon Alexa based voice recording patient education<br>* Amazon Alexa based voice recording of medication education material<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| % Change in pre- and post test scores | Effectiveness of Alexa based education by assessing understanding of Eliquis and Xarelto pre and post Alexa education | Within 72 hours of education | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 7-day post-education retention rate | Assess education retention rate 7-days after initial Alexa based education performed | 1 week post discharge | 
| Nursing satisfaction | Nursing satisfaction assessed by likert type scale questionnaire How satisfied are you with the Alexa anticoagulation education process compared to standard of care? Responses: Very dissatisfied - Dissatisfied - Neutral - Satisfied - Very Satisfied Do you agree or disagree that Alexa helps with your day-to-day workload? Responses: Strongly Agree - Agree - Neutral - Disagree - Strongly disagree | 72 hours | 
| Patient satisfaction | Patient satisfaction assessed by likert type scale questionnaire How satisfied are you with the anticoagulant education provided by Alexa? Responses: Very dissatisfied - Dissatisfied - Neutral - Satisfied - Very Satisfied How strongly would you recommend using Alexa anticoagulant education to your friends, family and/or other patients? Responses: Highly recommend - Recommend - Neutral - Do not recommend | 72 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Technology, Patient Education