Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video

Study Overview
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Brief Summary
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Previous studies demonstrate that patients often have difficulty understanding their discharge instructions. Video discharge instructions have the potential to mitigate factors such as illiteracy and limited physician time, which may affect comprehension. Our goal is to determine if adding video discharge instructions affects caregivers' understanding of their child's emergency department (ED) visit, plan and follow-up.

Detailed Description
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Caregivers of patients, age 29 days to 18 years, with a diagnosis of fever, vomiting or diarrhea, and wheezing or asthma were randomized into written or video discharge instruction groups. In the ED, caregivers read standard written discharge instructions or watched a 3-minute video based on their child's diagnosis. They were then asked questions regarding information covered in these instructions. After completing the 20-point questionnaire, standard discharge procedure was followed. Caregivers were contacted by phone 2-5 days after discharge for a follow-up questionnaire. Usefulness of the discharge instructions was also assessed.

Conditions
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Evaluation of Video Discharge Instructions in Improving Understanding

Intervention / Treatment
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* Other: Standard written discharge instructions
* Other: Video Discharge Instructions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: caregivers of pediatric patients age 29 days to 18 years old diagnosed with wheezing or asthma exacerbation, fever, or vomiting and/or diarrhea. Exclusion Criteria: Caregivers of patients who were critical in the ED, Admitted to the hospital, or given an alternate diagnosis prior to discharge were excluded from the study. Also, non-English speaking caregivers were excluded.
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

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Written Discharge Instructions<br>Group of caregivers who read written discharge instructions that are the standard discharge instructions given in our pediatric ED | Other: Standard written discharge instructions<br>* Group of caregivers who read the standard written discharge instructions prior to answering the questionnaire<br>|
| Experimental: Video Discharge Instructions<br>Group of caregivers who watched the 3-minute video covering the information in the standard written discharge instructions | Other: Video Discharge Instructions<br>* Group of caregivers who watched the 3 minute video covering the information in the standard written discharge instructions prior to answering the questionnaire<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge about the child's diagnosis, treatment and follow-up care. | After reading standard written discharge instructions or watching a 3 minute video covering the information in the written discharge instructions, a questionnaire was completed by each caregiver. Knowledge was assessed based on the number of correct responses given by each caregiver at the time of ED discharge and 2-5 days post-discharge. | up to 5 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Caregiver satisfaction with their discharge instructions | Caregivers either read standard written discharge instructions or watched a 3 minute video covering the information in the discharge instructions. Caregivers were then asked to rate their satisfaction with the discharge instructions using a 5-point Likert scale. | Satisfaction will be assessed at two time points within 5 days of being evaluated in the Emergency Department | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Discharge Instructions, Video Discharge Instructions, Video, Emergency Department Discharge Instructions, ED Discharge