Attitude of patients, healthcare professionals, and noninjured lay persons towards online video instructions on mild traumatic brain injury: a cross-sectional study

International Journal of Emergency Medicine, Jul 2017

Background The objective of this study was to determine the attitude of patients, healthcare professionals, and noninjured lay persons towards adding a video with discharge instructions to patient care for patients with mild traumatic brain injury (MTBI). A survey was conducted at the emergency department (ED). Participants consisted of MTBI patients (n = 50), healthcare professionals (n = 50), and noninjured lay persons (n = 50). The participants viewed a video with discharge instructions on MTBI and filled out a questionnaire that measured their attitude towards the use of a video as part of discharge instructions. Findings Nearly all healthcare professionals (94%) and 70% of the noninjured lay persons considered the video to be a valuable addition to oral discharge instructions. For 84% of patients, verbal information from the doctor is of importance. And, 50% of patients would like to receive additional video discharge instructions. Conclusions The majority of noninjured lay persons and healthcare professionals and half of the MTBI patients consider a video with discharge instructions to be a valuable addition to patient care. Video discharge instructions are a relative low-cost measure that could enhance patient care at the ED, provided that this does not compromise the personal contact between patient and healthcare professional.

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Attitude of patients, healthcare professionals, and noninjured lay persons towards online video instructions on mild traumatic brain injury: a cross-sectional study

Hoek et al. International Journal of Emergency Medicine Attitude of patients, healthcare professionals, and noninjured lay persons towards online video instructions on mild traumatic brain injury: a cross-sectional study Amber E. Hoek 0 Maaike van den Hamer 0 Carianne K. Deelstra 0 Ed F. van Beeck 2 Diederik W. J. Dippel 1 Juanita A. Haagsma 0 2 Pleunie P. M. Rood 0 0 Department of Emergency Medicine, Erasmus University Medical Center , P.O. Box 2040, 3000 CA Rotterdam , The Netherlands 1 Department of Neurology, Erasmus University Medical Center , P.O. Box 2040, 3000 CA Rotterdam , The Netherlands 2 Department of Public Health, Erasmus University Medical Center , P.O. Box 2040, 3000 CA Rotterdam , The Netherlands Background: The objective of this study was to determine the attitude of patients, healthcare professionals, and noninjured lay persons towards adding a video with discharge instructions to patient care for patients with mild traumatic brain injury (MTBI). A survey was conducted at the emergency department (ED). Participants consisted of MTBI patients (n = 50), healthcare professionals (n = 50), and noninjured lay persons (n = 50). The participants viewed a video with discharge instructions on MTBI and filled out a questionnaire that measured their attitude towards the use of a video as part of discharge instructions. Findings: Nearly all healthcare professionals (94%) and 70% of the noninjured lay persons considered the video to be a valuable addition to oral discharge instructions. For 84% of patients, verbal information from the doctor is of importance. And, 50% of patients would like to receive additional video discharge instructions. Conclusions: The majority of noninjured lay persons and healthcare professionals and half of the MTBI patients consider a video with discharge instructions to be a valuable addition to patient care. Video discharge instructions are a relative low-cost measure that could enhance patient care at the ED, provided that this does not compromise the personal contact between patient and healthcare professional. Mild traumatic brain injury; Emergency department; Discharge instructions; Video Introduction Mild traumatic brain injury (MTBI), or concussion, often leads to persistent symptoms. These symptoms, such as headaches, mild cognitive problems, and dizziness, may last for weeks or even months after the concussion [ 1–3 ]. Evidence suggests that providing patients with discharge instructions containing adequate educational information on MTBI can help reduce or even prevent post-concussion symptoms, particularly early after the injury [ 4 ]. Patients remember discharge instructions better when they receive written instructions additional to oral information only [ 5 ]. However, a prerequisite for the effectiveness of written discharge instruction is a sufficient literacy level of the recipient. For some treatments in the emergency department (ED) video discharge instructions have shown to improve comprehension and recall of key points [ 6, 7 ]. However, for patients with brain concussion, potentially suffering from headache and cognitive problems, this is unknown. An important step in finding the most effective way of providing patient information on MTBI is to assess the feasibility and acceptability of an online video with discharge instructions. The objective of this study was to determine the attitude of patients, healthcare professionals, and noninjured lay persons towards adding a video with discharge instructions to patient care for patients with MTBI. Methods A survey study was conducted at the ED of a tertiary center in Rotterdam, the Netherlands, between November 2014 and July 2015. The aim was to include 50 MTBI patients, 50 healthcare professionals, and 50 noninjured lay persons. The study subjects consisted of a convenience sample of MTBI patients, healthcare professionals, and noninjured lay persons. The noninjured lay persons were recruited from a social network by contacting them personally or by email. Snowball sampling was used for the recruitment strategy, i.e., participants were asked to recruit future participants among their contacts. The selection criterion was that the noninjured lay persons were not engaged in any medical profession. The healthcare professionals consisted of nurses and doctors. Selection criteria for the healthcare professionals were that they had to be entrusted with the care for MTBI patients and were not involved in the study. Healthcare professionals were recruited during their shift at the ED or the neurology department. The selection criteria for MTBI patients were treatment at the ED, aged 18 years and older, a Glasgow Coma Scale (GCS; a neurological scale ranging from 3 to 15 that is based on eye, motor, and verbal responses of the patient) greater than 13 at first contact, and post-traumatic loss of consciousness of less than 30 min (indicated in the history of the patients). MTBI patients were exclu (...truncated)


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Amber E. Hoek, Maaike van den Hamer, Carianne K. Deelstra, Ed F. van Beeck, Diederik W. J. Dippel, Juanita A. Haagsma, Pleunie P. M. Rood. Attitude of patients, healthcare professionals, and noninjured lay persons towards online video instructions on mild traumatic brain injury: a cross-sectional study, International Journal of Emergency Medicine, 2017, pp. 25, Volume 10, Issue 1, DOI: 10.1186/s12245-017-0151-x