Clinical trial NCT02882256: Video Discharge Instructions (VDI) as Adjuncts to Written Discharge Instructions in the Emergency Department
Official title: Video Discharge Instructions (VDI) as Adjuncts to Written Discharge Instructions for 3 Common Chief Complaints in the Emergency Department (ED)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Urinary Tract Infection
Head Injury
Laceration
Keywords: laceration
urinary tract infection
minor head injury
concussion
Lead sponsor: George Washington University
Sponsor class: OTHER
First posted: 2016-08-29
Enrollment: 193
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Patients seen in the ED with either a laceration, minor head injury, or urinary tract infection will be randomized to one of two groups. Both groups will receive the standard written discharge instructions; in addition, one group will watch video discharge instructions. Each patient will be asked to complete a short survey with questions related to the discharge instructions received in the ED, and will be called 5-7 days after the ED visit to ask questions about discharge instructions and the ED visit.

Detailed description: Patients will be enrolled in the study at George Washington University Hospital's Emergency Department. Patients who consent will be randomly assigned to one of two groups; (1) standard Written Discharge Instructions from the nursing staff (2) standard Written Discharge Instructions from the nursing staff AND watching the Video Discharge Instructions on a tablet. Subjects will complete a survey after they have received their discharge instructions and before leaving the ER. Several (5-7) days after leaving the Emergency Department, subjects will receive a phone call from one of the investigators staff members asking 2-3 questions about their ED visit and how they treated the condition at home. The survey questions at discharge and at follow-up will pertain to how to care for the condition and will be based on the discharge instructions. The study is designed to determine if patients retain health information more accurately if they watch a video in addition to being given written information. A total sample size of 200 participants will be recruited. Enrollment for this study will begin June of 2016 and will continue until the investigators have enough participants. The data analyst will be blinded to treatment assignment when analyzing the data.

Eligibility criteria: Inclusion Criteria:

* Patient is ≥ 18 years of age
* Patient speaks English fluently
* Patient was diagnosed with Urinary Tract Infection, Laceration, or Minor Head Injury

Exclusion Criteria:

* Patient is presently a prisoner or in police custody
* Patient unable to understand consent
* Patient does not have a cell phone or house line
* Patient is blind or hearing impaired

Primary outcomes:
measure: Understanding of discharge diagnosis using questionnaire
timeFrame: Immediately before leaving the emergency department for discharge home.
Secondary outcomes:
measure: Patient satisfaction of overall care in ED using questionnaire
timeFrame: Five to seven days after the index ED visit.
measure: Self-reported compliance with post-discharge care using questionnaire
timeFrame: Five to seven days after the index ED visit.
measure: Comprehension of return precautions using questionnaire
timeFrame: Five to seven days after the index ED visit.
measure: Retention of understanding of discharge diagnosis using questionnaire
timeFrame: Five to seven days after the index ED visit.
Other outcomes:
Locations:
city: Washington
country: United States
facility: George Washington University Hospital
state: District of Columbia
Study officials:
affiliation: GW Medical Faculty Associates
name: Griffin Davis, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Bloch SA, Bloch AJ. Using video discharge instructions as an adjunct to standard written instructions improved caregivers' understanding of their child's emergency department visit, plan, and follow-up: a randomized controlled trial. Pediatr Emerg Care. 2013 Jun;29(6):699-704. doi: 10.1097/PEC.0b013e3182955480.
citation: Atzema CL, Austin PC, Wu L, Brzozowski M, Feldman MJ, McDonnell M, Mazurik L. Speak fast, use jargon, and don't repeat yourself: a randomized trial assessing the effectiveness of online videos to supplement emergency department discharge instructions. PLoS One. 2013 Nov 11;8(11):e77057. doi: 10.1371/journal.pone.0077057. eCollection 2013.