Video Discharge Instructions Research Articles

Experimental Study on Video Discharge Instructions for Pediatric Fever in an Emergency Department.

Fever is a frequent cause of consultation in the pediatric emergency department (PED). Adequate discharge instructions are essential to guarantee good management at home and can reduce caregivers' anxiety and re-consultations. This study compares the improvement of caregivers' knowledge regarding fever between verbal discharge instructions and the addition of a video to verbal information. As a secondary outcome, we compared the rate of return visits. An experimental, prospective, single-center study was conducted in a tertiary hospital PED. Patients between 3months and 5years old with febrile syndrome were enrolled. Patients with comorbidities or SARS-COV2 infection were excluded. First, caregivers answered a written test concerning fever characteristics, management, and warning signs. Patients were assigned by simple randomization to a control group (standard verbal and written instructions) or to an intervention group (which additionally received video instructions). After discharge, investigators contacted caregivers by telephone. Caregivers were asked to answer the same questions as in the written test in addition to the need for subsequent visits (at the PED or any other healthcare facility) after discharge. Seventy-three patients were randomized to the intervention group and 77 to the control group (2 were lost during follow-up). There were no differences in the acquisition of caregiver's knowledge, with a median score improvement of 2 points in both groups (control group interquartile range (IQR) 1-2; intervention group IQR 1-3) (P =.389). In the intervention group, we observed a significant increase of correct answers in 4 out of 7 questions compared to 3 out of 7 questions in the control group. In the control group, 18.7% reconsulted compared to 10.9% in the intervention group (P =.188). Video instructions were not superior to verbal instructions at improving caregivers' knowledge of fever overall. However, more questions obtained a significant score increase in those that received video and verbal instructions. Our results suggest that the addition of video instructions could help reduce return visits.

Assessing discharge knowledge for caregivers of newborn (Using Video Discharge Instructions as an Adjunct to Standard Written Instructions) in COVID period – A Randomized Controlled Trial

Assessing discharge knowledge for caregivers of newborn (Using Video Discharge Instructions as an Adjunct to Standard Written Instructions) in COVID period – A Randomized Controlled Trial

Effectiveness of Video-discharge Instructions about Colostomy Self-care on Awareness and Self-efficacy of Low-Literacy Patients

Effectiveness of Video-discharge Instructions about Colostomy Self-care on Awareness and Self-efficacy of Low-Literacy Patients

The Effect of Written and Video Discharge Instructions After Mild Traumatic Brain Injury on Healthcare Costs and Productivity Costs.

To compare healthcare and productivity costs between patients with mild traumatic brain injury (mTBI) who received verbal discharge instructions only and patients who received an additional flyer with or without video instructions. Emergency departments (EDs) of 6 hospitals in the Netherlands. In total, 1155 adult patients with mTBI (384 with verbal instructions; 771 with additional flyer with or without video instructions) were included. Cost study with comparison between usual care and intervention. Medical and productivity costs up to 3 months after presentation at the ED were compared between mTBI patients with usual care and mTBI patients who received the intervention. Mean medical costs per mTBI patient were slightly higher for the verbal instructions-only cohort (€337 vs €315), whereas mean productivity costs were significantly higher for the flyer/video cohort (€1625 vs €899). Higher productivity costs were associated with higher working age, injury severity, and postconcussion symptoms. This study showed that the implementation of flyer (and video) discharge instructions for patients with mTBI who present at the ED increased reports of postconcussion symptoms and reduced medical costs, whereas productivity costs were found to be higher for the working population in the first 3 months after the sustained head injury.

Utilization of Educational Videos to Improve Communication and Discharge Instructions.

IntroductionWhen discharging a patient from the emergency department (ED), it is crucial to make sure that they understand their disposition and aftercare instructions. However, numerous factors make it difficult to ensure that patients understand their next steps. Our objective was to determine whether patient understanding of ED discharge and aftercare instructions could be improved through instructional videos in addition to standard written discharge instructions.MethodsThis was a prospective pre- and post-intervention study conducted at a single-center, academic tertiary care ED. Patients presenting with the five selective chief complaints (closed head injury, vaginal bleeding, laceration care, splint care, and upper respiratory infection) were given questionnaires after their discharge instructions to test comprehension. Once video discharge instructions were implemented, patients received standard discharge instructions in addition to video discharge instructions and were given the same questionnaire. A total of 120 patients were enrolled in each group.ResultsThere were significantly better survey scores after video discharge instructions (VDI) vs standard discharge instructions (SDI) for the closed head injury (27% SDI vs 46% VDI, P = 0.003); upper respiratory infection (28% SDI vs 64% VDI; P < 0.0001); and vaginal bleeding in early pregnancy groups (20% SDI vs 60% VDI, P < 0.0001). There were no significant differences in survey scores between the splint care (53% SDI vs 66% VDI; P = 0.08) and suture care groups (29% SDI vs 31% VDI; P = 0.40).ConclusionVideo discharge instructions supplementing standard written instructions can help improve patient comprehension and information retention. This better understanding of aftercare instructions is essential to patient follow-up and has been shown to improve patient outcomes.

Effect of Video Discharge Instructions for Patients With Mild Traumatic Brain Injury in the Emergency Department: A Randomized Controlled Trial

We measure the effect of video discharge instructions on postconcussion symptoms in patients with mild traumatic brain injury in the emergency department. A multicenter randomized controlled trial was conducted in which patients with mild traumatic brain injury were randomly assigned to either intervention (verbal, written, and video discharge information) or control (verbal and written discharge information only). All patients were interviewed 1 week and 3 months from randomization. Primary outcome measure was the Rivermead Post-Concussion Symptoms Questionnaire at 3 months. Secondary outcomes were correct recall, Hospital Anxiety and Depression Scale score, health-related quality of life (12-Item Short Form Health Survey), return visits, and patient satisfaction. A total of 2,883 patients were assessed for eligibility, of whom 381 were included in the control group and 390 in the video intervention group. Difference in mean total Rivermead Post-Concussion Symptoms Questionnaire score between the 2 groups was 0.2 at 1 week and 0.3 at 3 months after traumatic brain injury (estimated effect -0.7; 95% confidence interval -2.1 to 0.7). There was also no difference in Hospital Anxiety and Depression Scale score, recall, 12-Item Short Form Health Survey score, return visits, and patient satisfaction between the control and intervention group. Severity of postconcussion symptoms in patients with mild traumatic brain injury did not improve by adding video information to standard care. Also, there was no difference in recall, health-related quality of life, return visits, and patient satisfaction between the control and intervention groups.

Use of Tablet Video for Delivery of Neonatal Discharge Instructions to First-Time Parents.

While video discharge instructions have been shown to improve retention of information and patient satisfaction, data are limited regarding patient perceptions of video tools. We conducted a randomized controlled trial to assess self-rated comprehension and overall satisfaction with video versus face-to-face neonatal discharge instructions in first-time mothers. Video instructions were no different from face-to-face instructions, though there was a nonsignificant increase in confidence in caring for their newborn in the video group. Broader use of technology may allow for a more standardized approach to patient education and improve efficiency for clinicians, without compromising patient satisfaction and confidence in caring for themselves and their dependents.

Video discharge instructions for pediatric gastroenteritis in an emergency department: a randomized, controlled trial.

The aim was to evaluate if the addition of video discharge instructions (VDIs) to usual verbal information improved the comprehension of information provided to caregivers of patients who consult for acute gastroenteritis (AGE). We conducted an open-label, parallel, randomized trial, enrolling patients who consulted for AGE at a tertiary hospital. First, caregivers answered a written test concerning AGE characteristics and management. They were randomly allocated to a control group, which received the usual verbal instructions, or to an intervention group, which additionally received VDI. After discharge, caregivers were contacted by telephone and answered the same test, satisfaction questions, and follow-up information. From September 2019 to March 2020, 139 patients were randomized, 118 completed follow-up. The mean score was 3.13 (SD 1.07) over 5 points in the initial test and 3.96 (SD 0.96) in the follow-up test. Patients in the intervention group had a greater improvement (1.17 points, SD 1.11) than those in the control group (0.47 points, SD 0.94, p < 0.001). In the follow-up test, 49.1% in the intervention group and 18.6% in the control group answered all questions correctly (p < 0.001). There were no significant differences in return visits. Caregivers gave high satisfaction scores regardless of the allocation group.Conclusion: Video instructions improve caregivers’ understanding of discharge information.Trial registration: [NCT04463355, retrospectively registered July 9, 2020].What is Known:• Poor comprehension of discharge instructions leads to incorrect treatment after discharge, increased readmissions and a reduction of caregivers’ satisfaction.• Video discharge instructions are useful providing concise information independently of the patients’ health literacy level or communication skills of the health care providerWhat is New:• The addition of video discharge instructions to verbal instructions improves caregivers’ knowledge about AGE improved with respect to those who only receive verbal instructions• Video instructions do not add extra time to the emergency department visitsElectronic supplementary materialThe online version of this article (10.1007/s00431-020-03827-w) contains supplementary material, which is available to authorized users.

Effect of written and video discharge instructions on parental recall of information about analgesics in children: a pre/post-implementation study.

The aim of this study was to determine whether written and video instructions improved the recall of how to use analgesics correctly in parents of children discharged following assessment in the emergency department (ED). This was a prospective pre- and post-implementation study set in the EDs of a tertiary teaching hospital and an urban general hospital in the Netherlands. The participants were parents/carers of children under 12-years-old who had been assessed in and subsequently discharged from the ED. The pre-implementation phase involved 165 participants; the post-phase involved 174 participants. In the post-implementation phase, written instructions about correct analgesic use in children and a link to an online video were provided at discharge. Endpoints were measured using a questionnaire designed to ascertain participants' recall of how to use analgesics correctly and their patterns of use, completed 3-5 days following discharge of their child from the ED. Additionally, participants were asked about re-attending healthcare services and their satisfaction with and preferences for information about analgesic use. Recall of the correct use of analgesics was significantly higher in participants in the post-implementation phase compared to the pre-implementation phase [difference 29%; 95% confidence interval (CI) 19-39%]. In the post-implementation phase, participants represented to healthcare services less frequently (difference -6%; 95% CI -13-0%). Patterns of use of analgesics varied between the pre- and post-phases, with significantly more participants giving analgesics at home (difference 11%; 95% CI 1-20%). Participants in the post-implementation phase were significantly more (highly) satisfied about the analgesic advice they received compared to parents in the pre-implementation phase (difference -13; 95% CI -23% to -3%). Verbal (93%) or written instructions (83%) were the most popular choices for discharge instructions. In our study, we observed that the recall of the correct use of analgesics was increased in participants who had been given written instructions at discharge.

Lights, Camera, Education in Action!: Creating video discharge instructions to improve patient and caretaker knowledge of concussions in the pediatric emergency department

Background: From Instagram stories to viral YouTube clips, short and easily-shareable videos are now ubiquitous. By learning how to create like content, pediatric providers can better educate patients and caregivers on various diagnoses. Concussions frequently present to the pediatric emergency department (ED) immediately after injury. Studies have shown that, due to common misconceptions and media misrepresentations, many pediatric patients and caregivers are unable to identify the symptoms of a concussion and perceive concussions to be non-severe injuries. Video discharge instructions (VDI) may serve as an important educational tool …

Lights, Camera, Education in Action!: Creating video discharge instructions to improve patient and caretaker knowledge of concussions in the pediatric emergency department

Lights, Camera, Education in Action!: Creating video discharge instructions to improve patient and caretaker knowledge of concussions in the pediatric emergency department

Hot Off the Press: Video for Acute Otitis Media Discharge Instructions.

Acute otitis media (AOM) in children is a common illness that results in numerous visits to health care providers for the management of pain and fever. Children often continue to experience pain, fever, or both up to a week after their initial visit, which has a significant effect on the patient and their caregiver. Unfortunately, less than 30% of parents receive instructions on pain management. Thus, there is a clear need to improve the delivery of discharge instructions for AOM.

Instrucciones de Alta por Video: Effectiveness of Video Discharge Instructions for Spanish-Speaking Caregivers in the Pediatric Emergency Department

IntroductionAlthough evidence supports the addition of video discharge instructions to improve caregiver knowledge among English-speaking caregivers of children in the pediatric emergency department, there is no evidence about the effectiveness of videos for Spanish-speaking caregivers. The purpose of this study was to test whether Spanish video discharge instructions added to standard written and oral discharge instructions would result in improved knowledge and satisfaction among caregivers compared with written and oral instructions alone. MethodsSpanish videos were created for fever, gastroenteritis, and bronchiolitis. A quasi-experimental, consecutive-sample, pre–post-test design was used with an audio computer-assisted survey platform to provide surveys in Spanish. The intervention group received written and oral instructions + video, whereas the comparison group received written and oral instructions alone. ResultsData were collected from 150 caregivers. Caregivers who were given written and oral instructions + video showed significant knowledge improvement regarding their child’s diagnosis and treatment (+19.3% and +23.6%, respectively, among standard participants; P < 0.001). Moreover, videos did not significantly improve caregivers’ knowledge regarding illness duration and when to seek further care. Regardless of the discharge instruction format, no significant difference was observed in the helpfulness of the instructions (-1%; pre vs post, 84% vs 80%; χ2 = 0.35; P = 0.58). DiscussionStudy results demonstrate that when tailored to reflect diagnosis-specific education, video discharge instructions can improve Spanish-speaking caregiver knowledge about discharge education compared with written and oral instructions alone. Videos can be integrated to standardize the ED discharge process as an adjunct to nurse-provided written and oral instructions with an interpreter for Spanish-speaking families.

Effects of Video Discharge Instructions on Patient Understanding: A Prospective, Randomized Trial.

Previous studies demonstrated that patients have difficulty understanding and retaining discharge instructions due to the lack of time spent counseling patients and low health literacy rates. The purpose of this study was to evaluate the effects of video instructions on patient understanding of their discharge instructions. This was a prospective, randomized, controlled trial of a convenience sample conducted in a military hospital emergency department. Adult patients with a diagnosis of upper respiratory tract infection, pharyngitis, or gastroenteritis were included into the study. Investigators randomized subjects to either standard discharge procedures or standard discharge procedures plus video discharge instructions, using a random number generator. Ten minutes after receiving one of these 2 discharge education methods, subjects demonstrated their knowledge of their discharge instructions using a predefined 5-question, multiple-choice questionnaire. From October 1, 2015, to January 8, 2016, a total of 60 subjects volunteered to participate in the study. Zero subjects were excluded, and all subjects completed the study protocol. Baseline characteristics between groups were not significantly different (30 video discharge instructions and 30 standard discharge instructions). We found a significant difference between groups with respect to discharge instructions knowledge in favor of the video discharge instructions group (4.53 vs. 4; p = 0.009). Video discharge instructions, used as an adjunct to standard verbal and written discharge methods, improved patient understanding and retention of their discharge instructions.

Video Discharge Instructions for Acute Otitis Media in Children: A Randomized Controlled Open-label Trial.

Thirty percent of children with acute otitis media (AOM) experience symptoms<7 days after initiating treatment, highlighting the importance of comprehensive discharge instructions. We randomized caregivers of children 6 months to 17 years presenting to the emergency department (ED) with AOM to discharge instructions using a video on management of pain and fever to a paper handout. The primary outcome was the AOM Severity of Symptom (AOM-SOS) score at 72 hours postdischarge. Secondary outcomes included caregiver knowledge (10-item survey), absenteeism, recidivism, and satisfaction (5-item Likert scale). A total of 219 caregivers were randomized and 149 completed the 72-hour follow-up (72 paper and 77 video). The median (IQR) AOM-SOS score for the video was significantly lower than paper, even after adjusting for preintervention AOM-SOS score and medication at home (8 [7-11] vs. 10 [7-13], respectively; p=0.004). There were no significant differences between video and paper in mean (±SD) knowledge score (9.2 [±1.3] vs. 8.8 [±1.8], respectively; p=0.07), mean (±SD) number of children that returned to a health care provider (8/77 vs. 10/72, respectively; p=0.49), mean (±SD) number of daycare/school days missed by child (1.2 [±1.5] vs. 1.1 [±2.1], respectively; p=0.62), mean (±SD) number of workdays missed by caregiver (0.5 [±1] vs. 0.8 [±2], respectively; p=0.05), or median (IQR) satisfaction score (5 [4-5] vs. 5 [4-5], respectively; p=0.3). Video discharge instructions in the ED are associated with less perceived AOM symptomatology compared to a paper handout.

Patient Preference for Medical Information in the Emergency Department: Post-Test Survey of a Random Allocation Intervention

IntroductionHealth literacy can create barriers for ED staff attempting to communicate important information to patients. Video discharge instructions may address some of these barriers by improving patients’ comprehension of medical information and addressing health literacy challenges. MethodsOne hundred ninety-six patients diagnosed with either hypertension, asthma, congestive heart failure, or diabetes were randomly assigned to 1 of 2 interventions: watching video medical information followed by reviewing written discharge instructions or written instructions first, followed by video education. After the interventions, patients from both groups completed surveys assessing their preferences for receiving medical information. ResultsWe found that 44% (n = 86/196) of ED patients preferred receiving medical information in video format, whereas 18% (n = 35/196) favored the written format, and 38% (n = 75/196) of the sample preferred receiving both formats. Fifty-five percent of men (n = 38/69) preferred the video format, whereas 42% (n = 51/122) of women indicated a preference for both video and written formats. Learning something new from the video was associated with patient preference for receiving medical instructions, (χ2 [1] = 9.39, P = 0.01) and the desire to watch medical videos or read information at home via the Internet (χ2 [1] = 18.46, P < 0.001). DiscussionThe majority of ED patients in this study preferred medical information in video or video plus written formats, compared with written-only format.

Patient Discharge Instructions in the Emergency Department and Their Effects on Comprehension and Recall of Discharge Instructions: A Systematic Review and Meta-analysis

We conduct a systematic review with meta-analysis to provide an overview of the different manners of providing discharge instructions in the emergency department (ED) and to assess their effects on comprehension and recall of the 4 domains of discharge instructions: diagnosis, treatment, follow-up, and return instructions. We performed a systematic search in the PubMed, EMBASE, Web of Science Google Scholar, and Cochrane databases for studies published before March 15, 2018. A quality assessment of included articles was performed. Pooled proportions of correct recall by manner of providing discharge instructions were calculated. A total of 1,842 articles were screened, and after selection, 51 articles were included. Of the 51 included studies, 12 used verbal discharge instructions only, 30 used written discharge instructions, and 7 used video. Correct recall of verbal, written, and video discharge instructions ranged from 8% to 94%, 23% to 92%, and 54% to 89%, respectively. Meta-analysis was performed on data of 1,460 patients who received verbal information only, 3,395 patients who received written information, and 459 patients who received video information. Pooled data showed differences in correct recall, with, on average, 47% for patients who received verbal information (95% confidence interval 32.2% to 61.7%), 58% for patients who received written information (95% confidence interval 44.2% to 71.2%), and 67% for patients who received video information (95% confidence interval 57.9% to 75.7%). Communicating discharge instructions verbally to patients in the ED may not be sufficient. Although overall correct recall was not significantly higher, adding video or written information to discharge instructions showed promising results for ED patients.

The effectiveness of video discharge instructions for acute otitis media in children: a randomized controlled trial

Purpose 30% of children with acute otitis media (AOM) experience symptoms up to 7 days into the illness, highlighting the importance of comprehensive ED discharge instructions. We sought to determine if video discharge instructions associated with improved symptomatology compared to a paper handout. Methods We conducted a randomized, controlled, open-label, superiority trial comparing ED discharge instructions using a novel 5-minute video (Easy Sketch Pro3TM) on management of pain and fever to a paper …

The effectiveness of video discharge instructions for acute otitis media in children: a randomized controlled trial

The effectiveness of video discharge instructions for acute otitis media in children: a randomized controlled trial

130 Patient Preference for Receiving Their Discharge Instructions From the Emergency Department

Health literacy in the emergency department (ED) can be low. Misunderstanding aftercare instructions is associated with adverse outcomes. The use of video discharge instructions is associated with a higher disease comprehension rates and aftercare compliance compared to paper instructions. The objective of our study was to determine the method that patients preferred to receive their discharge instructions. We randomly assigned 196 active emergency department patients that had a diagnosis of either hypertension, asthma, congestive heart failure, or diabetes to first receive discharge instructions for their condition by watching a medical education video or by reviewing written discharge instructions. Subjects then received written discharge instructions or watched a medical video, respectively. After both interventions subjects completed a survey. Chi-square and descriptive statistics were used in the analysis. We found that 44% of emergency department patients preferred to receive discharge instruction information in video format compared to 18% in written format and 38% for both video and written formats. The preferred method of receiving discharge instructions for women (n = 122) was 38%, 21%, and 42% for video, written, and both video and written, respectively. The preferred method of receiving discharge instructions for men (n = 69) was 55%, 12%, and 33% for video, written, and both video and written, respectively. Men were more likely to prefer the video format compared to women (p = 0.05). There were no significant differences (p > 0.05) between subjects with hypertension, asthma, congestive heart failure, and diabetes for preferring to receive discharge instructions as video, written, or both or whether subjects received video or written instructions first. There were no significant differences in receiving discharge preference based on age, education level, or the existence of home Internet access (p > 0.05). Having learned something new by watching the video was associated with wanting to receive discharge instructions by video or written plus video formats (p < 0.001). Most ED patients preferred to receive their discharge instructions by watching a video or by watching a video along with written instructions, rather than by just receiving written discharge instructions.