Electronic KIDCLOT Interactive Thrombosis/Thrombophilia Education; A Quality Assurance Initiative

Study Overview
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Brief Summary
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Effective patient education improves health literacy and engagement thus improving long-term health outcomes. Health literacy is imperative to make informed health decisions and relies on the ability to obtain, process and understand health information; and is the cornerstone of safe health management. It is necessary to evaluate educational initiatives to determine their effectiveness in knowledge translation. A more effective way to provide patient education is to utilize media technology. Current education styles do not teach patients in the best way as they are not consistent with how people of all ages currently learn (through technology). In addition, patient teaching most commonly occurs during highly stressful times like hospital visits with new diagnoses. Current patient educational methods are costly given the amount of health provider time required. Electronic KITE teaching modules are infographic visual representations that present information quickly and clearly, integrating words and graphics to tell a story to reveal information. Infographic presentations are tools which facilitate self-directed learning with understandable, accessible information presented in an engaging way with an aim to enhance learning for children and their families. Patients are able to learn at a pace consistent with their learning style to facilitate knowledge development and health literacy.

Detailed Description
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A more effective way to provide patient education is to utilize media technology. Current education styles do not teach patients in the best way as they are not consistent with how people of all ages currently learn (through technology). In addition, patienteaching most commonly occurs during highly stressful times like hospital visits with new diagnoses. Current patient educational methods are costly given the amount of health provider time required. Electronic KITE teaching modules are infographic visual representations that have been developed to provide patient teaching related to warfarin and its management. How much patients have learned will be assessed using the KIDCLOT validated knowledge quizzes. Children 8 years and older to have cognitive capacity will complete the quizzes if able. Caregivers will complete all quizzes linked with the modules they have completed. Patients may be enrolled into the appropriate cohort based on the health provider decision for management. Warfarin international normalized ratio (INR) testing Warfarin with home INR testing Warfarin transition from home INR testing to warfarin self management.

Official Title
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EKITE: Electronic KIDCLOT Interactive Thrombosis/Thrombophilia Education; A Quality Assurance Initiative

Conditions
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Health Literacy, Anticoagulation

Intervention / Treatment
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* Other: elearning patient information


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pediatric patients and their caregivers who are receiving treatment with anticoagulant therapy. Exclusion Criteria: Non-english speaking patients.

Ages Eligible for Study
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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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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: elearning patient information|The videos will standardize patient teaching about anticoagulants, warfarin, INR testing, and warfarin safety for Patient Self-Testing, and Patient Self-Management. eKITE, will provide a user-friendly interface to provide health education about anticoagulation. eKITE will teach concepts to the patient, facilitate sustained patient knowledge (6 month evaluation), reduce stress associated with learning, actively engage patients in their anticoagulant management (preference, satisfaction and knowledge).|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| KIDCLOT What is an Anticoagulant Quiz1 | Quiz to assess patient learning of important concepts related to anticoagulants | enrolment | 
| KIDCLOT What is an Anticoagulant Quiz1 | Quiz to assess change in patient knowledge of important concepts related to anticoagulants | 6 months and 18 months | 
| Kidclot Warfarin Quiz 2 | Quiz to assess patient learning of important concepts related to warfarin | enrolment | 
| Kidclot Warfarin Quiz 2 | Quiz to assess patient learning of important concepts related to warfarin | 6 months and 18 months | 
| KIdclot INR testing Quiz 3 | Quiz to assess patient learning of important concepts related to INR testing | enrolment | 
| KIdclot INR testing Quiz 3 | Quiz to assess change in patient knowledge of important concepts related to INR testing | 6 and 18 months | 
| Kidclot safety on an anticoagulant Quiz 4 | Quiz to assess patient learning of important concepts related to patient safety on an anticoagulant | enrolment | 
| Kidclot safety on an anticoagulant Quiz 4 | Quiz to assess change in patient knowledge of important concepts related to patient safety on an anticoagulant | 6 months and 18 months | 
| Kidclot Home INR testing Quiz 5 | Quiz to assess patient learning of important concepts related to home INR testing | enrolment | 
| Kidclot Home INR testing Quiz 5 | Quiz to assess change in patient knowledge of of important concepts related to home INR testing | 6 and 18 months | 
| Kidclot Warfarin Self Management Quiz 6 | Quiz to assess patient learning of important concepts related to Warfarin Self Management | 6 months | 
| Kidclot Warfarin Self Management Quiz 6 | Quiz to assess change in patient knowledge of of important concepts related to Warfarin Self Management | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient preference | Questionnaire | enrolment | 
| Stress Around Learning Score STAI-1 | Survey to Assess patient stress around learning about warfarin and its management using the on-line modules. Measure of Calm.- Total score out of 40 with higher score indicates low stress and a positive outcome | enrolment | 
| Stress Around Learning Score STAI-1 | Survey to Assess patient stress around learning about warfarin and its management using the on-line modules. Total score out of 40. Measure of Worry- Total score out of 40 with lower score indicates low stress indicating a positive outcome | enrolment | 
| Pediatric Anticoagulation Quality of Life | Quality of life score to assess impact of warfarin therapy on health related quality of life. Lower score indicates low impact. Score is a percentage | 6 | 
| Pediatric Anticoagulation Quality of Life | Quality of life score to assess any change in impact of warfarin therapy on health related quality of life. Lower score indicates low impact. Score is a percentage | 18 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Warfarin, Child