Impact of Video Discharge Instructions on Heart Failure Patient's Knowledge (VID-HF)

Heart Failure Patient Education Using Video and Paper Discharge Instructions

With improve care of patients with heart failure, many patients are living longer. Care for these patients is now not only focused on mortality but also on the quality of life. Patient knowledge about heart failure and their overall compliance with the necessary lifestyle changes will lead to an improved quality of life. Discovering alternative ways to improve patient knowledge is key to long term survival. This studies objective is to assess the overall impact of video discharge instructions as compared to paper discharge instructions on Heart Failure Knowledge among an under-served patient population.

Study Overview

• Status: Withdrawn
• Conditions: Heart Failure
• Intervention / Treatment: Other: Video Discharge

Detailed Description

In this study, we will randomized patients admitted to the hospital with heart failure exacerbation to receive either paper or video discharge instructions within a day prior to discharge. The video and paper instructions will have the same content. The patients will take a pre-test and post-test and the change in scores among the patients who received the video and paper discharge instructions will be compared. Other points of interest include participant satisfactions with discharge instruction, followup at post hospital appointment and 30-day readmission.

Data to be collected includes:

1. Medial history of the patient
2. Educational background
3. Social Status
4. Patients Health Measurement: Self Efficacy for managing medications and Treatment Management, Informational Support

• Study Type: Interventional
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Illinois
    • Chicago, Illinois, United States, 60612
      • John H Stroger Hospital

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• hospital admission with a diagnosis of Heart Failure (HF)- Heart failure with reduced ejection fraction or heart failure with preserved Ejection fraction
• planned discharge from hospital to home setting
• able to read and write English
• Acceptable to answer Questionnaire and to receive a call at the end of the study

Exclusion Criteria:

• Planned discharge to long term acute care
• Patients with unstable housing
• imprisoned patients
• patients who are pregnant
• illiteracy (defined as inability to write or read) and non-native speakers of English
• impaired cognition
• impaired vision
• Patients with End Stage Renal Disease(ESRD)
• Cancer patients

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Paper Discharge Instruction; Patient will be given paper discharge instructions
Experimental: Video Discharge Instructions; Patient will be given Video discharge instructions	Other: Video Discharge; Patient will watch a video discharge instructions in addition to the standard paper instructions. They will also take the pre and post test as the control group

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Heart Failure Knowledge Score	Participants knowledge about heart failure will be assessed using the validated Atlanta Heart Failure Knowledge Test(AHFKT- V3). This is a test which includes 30 questions with a minimum score of 0 and a maximum score of 30. Each Participant will take the test and will subsequently be given either paper discharge instructions or both video and paper discharge instructions. After reading and/or watching the discharge instructions, each participant will take the same test once again. The difference in the pre and post intervention scores will be calculated and the investigators will assess if there is a significant difference in the mean change in score the control(Paper) vs. Intervention groups(Video).	1hr

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Participant Satisfaction with discharge Instructions	Participant overall satisfaction with their discharge instructions will be assess using a 5 point likert scale which ranges from not at all helpful to extremely helpful	1 day
Post hospital followup rates	Upon discharge from the hospital, Each participant is given a post hospital appointment within 14 days of the discharge date. We will assess the percentage of participates in both groups who come to post hospital appointments.	30 days
Heart Failure Readmission rates	Investigators will assess the percentage of participants in both groups who will be readmitted to the hospital within 30days after being discharged from the index visit.	30days

Collaborators and Investigators

• Sponsor: Yasmeen Golzar

Study record dates

Study Major Dates

• Study Start (Actual): May 1, 2018
• Primary Completion (Actual): July 7, 2018
• Study Completion (Actual): August 7, 2018

Study Registration Dates

• First Submitted: January 12, 2018
• First Submitted That Met QC Criteria: June 13, 2023
• First Posted (Estimated): June 19, 2023

Study Record Updates

• Last Update Posted (Estimated): June 19, 2023
• Last Update Submitted That Met QC Criteria: June 13, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Keywords: Heart Failure; Self Care; Patient knowledge
• Additional Relevant MeSH Terms: Heart Diseases; Cardiovascular Diseases; Heart Failure
• Other Study ID Numbers: 17-538-Stroger

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No