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Patients seen in the ED with either a laceration, minor head injury, or urinary tract infection will be randomized to one of two groups. Both groups will receive the standard written discharge instructions; in addition, one group will watch video discharge instructions. Each patient will be asked to complete a short survey with questions related to the discharge instructions received in the ED, and will be called 5-7 days after the ED visit to ask questions about discharge instructions and the ED visit.
Patients will be enrolled in the study at George Washington University Hospital's Emergency Department. Patients who consent will be randomly assigned to one of two groups; (1) standard Written Discharge Instructions from the nursing staff (2) standard Written Discharge Instructions from the nursing staff AND watching the Video Discharge Instructions on a tablet. Subjects will complete a survey after they have received their discharge instructions and before leaving the ER. Several (5-7) days after leaving the Emergency Department, subjects will receive a phone call from one of the investigators staff members asking 2-3 questions about their ED visit and how they treated the condition at home. The survey questions at discharge and at follow-up will pertain to how to care for the condition and will be based on the discharge instructions. The study is designed to determine if patients retain health information more accurately if they watch a video in addition to being given written information. A total sample size of 200 participants will be recruited. Enrollment for this study will begin June of 2016 and will continue until the investigators have enough participants. The data analyst will be blinded to treatment assignment when analyzing the data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Patients will receive video discharge instructions in addition to standard written discharge instructions. |
|
| Control | No Intervention | Patients will receive standard written discharge instructions. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video discharge instructions | Other | Discharge instructions provided in video form |
|
| Measure | Description | Time Frame |
|---|---|---|
| Understanding of discharge diagnosis using questionnaire | Right after the provider who discharges the patient goes over the discharge instructions with the subject, the investigators will administer the discharge questionnaire. | Immediately before leaving the emergency department for discharge home. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction of overall care in ED using questionnaire | Subjects will complete a telephone follow-up interview 5-7 days after ED discharge. | Five to seven days after the index ED visit. |
| Self-reported compliance with post-discharge care using questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Griffin Davis, MD | GW Medical Faculty Associates | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| George Washington University Hospital | Washington D.C. | District of Columbia | 20037 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23714763 | Background | Bloch SA, Bloch AJ. Using video discharge instructions as an adjunct to standard written instructions improved caregivers' understanding of their child's emergency department visit, plan, and follow-up: a randomized controlled trial. Pediatr Emerg Care. 2013 Jun;29(6):699-704. doi: 10.1097/PEC.0b013e3182955480. | |
| 24244272 | Result |
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| ID | Term |
|---|---|
| D014552 | Urinary Tract Infections |
| D006259 | Craniocerebral Trauma |
| D022125 | Lacerations |
| D001924 | Brain Concussion |
| ID | Term |
|---|---|
| D007239 | Infections |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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Subjects will complete a telephone follow-up interview 5-7 days after ED discharge. |
| Five to seven days after the index ED visit. |
| Comprehension of return precautions using questionnaire | Subjects will complete a telephone follow-up interview 5-7 days after ED discharge. | Five to seven days after the index ED visit. |
| Retention of understanding of discharge diagnosis using questionnaire | Subjects will complete a telephone follow-up interview 5-7 days after ED discharge. | Five to seven days after the index ED visit. |
| Atzema CL, Austin PC, Wu L, Brzozowski M, Feldman MJ, McDonnell M, Mazurik L. Speak fast, use jargon, and don't repeat yourself: a randomized trial assessing the effectiveness of online videos to supplement emergency department discharge instructions. PLoS One. 2013 Nov 11;8(11):e77057. doi: 10.1371/journal.pone.0077057. eCollection 2013. |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D020196 | Trauma, Nervous System |
| D009422 | Nervous System Diseases |
| D014947 | Wounds and Injuries |
| D000070642 | Brain Injuries, Traumatic |
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D016489 | Head Injuries, Closed |
| D014949 | Wounds, Nonpenetrating |