- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03279575
Testing the Efficacy of Two Behavioral Interventions at Recalibrating Physician Heuristics in Trauma Triage
Testing the Efficacy of Two Behavioral Interventions at Recalibrating Physician Heuristics in Trauma Triage: a Randomized Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Pennsylvania
-
Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Emergency medicine physicians who work at a non-trauma center.
- Emergency medicine physicians who work at a Level III/IV trauma center.
Exclusion Criteria:
- Emergency medicine physicians who work only at a Level I/II trauma center.
- Emergency medicine physicians who do not practice in the US.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Night Shift
Night Shift is an adventure video game with the transformational goal of teaching physicians key characteristics of patients with non-representative severe injuries - injuries classified by the American College of Surgeons as life-threatening or critical but that do not fit the archetype of injuries typically requiring treatment at a trauma center.
Players take on the persona of Andy Jordan, a young emergency physician who moves home after the disappearance of his estranged grandfather (Robert Jordan) and takes up a job in the local Emergency Department (ED).
In the preamble, players learn they have two explicit objectives.
First, they must diagnose and treat patients who present to their ED.
Second they must solve the mystery of Robert's disappearance: was he murdered or has he simply chosen to disappear?
|
Physicians in this arm of the trial will be asked to play Night Shift, an adventure video game, for two hours.
|
Experimental: Graveyard Shift
Graveyard Shift is a puzzle video game with the transformational goal of helping physicians derive key triage decision principles for themselves.
They complete a three-step game loop to obtain case information, compare cases to determine similarities and differences between cases, and then explicitly state the decision principle that should drive decision making.
|
Physicians in this arm of the trial will be asked to play Graveyard Shift, a puzzle video game, for two hours.
|
Active Comparator: Educational program
The educational module consists of two separate apps, both commercially available.
myATLS includes a review of each chapter of the Advanced Trauma Life Support (ATLS) textbook, a series of videos demonstrating common trauma procedures, and clinical resources including checklists for use at the bedside.
Trauma Life Support MCQ Review includes 550 multiple-choice questions with correct answers and explanations.
The investigators will ask physicians to review the myATLS app and then com
|
Physicians in this arm of the trial will be asked to use myATLS, an app designed by the American College of Surgeons to serve as an adjunct to the ATLS course, and Trauma Life Support MCQ Review, an app designed to help students prepare for the ATLS exam.
They will be asked to spend at least two hours on the combined tasks.
|
Placebo Comparator: Control
Physicians in this arm will not be asked to complete any intervention.
|
Physicians in this arm will serve as a no-contact control group.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence rate of successful triage
Time Frame: One month after completion of the intervention
|
Physicians in all arms of the study will be asked to complete a virtual simulation, upon completion of the intervention, ideally within one month of enrollment. The virtual simulation replicates the environment of the ED. Physicians have to manage 10 patients that appear concurrently, while also responding to a series of audio-visual distractors. Specifically, they must provide information on whether they will admit, transfer, or discharge the patients home. The investigators will categorize severely injured patients as successfully transferred (transferred to a trauma center or died in the ED) or not (admitted). We will use a Poisson regression to estimate the association between successful transfer and exposure to the different interventions (Night Shift v. Graveyard Shift v. educational program v. control). |
One month after completion of the intervention
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PRO17090094
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Wounds and Injuries
-
3MWithdrawn
-
Centre Hospitalier Universitaire de NīmesCompletedWounds and Injuries, Hands | Wounds and Injuries, Wrists | Wounds and Injuries, Feet | Wounds and Injuries, AnklesFrance
-
Samsung Medical CenterCompletedNeedle Stick InjuriesKorea, Republic of
-
Assaf-Harofeh Medical CenterUnknownInjuries and Wounds
-
Karolinska InstitutetCompletedWounds and Injuries | Blast Injuries | War-Related Injuries | Gunshot WoundSweden
-
Hospital Universiti Sains MalaysiaActive, not recruiting
-
Medical University of South CarolinaCompletedNeedlestick InjuriesUnited States
-
Temple UniversityWithdrawnLacerations | Injuries | WoundsUnited States
-
Karolinska InstitutetMedecins Sans Frontieres, NetherlandsCompletedWounds and Injuries | Leg Injuries | Soft Tissue Injuries | Wound Infection | Arm Injuries | Wounds, Penetrating | Wounds, Gunshot | War-Related InjuriesJordan
Clinical Trials on Night Shift
-
University of PittsburghNational Institute on Aging (NIA)Active, not recruitingTrauma Injury | Physician's RoleUnited States
-
St Joseph University, Beirut, LebanonCompletedMedical Students Well-being and AnxietyLebanon
-
University of PittsburghCarnegie Mellon UniversityCompletedWounds and Injuries
-
Brigham and Women's HospitalNot yet recruiting
-
University of Colorado, DenverNational Heart, Lung, and Blood Institute (NHLBI)RecruitingOsteoporosis | Circadian Rhythm Sleep Disorder, Shift Work TypeUnited States
-
Changi General HospitalCompleted
-
University of FaisalabadNot yet recruiting
-
Advanced Brain Monitoring, Inc.Completed
-
Claude Bernard UniversityCompletedPain | Sleep | EmpathyFrance
-
Royal Brompton & Harefield NHS Foundation TrustUniversity of Oxford; National Institute for Health Research, United KingdomCompletedSleep Apnea, Obstructive | Positional Sleep ApneaUnited Kingdom