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

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

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.

Study Overview

• Status: Completed
• Conditions: Urinary Tract Infection; Head Injury; Laceration
• Intervention / Treatment: Other: Video discharge instructions

Detailed 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.

• Study Type: Interventional
• Enrollment (Actual): 193
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • District of Columbia
    • Washington, District of Columbia, United States, 20037
      • George Washington University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Intervention; Patients will receive video discharge instructions in addition to standard written discharge instructions.	Other: Video discharge instructions; Discharge instructions provided in video form
NO_INTERVENTION: Control; Patients will receive standard written discharge instructions.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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 Outcome Measures

Outcome Measure	Measure Description	Time Frame
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.
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.
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.
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.

Collaborators and Investigators

• Sponsor: George Washington University
• Investigators: Principal Investigator: Griffin Davis, MD, GW Medical Faculty Associates

Publications and helpful links

General Publications

• 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.
• 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 (ACTUAL): June 1, 2016
• Primary Completion (ACTUAL): September 1, 2018
• Study Completion (ACTUAL): September 1, 2018

Study Registration Dates

• First Submitted: August 4, 2016
• First Submitted That Met QC Criteria: August 24, 2016
• First Posted (ESTIMATE): August 29, 2016

Study Record Updates

• Last Update Posted (ACTUAL): December 7, 2018
• Last Update Submitted That Met QC Criteria: December 6, 2018
• Last Verified: December 1, 2018

More Information

Terms related to this study

• Keywords: concussion; urinary tract infection; laceration; minor head injury
• Additional Relevant MeSH Terms: Pathologic Processes; Nervous System Diseases; Infections; Urologic Diseases; Wounds and Injuries; Disease Attributes; Trauma, Nervous System; Emergencies; Urinary Tract Infections; Craniocerebral Trauma; Lacerations
• Other Study ID Numbers: 061612

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO