PULSE - Patient Understanding and Learning Through Structured Education - Effectiveness and Implementation of Patient Education Videos in a New Pediatric Cardiology Clinic (PULSE)
PULSE - Patient Understanding and Learning Through Structured Education - Effectiveness and Implementation of Patient Education Videos in a New Pediatric Cardiology Clinic: A Stepped Wedge Cluster Randomized Trial
This study is looking at whether short educational videos shown during pediatric cardiology visits can help families better understand their child's condition while also making clinic visits run more efficiently. Families coming to a pediatric cardiology clinic may watch short videos related to why they are there (for example: chest pain, heart murmurs, fainting, sports clearance, or Kawasaki disease). The videos are meant to explain common heart-related conditions and answer questions before the doctor comes into the room.
Researchers want to see if this:
- helps parents and patients learn more,
- improves satisfaction with the visit,
- helps families feel more involved in decisions,
- and reduces the amount of time doctors spend repeating the same explanations.
How the study works:
One clinic site in San Antonio, TX will start using the videos at different times. Researchers will compare clinic visits before and after the videos are introduced.
Who is included:
Children being seen in pediatric cardiology clinics and their caregivers. Pregnant women referred for fetal heart evaluations may also be included.
What information is collected:
Clinic timing information (such as wait times and doctor visit length), Satisfaction surveys, Optional knowledge questionnaires, Basic medical record information needed for the study.
Risk level: The study is considered "minimal risk." Patients are still getting normal medical care. No drugs, devices, or experimental treatments are being tested.
Privacy protections:
Data will be stored on secure hospital systems. Researchers plan to remove identifying information when analyzing results. Medical record numbers are only temporarily used to connect survey data with clinic data.
Why the study matters:
The clinic hopes the videos can make visits less stressful, improve understanding for families, and help doctors spend more time on personalized care instead of repeating the same explanations over and over. It may also help clinics work more efficiently and reduce delays.
연구 개요
상태
상세 설명
Patient education is a cornerstone of high-quality pediatric care, yet time constraints limit physicians' ability to provide comprehensive condition-specific education during clinic visits. Educational videos offer a scalable solution to enhance patient/family understanding while potentially improving clinic efficiency.
This study evaluates the effectiveness and implementation of educational videos in a newly established pediatric cardiology clinic using a stepped wedge design. The stepped wedge design is appropriate because:
- Operational feasibility: Videos will be implemented sequentially during clinic ramp-up, making simultaneous implementation impractical
- Ethical considerations: All patients eventually receive the intervention
- Statistical efficiency: The design accounts for temporal trends during clinic maturation
- Implementation science: Allows evaluation of both effectiveness and implementation outcomes
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Sannya Hede, MD
- 전화번호: 361-694-5000
- 이메일: sannya.hede@dchstx.org
연구 연락처 백업
- 이름: Erin Richmond, MS, RN
- 전화번호: 361-694-5978
- 이메일: erin.richmond@dchstx.org
연구 장소
-
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Texas
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San Antonio, Texas, 미국, 78251
- 모병
- Driscoll Children's Cardiology Clinic- San Antonio
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수석 연구원:
- Sannya Hede, MD
-
연락하다:
- Erin Richmond, MS, RN
- 전화번호: 361-694-5978
- 이메일: erin.richmond@dchstx.org
-
연락하다:
- Sannya V Hede, MD
- 전화번호: 361-694-5000
- 이메일: sannya.hede@dchstx.org
-
-
참여기준
자격 기준
공부할 수 있는 나이
- 어린이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Pediatric patients (ages 0-18 years) presenting for outpatient pediatric cardiology evaluation
- Caregiver present and able to complete surveys
- Referral reason matches available video topic (during intervention periods)
Exclusion Criteria:
- Emergency or urgent consultations
- Caregiver unable to read/understand English or Spanish
- Patient/family opts out of study participation
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 다른
- 할당: 무작위
- 중재 모델: 순차적 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
활성 비교기: Group A: Murmur, Chest Pain
Educational video topic: Murmur, Chest Pain
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Video topics will be matched to patient referral reason: Murmur, Chest Pain
|
|
활성 비교기: Group B: Syncope, Palpitations
Educational video topic: Syncope, Palpitations
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Video topics will be matched to patient referral reason: Syncope, Palpitations
|
|
활성 비교기: Group C: Sports Clearance, Kawasaki, General
Educational video topic: Sports Clearance, Kawasaki, General
|
Video topics will be matched to patient referral reason: Sports Clearance, Kawasaki, General
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Physician encounter time (minutes)
기간: During the 12 months of study interventions.
|
Measured from physician room entry to exit via electronic health record (EHR) timestamps or direct observation.
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During the 12 months of study interventions.
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Clinic throughput
기간: During the 12 months of study interventions.
|
Patients/session: Measured through timestamps (check-in, rooming, physician entry, discharge), visit type, referral reason and Provider schedules, patient volume
|
During the 12 months of study interventions.
|
|
Family knowledge
기간: During the 12 months of study interventions.
|
5-item condition-specific quiz
|
During the 12 months of study interventions.
|
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Patient satisfaction
기간: During the 12 months of study interventions.
|
single-item 5-point scale
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During the 12 months of study interventions.
|
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Physician satisfaction
기간: During the 12 months of study interventions.
|
brief post-session survey
|
During the 12 months of study interventions.
|
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Shared decision-making quality
기간: During the 12 months of study interventions.
|
CollaboRATE Shared Decision Making Score, 0-100.
The CollaboRATE measure provides a performance score representing the percentage of adults 18 and older who experience a high level of shared decision making.
|
During the 12 months of study interventions.
|
공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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