Video Discharge Instructions (VDI) as Adjuncts to Written Discharge Instructions in the Emergency Department

Urinary Tract Infection Clinical Trial

Official title:

Video Discharge Instructions (VDI) as Adjuncts to Written Discharge Instructions for 3 Common Chief Complaints in the Emergency Department (ED)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02882256
• Other study ID #: 061612
• Status: Completed
• Phase: N/A
• Start date: June 2016
• Est. completion date: September 2018

Study information

• Verified date: December 2018
• Source: George Washington University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 193
• Est. completion date: September 2018
• Est. primary completion date: September 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Craniocerebral Trauma
• Emergencies
• Head Injury
• Laceration
• Lacerations
• Urinary Tract Infection
• Urinary Tract Infections

Intervention

Other:
• Video discharge instructions
Discharge instructions provided in video form

Locations

Country	Name	City	State
United States	George Washington University Hospital	Washington	District of Columbia

Sponsors (1)

Lead Sponsor	Collaborator
George Washington University

Country where clinical trial is conducted

United States, 

References & Publications (2)

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. PLo — View 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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Understanding of discharge diagnosis using questionnaire	Right after the provider who discharges the patient goes over the discharge instructions with the subject, the investigators will administer the discharge questionnaire.	Immediately before leaving the emergency department for discharge home.
Secondary	Patient satisfaction of overall care in ED using questionnaire	Subjects will complete a telephone follow-up interview 5-7 days after ED discharge.	Five to seven days after the index ED visit.
Secondary	Self-reported compliance with post-discharge care using questionnaire	Subjects will complete a telephone follow-up interview 5-7 days after ED discharge.	Five to seven days after the index ED visit.
Secondary	Comprehension of return precautions using questionnaire	Subjects will complete a telephone follow-up interview 5-7 days after ED discharge.	Five to seven days after the index ED visit.
Secondary	Retention of understanding of discharge diagnosis using questionnaire	Subjects will complete a telephone follow-up interview 5-7 days after ED discharge.	Five to seven days after the index ED visit.