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.
Przegląd badań
Status
Warunki
Szczegółowy opis
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
Typ studiów
Zapisy (Szacowany)
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Sannya Hede, MD
- Numer telefonu: 361-694-5000
- E-mail: sannya.hede@dchstx.org
Kopia zapasowa kontaktu do badania
- Nazwa: Erin Richmond, MS, RN
- Numer telefonu: 361-694-5978
- E-mail: erin.richmond@dchstx.org
Lokalizacje studiów
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-
Texas
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San Antonio, Texas, Stany Zjednoczone, 78251
- Rekrutacyjny
- Driscoll Children's Cardiology Clinic- San Antonio
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Główny śledczy:
- Sannya Hede, MD
-
Kontakt:
- Erin Richmond, MS, RN
- Numer telefonu: 361-694-5978
- E-mail: erin.richmond@dchstx.org
-
Kontakt:
- Sannya V Hede, MD
- Numer telefonu: 361-694-5000
- E-mail: sannya.hede@dchstx.org
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dziecko
- Dorosły
Akceptuje zdrowych ochotników
Opis
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
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Inny
- Przydział: Randomizowane
- Model interwencyjny: Zadanie sekwencyjne
- Maskowanie: Pojedynczy
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Aktywny komparator: 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
|
|
Aktywny komparator: Group B: Syncope, Palpitations
Educational video topic: Syncope, Palpitations
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Video topics will be matched to patient referral reason: Syncope, Palpitations
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Aktywny komparator: Group C: Sports Clearance, Kawasaki, General
Educational video topic: Sports Clearance, Kawasaki, General
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Video topics will be matched to patient referral reason: Sports Clearance, Kawasaki, General
|
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Physician encounter time (minutes)
Ramy czasowe: During the 12 months of study interventions.
|
Measured from physician room entry to exit via electronic health record (EHR) timestamps or direct observation.
|
During the 12 months of study interventions.
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Clinic throughput
Ramy czasowe: 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
Ramy czasowe: During the 12 months of study interventions.
|
5-item condition-specific quiz
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During the 12 months of study interventions.
|
|
Patient satisfaction
Ramy czasowe: 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
Ramy czasowe: During the 12 months of study interventions.
|
brief post-session survey
|
During the 12 months of study interventions.
|
|
Shared decision-making quality
Ramy czasowe: 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.
|
Współpracownicy i badacze
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Inne numery identyfikacyjne badania
- DCHIRB-FY2026-11
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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