Adolescent Idiopathic Scoliosis, Patient Engagement
Conditions
Keywords
Scoliosis, Multimedia, Patient Education, Health Education, Adolescent Idiopathic Scoliosis
Brief summary
The goal of this triple-masked three-armed feasibility randomised controlled trial is to compare patient education materials for participants with adolescent idiopathic scoliosis. The main question it aims to answer are: * Are educational videos superior to usual care? * Are educational videos formatted in line with literature advice on multimedia design superior to videos formatted as traditionally found on scoliosis advisory websites Participants in the video groups will be asked to do view six educational videos and respond to a quiz. Researchers will compare the informed video group and traditional video group to usual care to see if there are differences in engagement, quality of life, physical activity and health-related anxiety.
Detailed description
Multimedia patient education materials are increasingly used in healthcare. This triple-masked three-armed feasibility randomised controlled trial will examine participants aged 10-18 with radiographically confirmed adolescent idiopathic scoliosis and their response to usual care or to receive multimedia educational videos with or without evidence-informed design principles. Primary outcomes will be patient knowledge measured by online quiz and engagement measured by YouTube analytics. Participants will be masked in the two video intervention arms, as will the therapist sending the educational videos. The results will outline the number of participants recruited and randomised, the number analysed post-intervention and at week eight, and the outcomes for baseline, post-intervention and week 8, which will include the effect size and level of precision. Adverse events will also be reported. This feasibility randomised controlled trial will offer insight into the effectiveness of implementing advice from the literature in designing multimedia patient education materials for a population with adolescent idiopathic scoliosis.
Interventions
OTHERTraditional video format
6 x 3 minute videos designed in the same format as traditionally found on the internet
OTHEREvidence-informed video format
6 x 3 minute videos designed in the format recommended by advice in the literature
Sponsors
University College Dublin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
10 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* aged 10-18 years * parent/guardian consent for those under 18 years of age * adolescent Idiopathic Scoliosis (AIS) as confirmed by Cobb angle ≥10deg on plain film radiographs * able to watch and listen to online educational materials as well as read and complete online surveys
Exclusion criteria
\- scoliosis due to non-AIS conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number recruited, rejected, randomised, dropped off, completed | Week 0,1,2,3,4,5,6,7,8 | Number of participants enrolled at each stage of recruitment, rejection, randomisation, during study, and upon completion |
| Dropout reasons | Week 1,2,3,4,5,6,7,8 | Participant reasons for dropping out (if provided) |
| Outcomes completed | Week 1,2,3,4,5,6,7,8 | Percentage of outcomes completed |
| Satisfaction with study procedures | Week 8 | Patient response to tailored question about satisfaction with intervention & study process. Question will read How satisfied were you with the study process? and participants will score on a 5-point scale with 1 being Very Unsatisfied and 5 being Very Satisfied |
| Number and type of adverse events | Week 2,3,4,5,6,7,8 | Adverse events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| YouTube Behavioural Engagement | Week 1,2,3,4,5,6,7,8 | Percent of time on specific segments |
| YouTube Time to Complete | Week 1,2,3,4,5,6,7,8 | Time relative to completion |
| YouTube Visits | Week 1,2,3,4,5,6,7,8 | Number of views for the video |
| Scoliosis Research Society 22-revised | Week 0, 8 | Scoliosis Research Society 22-item revised questionnaire of health-related quality of life. The SRS-22r measures quality of life across 5 domains - Function (5 questions), Pain (5 questions) Self-Image (5 questions), Mental Health (5 questions), Satisfaction/Dissatisfaction (2 questions). The maximum score in each domain is 5 and minimum score is 1, with higher scores representing greater patient quality of life. |
| European Quality of Life 5-Dimension Youth Version | Week 0, 8 | The EQ-5D-Y descriptive system comprises the following five dimensions: mobility, looking after myself, doing usual activities, having pain or discomfort and feeling worried, sad or unhappy. Each dimension has 3 levels: no problems, some problems and a lot of problems. A higher score indicates higher quality of health. |
| Physical Activity Questionnaire - older Children | Week 0, 8 | Physical Activity Questionnaire for older Children is a a seven-day recall self-administered questionnaire to evaluate moderately to vigorous physical activity in child. A higher score indicates a higher level of physical activity. |
| State Trait Anxiety Index (Children) | Week 0, 8 | State Trait Anxiety Index for Children is a psychological inventory consisting of 40 self-report items on a 4-point Likert scale. The STAI measures two types of anxiety - state anxiety and trait anxiety. Higher scores are positively correlated with higher levels of anxiety. |
| YouTube Affective Engagement | Week 1,2,3,4,5,6 | Selecting thumbs up (like) or down (dislike) using like buttons |
| YouTube Average Watch Duration | Week 1,2,3,4,5,6 | Duration of video view |
| Knowledge Translation | Week 1,2,3,4,5,6 | 5-item multiple choice quiz immediately after video watching |
| Knowledge Retention | Week 8 | 40-item multiple choice quiz after 8 weeks |
| YouTube Watch Percentage | Week 1,2,3,4,5,6,7,8 | Watch time / Total time |
Countries
Ireland
Outcome results
None listed