The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.
Abstract
Objective:This study evaluates the effectiveness of mobile discharge instruction videos (MDIVs) in communicating discharge instructions to patients with lacerations or sprains.Method:A prospective controlled study was performed on patients with lacerations or sprains in a quaternary emergency center from April 1, 2008 to May 31, 2008. Upon discharge, patients were systematically allocated to receive printed discharge instructions (PDIs) or MDIVs. Within 48 hours of the patients' discharge, a standard questionnaire was provided via telephone to evaluate the patients' comprehension of, convenience rating for, and satisfaction with their given discharge instructions.Results:Of the 645 patients with lacerations or sprains during the study period, a convenience sample of 161 patients was enrolled in the study; 77 in the PDIs group (the P group) and 84 in the MDIVs group (the M group). There were no statistically significant differences in the ages, genders, and levels of education of the subjects in the two groups. The mean of the correct answers on wound care in the questionnaire was 2.7 ± 0.7 in the M group and 2.4 ± 0.8 in the P group (P < 0.05). The convenience rating was 85.7% in the M group and 63.6% in the P group (P < 0.05). The rate of satisfaction was 90.5% in the M group and 90.9% in the P group (P > 0.05).Conclusion:The mobile discharge instruction video (MDIV) improved the communication of discharge instructions. Further studies will be needed to explore the actual compliance of patients to treatment regimens.
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References
References1. Hulka BS, Cassel JC, Kupper LL, et al. Communication, compliance, and concordance between physicians and patients with prescribed medications. Am J Public Health 1976;66:847–853.HulkaBS]]CasselJC]]KupperLL&etal;Communication, compliance, and concordance between physicians and patients with prescribed medications.Am J Public Health197666847-8532. Singal BM, Hedges JR, Rousseau EW, et al. Geriatric patient emergency visits. Part I: comparison of visits by geriatric and younger patients. Ann Emerg Med 1992;21:802–807.SingalBM]]HedgesJR]]RousseauEW&etal;Geriatric patient emergency visits. Part I: comparison of visits by geriatric and younger patients.Ann Emerg Med199221802-8073. Clarke C, Friedman SM, Shi K, et al. Emergency department discharge instructions comprehension and compliance study. CJEM 2005;7: 5–11.ClarkeC]]FriedmanSM]]ShiK&etal;Emergency department discharge instructions comprehension and compliance study.CJEM200575-114. Crane JA. Patient comprehension of doctor-patient communication on discharge from the emergency department. J Emerg Med 1997;15:1–7.CraneJAPatient comprehension of doctor-patient communication on discharge from the emergency department.J Emerg Med1997151-75. Wilson JT. Compliance with instructions in the evaluation of therapeutic efficacy. A common but frequently unrecognized major variable. Clin Pediatr (Phila) 1973;12:333–340.WilsonJTCompliance with instructions in the evaluation of therapeutic efficacy. A common but frequently unrecognized major variable.Clin Pediatr (Phila)197312333-3406. Vukmir RB, Kremen R, Dehart DA, et al. Compliance with emergency department patient referral. Am J Emerg Med 1992;10:413–417.VukmirRB]]KremenR]]DehartDA&etal;Compliance with emergency department patient referral.Am J Emerg Med199210413-4177. Delp C, Jones J. Communicating information to patients: the use of cartoon illustrations to improve comprehension of instructions. Acad Emerg Med 1996;3:264–270.DelpC]]JonesJCommunicating information to patients: the use of cartoon illustrations to improve comprehension of instructions.Acad Emerg Med19963264-2708. Austin PE, Matlack R III, Dunn KA, et al. Discharge instructions: do illustrations help our patients understand them? Ann Emerg Med 1995;25:317–320.AustinPE]]MatlackRIII]]DunnKA&etal;Discharge instructions: do illustrations help our patients understand them?Ann Emerg Med199525317-3209. Spandorfer JM, Karras DJ, Hughes LA, et al. Comprehension of discharge instructions by patients in an urban emergency department. Ann Emerg Med 1995;25:71–74.SpandorferJM]]KarrasDJ]]HughesLA&etal;Comprehension of discharge instructions by patients in an urban emergency department.Ann Emerg Med19952571-7410. Jolly BT, Scott JL, Sanford SM. Simplification of emergency department discharge instructions improves patient comprehension. Ann Emerg Med 1995;26:443–446.JollyBT]]ScottJL]]SanfordSMSimplification of emergency department discharge instructions improves patient comprehension.Ann Emerg Med199526443-44611. Lopez EJ. The art of using visual aids. Nurse Pract 2005;30(suppl):15–16.LopezEJThe art of using visual aids.Nurse Pract20053015-1612. Albert NM, Buchsbaum R, Li J. Randomized study of the effect of video education on heart failure healthcare utilization, symptoms, and self-care behaviors. Patient Educ Couns 2007;69:129–139.AlbertNM]]BuchsbaumR]]LiJRandomized study of the effect of video education on heart failure healthcare utilization, symptoms, and self-care behaviors.Patient Educ Couns200769129-13913. Volandes AE, Lehmann LS, Cook EF, et al. Using video images of dementia in advance care planning. Arch Intern Med 2007;167:828–833.VolandesAE]]LehmannLS]]CookEF&etal;Using video images of dementia in advance care planning.Arch Intern Med2007167828-83314. Jolly BT, Scott JL, Feied CF, et al. Functional illiteracy among emergency department patients: a preliminary study. Ann Emerg Med 1993;22:573–578.JollyBT]]ScottJL]]FeiedCF&etal;Functional illiteracy among emergency department patients: a preliminary study.Ann Emerg Med199322573-57815. Williams DM, Counselman FL, Caggiano CD. Emergency department discharge instructions and patient literacy: a problem of disparity. Am J Emerg Med 1996;14:19–22.WilliamsDM]]CounselmanFL]]CaggianoCDEmergency department discharge instructions and patient literacy: a problem of disparity.Am J Emerg Med19961419-2216. Powers RD. Emergency department patient literacy and the readability of patient-directed materials. Ann Emerg Med 1988;17:124–126.PowersRDEmergency department patient literacy and the readability of patient-directed materials.Ann Emerg Med198817124-126