Using Online Videos to Supplement Emergency Department Discharge Instructions

Speak Fast, Use Jargon, and Don't Repeat Yourself: Using Online Videos to Supplement Emergency Department Discharge Instructions

This project will evaluate the effectiveness of 38 videos of discharge instructions for patients seen in, and discharged from, the emergency department (ED). The investigators will (1) assess how many ED patients chose view the website, and (2) interview patients who viewed a video, as well as those who didn't view a video (and therefore received standard care), to determine whether patients who viewed a video understood their diagnoses and discharge instructions better.

Study Overview

• Status: Completed
• Conditions: Emergency Department Discharge Instructions; Instruction Videos
• Intervention / Treatment: Other: Video of ED discharge instructions for patient's ED discharge diagnosis

• Study Type: Interventional
• Enrollment (Actual): 133
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Age > 16, or < 16 and accompanied by a legal guardian
• Has one of 38 ED discharge diagnoses
• Fluent in English, or caregiver fluent
• Has access to a computer, with internet access, in the next 4 days
• Has access to a telephone

Exclusion Criteria:

• Age < 16 when unaccompanied by a legal guardian
• Decreased level of consciousness at ED discharge (eg palliative patient)

Study Plan

How is the study designed?

Design Details

• Allocation: Randomized
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Video of ED Discharge Instructions	Other: Video of ED discharge instructions for patient's ED discharge diagnosis; Link provided for a website of 38 ED discharge instruction videos, based on ED discharge diagnosis; patients in study group encouraged to view it upon returning home. Three key questions asked by RA 1 to 5 days later, via phone call, and answers scored.
No Intervention: Control (usual standard of care)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Score out of 3 points on 3 key questions	3 key questions have been created for each of 38 ED discharge diagnosis. Scores will be compared between intervention group and control group.	1 to 5 days after ED visit

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quality rating of video of discharge instructions, Likert scale 1 to 5	Rating by study arm (who viewed a video) as to how helpful the video was in helping them (1) understand their discharge instructions, and (2) overall usefulness of the video.	1 to 5 days after ED discharge

Collaborators and Investigators

• Sponsor: Sunnybrook Health Sciences Centre
• Investigators: Principal Investigator: Clare L Atzema, MD MSc FRCPC, Sunnybrook Health Sciences Centre

Publications and helpful links

General Publications

• 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. PLoS One. 2013 Nov 11;8(11):e77057. doi: 10.1371/journal.pone.0077057. eCollection 2013.

Study record dates

Study Major Dates

• Study Start: November 1, 2011
• Primary Completion (Actual): January 1, 2012
• Study Completion (Actual): February 1, 2013

Study Registration Dates

• First Submitted: May 25, 2011
• First Submitted That Met QC Criteria: May 26, 2011
• First Posted (Estimate): May 27, 2011

Study Record Updates

• Last Update Posted (Estimate): March 27, 2013
• Last Update Submitted That Met QC Criteria: March 25, 2013
• Last Verified: March 1, 2013

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: AFP-CA-01