Video-recOrded hospItal dischaRge (VOIR) (VOIR)

Evaluating Feasibility and Acceptability of Video Discharge Hosted in Patient Knows Best or Ortus-iHealth Apps: A Feasibility Randomised Controlled Trial

This study evaluates the suitability and acceptability of video-recorded discharge via the Patient Knows Best app. Through a randomized control trial, patients receive either standard discharge care or standard care supplemented with video-recorded discharge. Clinical teams record briefings covering medication and wound care, which patients can access multiple times on their smart devices. Patients and clinical staff complete questionnaires to assess acceptance and feasibility. Feasibility is determined by recruitment, retention, and completion rates, with patient engagement and viewing habits also analyzed. The study aims to enhance patient understanding and continuity of care through accessible discharge information.

Study Overview

• Status: Not yet recruiting
• Conditions: ALL, Adult
• Intervention / Treatment: Other: Video recorded shared using a mobile application

Detailed Description

Study Design

The study aims to assess how suitable and acceptable the use of video-recorded discharge via the Patient Knows Best or Ortus-iHealth application is. It employs a randomised control trial design, with one group receiving standard discharge care and another receiving the standard care plus video-recorded discharge.

Upon discharge from hospital, the clinical team (e.g, nurses and doctors) will record the routine discharge briefing, covering aspects such as medication and wound care, for consenting patients. This briefing will be based on the discharge letter from the medical team and will last approximately up to three minutes. It will take place in a private hospital ward room, using the patient's or their relative's smart device (e.g., mobile or tablet). Subsequently, the recorded video will be uploaded to the patient's Patient Knows Best app account. Patients can review the video multiple times to reinforce their understanding of the discharge information, including medication advice, wound dressing, and exercise. Additionally, they can share it with their relatives, as well as community and district nursing teams, to enhance the clarity of shared information and continuity of care.

Both control and intervention group patients will receive a self-reported questionnaire regarding their acceptance of the discharge process, satisfaction levels, and its impact on their quality of life. Clinical staff involved in the recording will also complete a questionnaire assessing the feasibility, practicality, and satisfaction with the new intervention.

The feasibility of the study will be evaluated based on recruitment numbers, retention rates, completion rates, and the chosen questionnaire's suitability. Questionnaires will be administered post-discharge, one week after discharge, and thirty days later. Additionally, patient engagement with the Patient Knows Best platform and video viewing habits will be analysed to explore any differences among demographic groups.

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Naim Abdulmohdi, PhD; Phone Number: (+44)1223695538; Email: naim.abdulmohdi@aru.ac.uk

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Age >18 years old
• Anticipated to be discharged to their own home or that of a relative;
• Staying for at least one night on a participating hospital ward;
• Recently discharge (in the last 2 months) from the participating hospital ward with the same clinical problem as assessed by the care professionals;
• From cardiothoracic centre-Basildon or Elderly ward-Southend
• Have a personal digital device (e.g., mobile or tablet)/ or their close relative and mobile app
• Able to read and understand English.
• Relative or patient willing and able to give informed consent
• Clinical Frailty scale of ≤ 8 using Rockwood Frailty Scale

Exclusion Criteria:

• Patients live out of the area or plan to be transferred to another acute hospital;
• Discharged after recurrent admissions for the same clinical complaint as assessed by the care professionals;
• Patient or immediate carer don't have a personal digital device capable of hosting Patient Knows Best/ Ortus-iHealth app;
• Patient or relative unable or unwilling to upload the personalised discharge video to mobile app;
• Admitted for psychiatric reasons (other than dementia/delirium);
• Identified as being at the end of life and whose care has become palliative / clinical Frailty scale of > 8 using Rockwood Frailty Scale

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control group; Usual hospital discharge include medical discharge letter and verbal advice from healthcare team.
Other: Intervention group; Usual hospital discharge + video recorded medical advice from the healthcare team uploaded in a mobile app	Other: Video recorded shared using a mobile application; The routine hospital discharge explanation is video recorded [up to three minutes]. The video is uploaded by to a mobile app for the patient and patient/ relatives can review the advice multiple times

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Acceptability of video-discharge	Questionnaire with close ended and open ended question based on validated questionnaire	7 days and 30 days post-discharge

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient satisfaction	Brief questionnaire on patient satisfaction	7 and 30 days post discharge
Care of Transitions	Three questions measuring validated tool	7 and 30 days post discharge
Staff satisfaction of video recorded discharge	Close and opened questionnaire	within 7 days of post-discharge experience

Collaborators and Investigators

• Sponsor: Anglia Ruskin University
• Collaborators: Southend NHS Foundation Trust; Basildon and Thurrock Hospitals NHS FoundationTrust
• Investigators: Principal Investigator: Naim Abdulmohdi, PhD, Anglia Ruskin University

Publications and helpful links

General Publications

• Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003 Feb 4;138(3):161-7. doi: 10.7326/0003-4819-138-3-200302040-00007.
• Laugaland K, Aase K, Barach P. Interventions to improve patient safety in transitional care--a review of the evidence. Work. 2012;41 Suppl 1:2915-24. doi: 10.3233/WOR-2012-0544-2915.
• Barker RE, Jones SE, Banya W, Fleming S, Kon SSC, Clarke SF, Nolan CM, Patel S, Walsh JA, Maddocks M, Farquhar M, Bell D, Wedzicha JA, Man WD. The Effects of a Video Intervention on Posthospitalization Pulmonary Rehabilitation Uptake. A Randomized Controlled Trial. Am J Respir Crit Care Med. 2020 Jun 15;201(12):1517-1524. doi: 10.1164/rccm.201909-1878OC.
• Baxter R, Murray J, Cockayne S, Baird K, Mandefield L, Mills T, Lawton R, Hewitt C, Richardson G, Sheard L, O'Hara JK; PACT research team. Improving the safety and experience of transitions from hospital to home: a cluster randomised controlled feasibility trial of the 'Your Care Needs You' intervention versus usual care. Pilot Feasibility Stud. 2022 Oct 1;8(1):222. doi: 10.1186/s40814-022-01180-3.
• Hesselink G, Schoonhoven L, Barach P, Spijker A, Gademan P, Kalkman C, Liefers J, Vernooij-Dassen M, Wollersheim H. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2012 Sep 18;157(6):417-28. doi: 10.7326/0003-4819-157-6-201209180-00006.
• Hoek AE, Joosten M, Dippel DWJ, van Beeck EF, van den Hengel L, Dijkstra B, Papathanasiou D, van Rijssel D, van den Hamer M, Schuit SCE, Burdorf A, Haagsma JA, Rood PPM. Effect of Video Discharge Instructions for Patients With Mild Traumatic Brain Injury in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med. 2021 Mar;77(3):327-337. doi: 10.1016/j.annemergmed.2020.10.023.
• Kapoor A, Field T, Handler S, Fisher K, Saphirak C, Crawford S, Fouayzi H, Johnson F, Spenard A, Zhang N, Gurwitz JH. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019 Sep 1;179(9):1254-1261. doi: 10.1001/jamainternmed.2019.2005.
• Le Berre M, Maimon G, Sourial N, Gueriton M, Vedel I. Impact of Transitional Care Services for Chronically Ill Older Patients: A Systematic Evidence Review. J Am Geriatr Soc. 2017 Jul;65(7):1597-1608. doi: 10.1111/jgs.14828. Epub 2017 Apr 12.
• Mallet KH, Shamloul RM, Lecompte-Collin J, Winkel J, Donnelly B, Dowlatshahi D. Telerehab at Home: Mobile Tablet Technology for Patients With Poststroke Communication Deficits-A Pilot Feasibility Randomized Control Trial. J Speech Lang Hear Res. 2023 Feb 13;66(2):648-655. doi: 10.1044/2022_JSLHR-21-00616. Epub 2023 Jan 12.
• Wang Q, Lee RL, Hunter S, Chan SW. Patients' experiences of using a mobile application-based rehabilitation programme after total hip or knee arthroplasty: a qualitative descriptive study. BMC Nurs. 2023 Jul 27;22(1):246. doi: 10.1186/s12912-023-01409-3.

Study record dates

Study Major Dates

• Study Start (Estimated): August 1, 2024
• Primary Completion (Estimated): September 30, 2024
• Study Completion (Estimated): October 31, 2024

Study Registration Dates

• First Submitted: July 16, 2024
• First Submitted That Met QC Criteria: July 19, 2024
• First Posted (Actual): July 22, 2024

Study Record Updates

• Last Update Posted (Actual): July 22, 2024
• Last Update Submitted That Met QC Criteria: July 19, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: mobile application; transition of care; hospital discharge; video recorded discharge
• Other Study ID Numbers: 320936; 423607 (Other Identifier: 423607)

Plan for Individual participant data (IPD)

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

Drug and device information, study documents

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