Video Education Intervention in the Emergency Department

Study Overview
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Brief Summary
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The purpose of this study is to evaluate if an educational video viewed during the Emergency Department visit will improve parent knowledge of pain management, reduce parent anxiety, and change their use of analgesics at-home after discharge from the Emergency Department.

Detailed Description
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This study will investigate the use of a video instruction for parents just prior to discharge on pain treatment for their child. The investigators plan to investigate the effect of the video on knowledge because educational modules in the form of videotapes have been shown to be an effective method to improve a parent's knowledge about pain management prior to surgical procedures. Because parental anxiety has a significant impact on a child's experience of pain and video education has been shown to reduce parent anxiety before a procedure, the investigators will also evaluate if parental anxiety is reduced. Whether or not a short video will change the behavior of parents or their satisfaction with the outcome at home has not been investigated and will be an exploratory hypothesis for this study. This research will be a first step towards optimizing the outpatient care for common diagnoses in the Emergency Department.

Official Title
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Video Education Intervention in the Emergency Department

Conditions
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Pain

Intervention / Treatment
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* Behavioral: Pain management video
* Behavioral: Falls Prevention Video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: complaint of pain or injury and laceration, fracture or spring, contusion, crush injuries, head injury, motor vehicle collision, or burn. Exclusion Criteria: non- English speaking parents primary caregiver not with child in Emergency Department

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: pain management video<br>Experimental | Behavioral: Pain management video<br>* 6-minute video<br>|
| Placebo Comparator: falls prevention video<br>placebo | Behavioral: Falls Prevention Video<br>* 6-minute video<br>* Other names: Fall Prevention Video;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in parent knowledge from baseline | A parent knowledge test will be completed by parents prior to the video intervention, immediately after the video intervention, and on day 3 after the video intervention. | on day 0 in the ED | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in anxiety from baseline | Parent's anxiety will be measured using a validated pain scale before and immediately after the video intervention | on day 0 in the ED | 
| Pain medication use | Pain medicatin use collected in a diary at-home after ED treatment | assessed on day 0, 1, 2, 3 | 
| Child's pain | child's reported pain at-home after ED treatment | on day 0, 1, 2, 3 | 
| satisfaction | child and parent at-home satisfaction utilizing a validated likert scale will be assesed on day 1, 2, and 3 after ED treatment to determine if the intervention results in improved satisfaction with pain treatment after discharge home | on day 1, 2, and 3 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pediatric, pain