A feasibility study to evaluate the effect of Talking About Medicines: Video Guides for Healthy Hearts

This prospective, observational, mixed-methods study will be carried out at Te Whatu Ora Te Toka Tumai, Auckland City Hospital, New Zealand. The aim is to explore the practicality of implementing animated educational videos in a clinical setting, gather insights from patients and healthcare providers, and assess the intervention's impact on medication knowledge and attitudes. The study will include 20 Maori inpatients aged 18 years or older who are admitted for acute coronary syndrome and have been initiated on new cardiovascular medications. The study will also include ten clinical staff members at the hospital who are directly involved in the care of patients diagnosed with acute coronary syndrome and who are involved in providing medication counselling. Convenience sampling will be employed to recruit participants. Both patients and clinical staff who meet the inclusion criteria and express an interest in participating will receive a participant information sheet detailing the study objectives, procedures, potential risks, and benefits. Informed consent will be obtained from those who agree to take part. Study procedure Patients: 1. Pre-intervention assessment: On consent, baseline demographic data such as age, gender, and current medication regimen will be collected. Patients will complete a survey assessing their initial knowledge, attitudes, and practices (KAP) regarding their new cardiovascular medications. This will serve as the baseline measurement. 2. Intervention: Patients will be equipped with a tablet device and headphones and will receive instructions on how to access the videos. These videos will explain how cardiovascular medications work, their importance, and the benefits of adhering to the prescribed regimen. The research assistant will monitor patient engagement with the video content throughout this process, documenting any technical issues or obstacles encountered during engagement. Patients can choose which videos to watch from a set of 10 educational videos, each with a maximum duration of 2 minutes. Patients will be able to watch the videos as many times as they wish. 3. Post-intervention assessment: After watching the videos, patients will complete a post-intervention assessment to assess changes in their knowledge, attitudes, and practices (KAP) concerning their cardiovascular medications. Additionally, the acceptability of the intervention will be evaluated using a modified version of the Theoretical Framework of Acceptability (TFA) questionnaire. The post-intervention survey will take approximately 5 minutes to complete. The research assistant will then schedule in-depth interviews with patients at a convenient time for both parties. Interview questions will focus on: • The relevance and usefulness of the video content. • Patients' understanding of the information presented. • Perceived cultural appropriateness and respectfulness of the content. • Likelihood of recommending the videos to others. • Any challenges faced during the intervention. Patients will have the opportunity to ask questions and seek clarification throughout the study. They can invite family or support people to be present during sessions if desired. The session, including baseline data collection, video viewing, post-intervention assessment, and the in-depth interview, is expected to last approximately 30 minutes. After the study, patients will receive a QR code to access the videos on a website, where they can create an account and continue watching them. Staff: 1. Pre-Intervention: Clinical staff will be asked to watch at least three of the educational videos, selecting the videos they wish to view. Following this, they will complete an initial questionnaire, which will take approximately 5 minutes to complete. This questionnaire will assess their overall impressions, including the clarity and relevance of the content, ease of website navigation, and perceived usefulness of the videos in clinical practice. Following the completion of this questionnaire, and where feasible, staff will be encouraged to implement the videos as part of their routine clinical care. To support this process, staff will receive a brief training session (approximately 10 minutes), which will cover how to access and navigate the video platform, as well as guidance on selecting appropriate patients for implementation. The videos may be used as a supplementary resource or, if deemed appropriate, as a replacement for existing patient education methods. Staff will be responsible for confirming with each patient whether they have previously viewed the videos, to ensure that patients included in this phase are not the same individuals who participated in the intervention delivered by the research assistant. Staff will then be asked to complete a second questionnaire, which will take approximately 5 minutes, evaluating the feasibility, acceptability, and appropriateness of integrating the videos into their practice. For staff who do not implement the videos, or who determine that they are not appropriate for their clinical context, their responses will reflect anticipated rather than actual implementation. 2. Post-implementation interviews: Staff will participate in a 30-minute interview to discuss their experiences, provide feedback on whether the intervention was implemented in practice, and share their perspectives. Interview questions will cover: - The practicality of integrating the videos into clinical practice. - Observations on patient engagement and feedback. - Challenges faced and potential improvements for future implementation. - The perceived impact of the videos on patients' understanding and adherence.