None listed
Conditions
Brief summary
Waiting is a universal phenomenon in health care access. This time is unproductive and frustrating for patients. Brief educational interventions targeting cardiovascular disease risk factors have shown potential for improving patient health outcomes. This trial will, in patients waiting for a cardiology clinic appointment, investigate the impact of a personalised series of curated health educational videos on satisfaction with clinic, motivation to improve lifestyle behaviours and actual lifestyle behaviours at end of clinic and 30 day follow up. In addition it will also investigate the potential for education specifically targeting CPR to improve awareness of and confidence to perform CPR. This will be compared to a control of usual care.
Interventions
Tablet Intervention: Patients randomised to intervention will be given a tablet that, after administering the baseline questionnaire, delivers a curated series of educational videos. The intervention will be offered for the duration of the waiting period (Approximately 30 minutes). Participants can return the tablet to clinic staff if they wish to cease the program. We will monitor adherence to the intervention by recording, within the online form, the amount of time participants spend on each video. This will be cross checked against video length. The intervention is designed to be self-administered, however a co-investigator (medical student) will be present in the clinic to assist participants should they have any questions. At the end of clinic, all participants complete a paper-based questionaire (approximately 2 minutes in length). The 30 day follow up will be administered via a 3 minute phone call with a co-investigator, who will be blinded to treatment allocation of both the cluster randomised controlled trial and nested individual randomised controlled trial. Nested Group: Within the intervention group will be a nested individual trial. Participants will be allocated to view or not view a 1:30 video on compression only CPR. If a participant is allocated to the intervention group, this video will be the first delivered, regardless of previously entered knowledge and topics of interest. Videos: We have a library of 21 different educational videos approximately 1:30 - 5:30 in length. Videos delivered to the participant will be personalised according to self-reported health knowledge and topics of interest. The number of videos offered to each patient will depend on the number of topics selected. The topics of interest include Hypertension, Heart Attack, Diet, Physical Activity, Medication, General Health and Smoking. Video content includes presentation-style videos with experts, conversational-style educational videos and animation-based education. Most contain a combination of education and health advice. All videos have been assessed by an Expert Reviewers Panel of hospital clinicians, allied health and research staff. Participants will be given over-ear headphones so as not to disturb others in the waiting room.
Sponsors
Study design
Eligibility
Inclusion criteria
- Over 18 years of age - Attended the Rapid Access Cardiology Clinic Westmead for specialist assessment of chest low-intermediate risk chest pain
Exclusion criteria
- Too unwell (physically or mentally) to participate in surveys - Previously allocated to either condition of the study - Insufficient English to understand video content or to participate in surveys