Randomized Controlled Trial Clinical Trial
Official title:
Enhancing Postpartum Discharge Instructions for Cesarean Incision Care With Assessment of Comprehension: A Pilot Randomized Controlled Trial
Post-cesarean delivery discharge instructions are not currently at an appropriate health literacy level. Enhancing discharge instructions with a visual aid did not improve scores on comprehension quizzes, either immediately or two-weeks post-discharge. However, participants preferred to have access to visual images with discharge instructions.
Objective:
To evaluate the effect of a visual aid on improving comprehension of hospital discharge
instructions for cesarean wound care.
Methods:
A randomized control trial with a 1:1 allocation ratio and an intention to treat analysis was
performed at an urban, tertiary care center from June-November 2017. Fifty English-speaking
patients ages 18-50 who had undergone a cesarean delivery were randomized to receive either
standard or enhanced discharge instructions regarding post-cesarean incision care. Enhanced
instructions included a visual aid not present in the standard instructions. Participants
completed a comprehension quiz prior to hospital discharge and again 2 weeks after discharge
as well as the REALM literacy assessment prior to discharge.
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