Video Training Supplementation for Patients Discharged on Home Parental Nutrition

Study Overview
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Brief Summary
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The goal of this clinical trial is to develop an educational video addressing the aseptic techniques to safely handle central catheters for administrating parenteral nutrition at home.

Detailed Description
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Home parenteral nutrition is an alternative form of providing nutrition to people whose digestive systems either can't absorb or tolerate food eaten by mouth. Parenteral nutrition provides liquid nutrients, including carbohydrates, proteins, fats, vitamins, minerals and electrolytes. In recent years, more emphasis has been placed on delivering parenteral nutrition to patients at home. Studies have shown that patients receiving home parenteral nutrition are at higher risk for bloodstream infections compared to other patients with chronic infusion needs. Catheter-related bloodstream infection is a major cause of mortality and morbidity in patients receiving parenteral nutrition. It is important to maintain safe vascular access to prevent life-threatening complications. This study aims to assess the effectiveness of the video training on the rate of catheter related bloodstream infection over a 12-month period of time.

Official Title
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Video Training Supplementation to Reduce the Risk of Central Venous Catheter Infection in Patients Discharged on Home Parental Nutrition

Conditions
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Intestinal Failure

Intervention / Treatment
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* Other: Educational video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Taking home parenteral nutrition for the first time Willing to self-administer parenteral nutrition Age ≥ 18 yrs Able to provide informed consent Able speak and understand English Exclusion Criteria: Already taking home parenteral nutrition not willing to self-administer parenteral nutrition Age < 18 years-old Unable to provide informed consent Non-English speakers

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Educational video<br>Participants will be asked to watch an education video addressing aseptic techniques to safely handle central catheters at home during parenteral nutrition infusions. | Other: Educational video<br>* Watch the 17-minute educational video as many times as needed within a 12-month period.<br>|
| No Intervention: No educational video<br>Participants will be managed according to routine care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quantitative analysis of catheter related bloodstream infection (CRBI) events | Change in number of CRBI events measured by complete blood count test. | baseline-12 months |