Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

436 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2010-06-30

Brief Summary

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Previous studies demonstrate that patients often have difficulty understanding their discharge instructions. Video discharge instructions have the potential to mitigate factors such as illiteracy and limited physician time, which may affect comprehension. Our goal is to determine if adding video discharge instructions affects caregivers' understanding of their child's emergency department (ED) visit, plan and follow-up.

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Detailed Description

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Caregivers of patients, age 29 days to 18 years, with a diagnosis of fever, vomiting or diarrhea, and wheezing or asthma were randomized into written or video discharge instruction groups. In the ED, caregivers read standard written discharge instructions or watched a 3-minute video based on their child's diagnosis. They were then asked questions regarding information covered in these instructions. After completing the 20-point questionnaire, standard discharge procedure was followed. Caregivers were contacted by phone 2-5 days after discharge for a follow-up questionnaire. Usefulness of the discharge instructions was also assessed.

Conditions

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Evaluation of Video Discharge Instructions in Improving Understanding

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Written Discharge Instructions

Group of caregivers who read written discharge instructions that are the standard discharge instructions given in our pediatric ED

Group Type ACTIVE_COMPARATOR

Standard written discharge instructions

Intervention Type OTHER

Group of caregivers who read the standard written discharge instructions prior to answering the questionnaire

Video Discharge Instructions

Group of caregivers who watched the 3-minute video covering the information in the standard written discharge instructions

Group Type EXPERIMENTAL

Video Discharge Instructions

Intervention Type OTHER

Group of caregivers who watched the 3 minute video covering the information in the standard written discharge instructions prior to answering the questionnaire

Interventions

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Standard written discharge instructions

Group of caregivers who read the standard written discharge instructions prior to answering the questionnaire

Intervention Type OTHER

Video Discharge Instructions

Group of caregivers who watched the 3 minute video covering the information in the standard written discharge instructions prior to answering the questionnaire

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* caregivers of pediatric patients age 29 days to 18 years old diagnosed with wheezing or asthma exacerbation, fever, or vomiting and/or diarrhea.

Exclusion Criteria

* Caregivers of patients who were critical in the ED,
* Admitted to the hospital, or given an alternate diagnosis prior to discharge were excluded from the study.
* Also, non-English speaking caregivers were excluded.

Eligible Sex

ALL

Accepts Healthy Volunteers

No