Video Education Intervention in the Emergency Department

Overview

The purpose of this study is to evaluate if an educational video viewed during the Emergency Department visit will improve parent knowledge of pain management, reduce parent anxiety, and change their use of analgesics at-home after discharge from the Emergency Department.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Supportive Care
    • Masking: Triple (Participant, Care Provider, Outcomes Assessor)
  • Study Primary Completion Date: August 2012

Detailed Description

This study will investigate the use of a video instruction for parents just prior to discharge on pain treatment for their child. The investigators plan to investigate the effect of the video on knowledge because educational modules in the form of videotapes have been shown to be an effective method to improve a parent's knowledge about pain management prior to surgical procedures. Because parental anxiety has a significant impact on a child's experience of pain and video education has been shown to reduce parent anxiety before a procedure, the investigators will also evaluate if parental anxiety is reduced. Whether or not a short video will change the behavior of parents or their satisfaction with the outcome at home has not been investigated and will be an exploratory hypothesis for this study. This research will be a first step towards optimizing the outpatient care for common diagnoses in the Emergency Department.

Interventions

  • Behavioral: Pain management video
    • 6-minute video
  • Behavioral: Falls Prevention Video
    • 6-minute video

Arms, Groups and Cohorts

  • Experimental: pain management video
    • Experimental
  • Placebo Comparator: falls prevention video
    • placebo

Clinical Trial Outcome Measures

Primary Measures

  • Change in parent knowledge from baseline
    • Time Frame: on day 0 in the ED
    • A parent knowledge test will be completed by parents prior to the video intervention, immediately after the video intervention, and on day 3 after the video intervention.

Secondary Measures

  • Change in anxiety from baseline
    • Time Frame: on day 0 in the ED
    • Parent’s anxiety will be measured using a validated pain scale before and immediately after the video intervention
  • Pain medication use
    • Time Frame: assessed on day 0, 1, 2, 3
    • Pain medicatin use collected in a diary at-home after ED treatment
  • Child’s pain
    • Time Frame: on day 0, 1, 2, 3
    • child’s reported pain at-home after ED treatment
  • satisfaction
    • Time Frame: on day 1, 2, and 3
    • child and parent at-home satisfaction utilizing a validated likert scale will be assesed on day 1, 2, and 3 after ED treatment to determine if the intervention results in improved satisfaction with pain treatment after discharge home

Participating in This Clinical Trial

Inclusion Criteria

  • complaint of pain or injury and laceration, fracture or spring, contusion, crush injuries, head injury, motor vehicle collision, or burn. Exclusion Criteria:

  • non- English speaking parents – primary caregiver not with child in Emergency Department

Gender Eligibility: All

Minimum Age: 4 Years

Maximum Age: 18 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Medical College of Wisconsin
  • Provider of Information About this Clinical Study
    • Principal Investigator: Amy Drendel, Principal Investigator: Assistant Professor, DO, MS – Medical College of Wisconsin
  • Overall Official(s)
    • Amy L Drendel, DO, Principal Investigator, Medical College of Wisconsin

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