Stories to Educate Patients With Ankle, Foot, and Knee Injuries

Injury Clinical Trial

Official title:

Comparative Effectiveness of Descriptive Versus Narrative Emergency Department Discharge Instructions for Patient Education on Unnecessary Testing for Ankle, Foot and Knee Injuries

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT01810523
• Other study ID #: 817212
• Status: Withdrawn
• Phase: N/A
• First received: March 7, 2013
• Last updated: August 18, 2016
• Start date: March 2013

Study information

• Verified date: August 2016
• Source: University of Pennsylvania
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Study will test the use of narratives on patient satisfaction and translation of an evidence-based approach to the use of X-rays for leg injuries in the Emergency Department (ED). The investigators will identify patients with foot, ankle, or knee injuries for whom X-rays are determined to not be needed. On discharge, patients will receive the current fact-based sheet or that plus a narrative explaining the work-up and treatment of these injuries. Outcomes will be assessed by a survey measuring patient satisfaction and understanding.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. primary completion date: June 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Acute traumatic knee, ankle or foot injury presenting to ED

• No indication for X-ray by Ottawa Rules criteria

• ED provider planning to discharge patient

Exclusion Criteria:

• X-ray obtained

• Need for X-ray by established Ottawa Rules criteria

• Children

• Pregnant women

• Patient to be admitted to the hospital

• Patient non-English speaking or illiterate

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Injury
• Knee Injuries
• Wounds and Injuries

Intervention

Behavioral:
• Narrative
Narrative form as described above.
• Control
Blank piece of paper

Locations

Country	Name	City	State
United States	Hospital of the University of Pennsylvania	Philadelphia	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
University of Pennsylvania

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient Satisfaction	To measure patient satisfaction, we will use a validated survey instrument. The survey asks patients 5 questions, which they answer by providing responses on a 5-point scale ranging from "Poor" to "Excellent." The questions include: My satisfaction with the amount of time spent with me by the person who evaluated and treated me was....; The explanation I received of how my illness should be treated was...; The way the health care provider treated me was...; My overall satisfaction with my visit was...; Your care provider determined that you did not need an X-ray for your injury. What is your level of satisfaction with that decision?	5 minutes after intervention	No