Effect of Videogames on Real-life Triage Patterns

Trauma Clinical Trial

Official title:

Long-term Followup of Effects of Customized Videogames on Physician Triage Practices

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04516044
• Other study ID #: STUDY20070012
• Secondary ID: DP2LM012339
• Status: Completed
• Start date: October 30, 2016
• Est. completion date: December 1, 2020

Study information

• Verified date: February 2021
• Source: University of Pittsburgh
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

In 2016 and 2017 the investigators conducted two clinical trials in which emergency medicine physicians were randomized either to an intervention (customized, theoretically-based video games) or to a control (nothing or text-based education). This study will now assess long-term outcomes for physicians enrolled in those two trials to evaluate the effect of the interventions on triage practices for trauma patients who presented initially to non-trauma centers in the US between December 2016 and November 2018.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 686
• Est. completion date: December 1, 2020
• Est. primary completion date: December 1, 2018
• Gender: All
• Age group: 25 Years to 100 Years

Eligibility

Inclusion Criteria:

• Participated in two prior clinical trials (Physician)

• =65 years old (Patient)

• enrolled in Medicare fee-for-service

• sustained a moderate-severe injury (i.e. ISS [injury severity score] >15) (Patient)

• treated by physician enrolled in prior clinical trials (Patient)

Exclusion Criteria:

• Did not participate in two prior clinical trials (Physician)

• <65 years old (Patient)

Related Conditions & MeSH terms

• Physician's Role
• Trauma

Intervention

Behavioral:
• Video games
See arm description

Locations

Country	Name	City	State
United States	University of Pittsburgh	Pittsburgh	Pennsylvania

Sponsors (2)

Lead Sponsor	Collaborator
University of Pittsburgh	National Library of Medicine (NLM)

Country where clinical trial is conducted

United States, 

References & Publications (2)

Mohan D, Farris C, Fischhoff B, Rosengart MR, Angus DC, Yealy DM, Wallace DJ, Barnato AE. Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. BMJ. 2017 Dec 12;359:j5416. doi: 10.1136/bmj.j5416. — View Citation

Mohan D, Fischhoff B, Angus DC, Rosengart MR, Wallace DJ, Yealy DM, Farris C, Chang CH, Kerti S, Barnato AE. Serious games may improve physician heuristics in trauma triage. Proc Natl Acad Sci U S A. 2018 Sep 11;115(37):9204-9209. doi: 10.1073/pnas.1805450115. Epub 2018 Aug 27. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of patients triaged to trauma centers	The investigators will use Medicare claims to measure the number of patients, treated by study participants, who present initially to non-trauma centers after a moderate-severe injury and are transferred to a Level I/II trauma center during that episode of care. They will compare triage patterns for patients treated by physicians in the intervention and in the control groups.	1 year following the intervention
Secondary	Number of moderate-severely injured patients who die 30-days after initial evaluation	Patient mortality 30-days after evaluation for a moderate-severe injury by a physician enrolled in the trial, compared among intervention and control groups.	1 year following the intervention
Secondary	Frequency of resources used for patients with moderate-severe injuries treated by participants	Frequency of resources used (e.g. ICU admission, mechanical ventilation, disposition status) after initial presentation for a moderate-severe injury and treatment by a participating physician, compared among intervention and control groups.	1 year following intervention