Electronic KIDCLOT Interactive Thrombosis/Thrombophilia Education; A Quality Assurance Initiative (eKITE)
EKITE: Electronic KIDCLOT Interactive Thrombosis/Thrombophilia Education; A Quality Assurance Initiative
Effective patient education improves health literacy and engagement thus improving long-term health outcomes. Health literacy is imperative to make informed health decisions and relies on the ability to obtain, process and understand health information; and is the cornerstone of safe health management. It is necessary to evaluate educational initiatives to determine their effectiveness in knowledge translation.
A more effective way to provide patient education is to utilize media technology. Current education styles do not teach patients in the best way as they are not consistent with how people of all ages currently learn (through technology). In addition, patient teaching most commonly occurs during highly stressful times like hospital visits with new diagnoses. Current patient educational methods are costly given the amount of health provider time required.
Electronic KITE teaching modules are infographic visual representations that present information quickly and clearly, integrating words and graphics to tell a story to reveal information. Infographic presentations are tools which facilitate self-directed learning with understandable, accessible information presented in an engaging way with an aim to enhance learning for children and their families. Patients are able to learn at a pace consistent with their learning style to facilitate knowledge development and health literacy.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
A more effective way to provide patient education is to utilize media technology. Current education styles do not teach patients in the best way as they are not consistent with how people of all ages currently learn (through technology). In addition, patienteaching most commonly occurs during highly stressful times like hospital visits with new diagnoses. Current patient educational methods are costly given the amount of health provider time required.
Electronic KITE teaching modules are infographic visual representations that have been developed to provide patient teaching related to warfarin and its management.
How much patients have learned will be assessed using the KIDCLOT validated knowledge quizzes. Children 8 years and older to have cognitive capacity will complete the quizzes if able. Caregivers will complete all quizzes linked with the modules they have completed.
Patients may be enrolled into the appropriate cohort based on the health provider decision for management.
- Warfarin international normalized ratio (INR) testing
- Warfarin with home INR testing
- Warfarin transition from home INR testing to warfarin self management.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
Alberta
-
Edmonton, Alberta, Canada, T6G 2B7
- Stollery Children'S Hospital
-
-
Ontario
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Ottawa, Ontario, Canada, K1H 8L1
- Children's Hospital of Easter Ontario
-
-
-
-
Illinois
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Chicago, Illinois, United States, 60611
- Ann & Robert H Lurie Children's Hospital
-
-
Massachusetts
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Boston, Massachusetts, United States, 021115
- Boston Children's Hospital
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-
Missouri
-
St Louis, Missouri, United States, 63110
- St. Louis Children's Hospital
-
-
Texas
-
Houston, Texas, United States, 77030
- Texas Children'Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Pediatric patients and their caregivers who are receiving treatment with anticoagulant therapy.
Exclusion Criteria:
- Non-english speaking patients.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
KIDCLOT What is an Anticoagulant Quiz1
Time Frame: enrolment
|
Quiz to assess patient learning of important concepts related to anticoagulants
|
enrolment
|
|
KIDCLOT What is an Anticoagulant Quiz1
Time Frame: 6 months and 18 months
|
Quiz to assess change in patient knowledge of important concepts related to anticoagulants
|
6 months and 18 months
|
|
Kidclot Warfarin Quiz 2
Time Frame: enrolment
|
Quiz to assess patient learning of important concepts related to warfarin
|
enrolment
|
|
Kidclot Warfarin Quiz 2
Time Frame: 6 months and 18 months
|
Quiz to assess patient learning of important concepts related to warfarin
|
6 months and 18 months
|
|
KIdclot INR testing Quiz 3
Time Frame: enrolment
|
Quiz to assess patient learning of important concepts related to INR testing
|
enrolment
|
|
KIdclot INR testing Quiz 3
Time Frame: 6 and 18 months
|
Quiz to assess change in patient knowledge of important concepts related to INR testing
|
6 and 18 months
|
|
Kidclot safety on an anticoagulant Quiz 4
Time Frame: enrolment
|
Quiz to assess patient learning of important concepts related to patient safety on an anticoagulant
|
enrolment
|
|
Kidclot safety on an anticoagulant Quiz 4
Time Frame: 6 months and 18 months
|
Quiz to assess change in patient knowledge of important concepts related to patient safety on an anticoagulant
|
6 months and 18 months
|
|
Kidclot Home INR testing Quiz 5
Time Frame: enrolment
|
Quiz to assess patient learning of important concepts related to home INR testing
|
enrolment
|
|
Kidclot Home INR testing Quiz 5
Time Frame: 6 and 18 months
|
Quiz to assess change in patient knowledge of of important concepts related to home INR testing
|
6 and 18 months
|
|
Kidclot Warfarin Self Management Quiz 6
Time Frame: 6 months
|
Quiz to assess patient learning of important concepts related to Warfarin Self Management
|
6 months
|
|
Kidclot Warfarin Self Management Quiz 6
Time Frame: 18 months
|
Quiz to assess change in patient knowledge of of important concepts related to Warfarin Self Management
|
18 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient preference
Time Frame: enrolment
|
Questionnaire
|
enrolment
|
|
Stress Around Learning Score STAI-1
Time Frame: enrolment
|
Survey to Assess patient stress around learning about warfarin and its management using the on-line modules.
Measure of Calm.-
Total score out of 40 with higher score indicates low stress and a positive outcome
|
enrolment
|
|
Stress Around Learning Score STAI-1
Time Frame: enrolment
|
Survey to Assess patient stress around learning about warfarin and its management using the on-line modules.
Total score out of 40.
Measure of Worry- Total score out of 40 with lower score indicates low stress indicating a positive outcome
|
enrolment
|
|
Pediatric Anticoagulation Quality of Life
Time Frame: 6
|
Quality of life score to assess impact of warfarin therapy on health related quality of life.
Lower score indicates low impact.
Score is a percentage
|
6
|
|
Pediatric Anticoagulation Quality of Life
Time Frame: 18 months
|
Quality of life score to assess any change in impact of warfarin therapy on health related quality of life.
Lower score indicates low impact.
Score is a percentage
|
18 months
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time in therapeutic Range
Time Frame: 18 months
|
Time INRs are within range
|
18 months
|
|
Health care provider time associated with warfarin teaching
Time Frame: enrolment, 6 months and 18 months
|
Providers will measure and report the additional time spent providing patient teaching for warfarin management
|
enrolment, 6 months and 18 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Mary Bauman, MN, Stollery Children's Hospital, University of Alberta
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Pro00074672
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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