Patient Satisfaction
Conditions
Brief summary
This study compares patient satisfaction after labor and delivery with access to either the default educational materials available, or to a table computer set to display an educational website, thepainlesspush.com.
Detailed description
This is a prospective randomized controlled study. The investigators hypothesize that parturients with access to the website will exhibit greater satisfaction with labor and delivery pain control. Potential participants will be recruited from the University of New Mexico Hospital (UNMH) Labor & Delivery floor. Patients will be enrolled following an oral consent process. They will be randomized into either control group or intervention group. Control group participants will have their standard of care visit with an anesthesiologist and routine hospital pain-relief information. Intervention group participants will have their standard of care visit with an anesthesiologist, plus one hour in which to view the patient education website thepainlesspush.com, on an iPad provided by the Anesthesiology department for this purpose. After their delivery and transfer to the mother/baby unit, participants will complete a satisfaction survey brought to them by a study team member. Participants will complete the survey following their delivery and prior to discharge. The primary team will notify us with expected discharge in which we will retrieve the survey from them in their room and answer any last questions. Their active participation in the study will be complete at this time. After a participant completes the satisfaction survey, research team members will collect demographic information and relevant obstetric/medical history information from the electronic medical record.
Interventions
OTHERAccess to routine information
Access to routine pain-control information
OTHERAccess to website
Access to informational website: thepainlesspush.com
Sponsors
University of New Mexico
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All English- or Spanish-speaking patients who are admitted to UNMH Labor and Delivery for planned progression to active labor.
Exclusion criteria
* Age under 18 years * Patients unable to provide consent for medical procedures * Patients who do not speak either English or Spanish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction With Pain Control in Labor | Following delivery and prior to discharge, up to two days | Satisfaction as measured by agreement with Likert scale questionnaire item I was satisfied with my choice for pain control in labor where 1 = strongly disagree, 3 = neither agree nor disagree, and 5 = strongly agree. High scores indicate high satisfaction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Epidural Analgesia Utilization Rate | On day of delivery | Number of patients receiving epidural analgesia |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Baseline Group Access to existing educational materials about labor/delivery pain relief options, as well as an opportunity to ask physicians, nurses, and other relevant personnel for more information.
Access to routine information: Access to routine pain-control information | 50 |
| Website Group Access to a tablet computer set to display an educational website (thepainlesspush.com) with information about labor/delivery pain relief options, as well as an opportunity to ask physicians, nurses, and other relevant personnel for more information.
Access to website: Access to informational website: thepainlesspush.com | 56 |
| Total | 106 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 2 | 1 |
Baseline characteristics
| Characteristic | Baseline Group | Website Group | Total |
|---|---|---|---|
| Age, Continuous | 28 years | 29 years | 29 years |
| Arrived at hospital desiring labor epidural | 27 Participants | 29 Participants | 56 Participants |
| Had chosen preferred labor analgesia type before hospital arrival | 40 Participants | 42 Participants | 82 Participants |
| Language preference English | 39 Participants | 43 Participants | 82 Participants |
| Language preference Spanish | 9 Participants | 12 Participants | 21 Participants |
| Language preference Unknown | 2 Participants | 1 Participants | 3 Participants |
| Race and Ethnicity Not Collected | — | — | 0 Participants |
| Region of Enrollment United States | 50 participants | 56 participants | 106 participants |
| Sex: Female, Male Female | 50 Participants | 56 Participants | 106 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 37 | 0 / 43 |
| other Total, other adverse events | 0 / 37 | 0 / 43 |
| serious Total, serious adverse events | 0 / 37 | 0 / 43 |
Outcome results
Primary
Patient Satisfaction With Pain Control in Labor
Satisfaction as measured by agreement with Likert scale questionnaire item I was satisfied with my choice for pain control in labor where 1 = strongly disagree, 3 = neither agree nor disagree, and 5 = strongly agree. High scores indicate high satisfaction.
Time frame: Following delivery and prior to discharge, up to two days
Population: Data on this outcome are available for n=97 participants total. A total of 9 participants (4 in the Baseline group and 5 in the Website group) did not provide data on the primary outcome.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Baseline Group | Patient Satisfaction With Pain Control in Labor | 5 score on a scale |
| Website Group | Patient Satisfaction With Pain Control in Labor | 5 score on a scale |
p-value: 0.16Wilcoxon (Mann-Whitney)
Secondary
Epidural Analgesia Utilization Rate
Number of patients receiving epidural analgesia
Time frame: On day of delivery
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Baseline Group | Epidural Analgesia Utilization Rate | 41 Participants |
| Website Group | Epidural Analgesia Utilization Rate | 46 Participants |
p-value: >0.99Fisher Exact