- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT03138304
Trial of a Video Game Intervention to Recalibrate Physician Heuristics: A Followup Study
22 augusti 2017 uppdaterad av: Deepika Mohan, University of Pittsburgh
The objective of this study is to measure the duration of two different types of interventions to change physician decision making in trauma triage: a video game and an educational program.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
Treatment at trauma centers improves outcomes for patients with moderate-to-severe injuries.
Accordingly, professional organizations, state authorities, and the federal government have endorsed the systematic triage and transfer of these patients to trauma centers either directly from the field or after evaluation at a non-trauma center.
Nonetheless, between 30 to 40% of patients with moderate-to-severe injuries still only receive treatment at non-trauma centers, so-called under-triage.
Most of this under-triage occurs because of physician decisions (rather than first-responder decisions).
Existing efforts to change physician decision making focus primarily on knowledge of clinical practice guidelines and attitudes towards the guidelines.
These strategies ignores the growing consensus that decision making reflects both knowledge as well as intuitive judgments (heuristics).
Heuristics, mental short cuts based on pattern recognition, drive the majority of decision making.
The investigators developed an adventure video game (Night Shift) to serve as a novel method of recalibrating physician heuristics in trauma triage and compared its efficacy with a standard educational program.
This study is designed to measure the degradation of the treatment effect.
Studietyp
Interventionell
Inskrivning (Faktisk)
142
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
Pennsylvania
-
Pittsburgh, Pennsylvania, Förenta staterna, 15261
- University of Pittsburgh
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
- Barn
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
- Physicians who care for adult patients in the Emergency Department.
- Physicians who work at a non-trauma center.
- Physicians who work at a Level III/IV trauma center.
Exclusion Criteria:
- Physicians who work only at a Level I/II trauma center.
- Physicians who do not practice in the US.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: Adventure video game
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?
|
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.
|
Aktiv komparator: 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 complete questions in the Trauma Life Support MCQ Review, spending at least 1 hour on the combined tasks.
|
Two commercially available applications designed to teach physicians the trauma triage guidelines disseminated by the American College of Surgeons.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Undertriage
Tidsram: 6 months after completion of the intervention
|
Physicians in both arms of the study will be asked to complete an outcome assessment tool - a virtual simulation - six months after completion of their intervention.
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 calculate an under-triage rate for each physician (the number of simulated patients with severe injuries not transferred to a trauma center), will summarize the under-triage rate by group (Night Shift v. educational control), and will assess the difference in those rates.
|
6 months after completion of the intervention
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Undertriage for nonrepresentative and representative injuries
Tidsram: 6 months after completion of the intervention
|
We will categorize severely injured patients on the virtual simulation (the outcome assessment tool) as having representative or non-representative injuries.
We will summarize the undertriage rate of representative/non-representative injuries by intervention, and will compare the difference in those rates between groups.
|
6 months after completion of the intervention
|
Degradation in treatment effect
Tidsram: 6 months after completion of the intervention.
|
We will compare the undertriage rate of physicians the first and second time they complete the virtual simulation (time zero = initial enrollment; time one = six months post intervention).
We will compare the difference in the undertriage rates by intervention.
|
6 months after completion of the intervention.
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Samarbetspartners
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
2 maj 2017
Primärt slutförande (Faktisk)
1 juni 2017
Avslutad studie (Faktisk)
1 juni 2017
Studieregistreringsdatum
Först inskickad
30 april 2017
Först inskickad som uppfyllde QC-kriterierna
2 maj 2017
Första postat (Faktisk)
3 maj 2017
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
24 augusti 2017
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
22 augusti 2017
Senast verifierad
1 augusti 2017
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- MOD16070572-03 / PRO16070572
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
Ja
IPD-planbeskrivning
Researchers may contact the PI for access to deidentified participant data.
It will be released conditional on IRB approval.
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Nej
Studerar en amerikansk FDA-reglerad produktprodukt
Nej
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
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