Health Education Videos for Transition Readiness

Overseen By Caitlin S Sayegh, PhD

Age: < 18

Sex: Any

Trial Phase: Academic

Sponsor: Children's Hospital Los Angeles

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

44 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on health education videos, so it's unlikely that medication changes are required.

What data supports the effectiveness of the treatment Health Care Transition Readiness Short-Form Video Intervention?

Research shows that patient education, especially when behaviorally-oriented and using video-based interventions, can improve patient compliance and health outcomes. Video-assisted education has been effective in modifying behavior, which suggests that similar video interventions could help improve transition readiness in healthcare settings. ^{1 2 3 4 5}

How is the Health Care Transition Readiness Short-Form Video Intervention treatment different from other treatments?

This treatment is unique because it uses short-form videos to educate and prepare patients for transitioning in healthcare, leveraging the accessibility and engagement of video content. Unlike traditional methods, it can be easily disseminated and tailored to meet the specific needs of different communities, making it a flexible and scalable option for health education. ^{6 7 8 9 10}

What is the purpose of this trial?

The goal of this clinical trial is to assess whether social-media style short-form health education videos can increase health care transition readiness, self-efficacy, emotional well-being, health literacy, and appointment attendance, compared with publicly available health education resources in adolescents with chronic illnesses. The main question it aims to answer is: -Hypothesize social media intervention will increase health care transition readiness, self-efficacy, emotional well-being, health literacy, and appointment attendance compared to publicly available health education website immediately post intervention and at 6 month follow up. Participants will be randomly assigned to one of the interventions and access the intervention for 20 minutes and complete 30-60 minutes of surveys.

Research Team

Caitlin S Sayegh, PhD

Principal Investigator

Children's Hospital Los Angeles

Eligibility Criteria

This trial is for adolescents with chronic illnesses who are looking to improve their health care transition readiness, self-efficacy, emotional well-being, and health literacy. It's also aimed at those who want to increase their likelihood of attending medical appointments.

Inclusion Criteria

Patients with access to an internet-connected device

I understand the study procedures when they are explained to me.

I am between 12 and 17 years old and seeing a specialist.

Exclusion Criteria

Not applicable.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants are randomly assigned to either the social media intervention or the control condition and access the intervention for 20 minutes, followed by 30-60 minutes of surveys

1 day

Immediate Post-Intervention Assessment

Participants complete assessments immediately after the intervention to evaluate transition readiness, self-efficacy, emotional well-being, and health literacy

1 day

Follow-up

Participants are monitored for changes in transition readiness, self-efficacy, emotional well-being, health literacy, and appointment attendance at 6 months post-intervention

6 months

Treatment Details

Interventions

• Health Care Transition Readiness Short-Form Video Intervention

Trial Overview The study tests if short-form social-media style health education videos can be more effective than a standard health education website (GotTransition.org) in helping teens manage their chronic illnesses. Participants will use the assigned resource for 20 minutes and complete surveys.

Participant Groups

Group I: Health education videos Experimental Treatment 1 Intervention

The social media intervention will consist of 7 short videos between 20-60 seconds each, filmed by a professional videographer. Videos 1) start with text asking a question or giving a title highlighting the educational topic, 2) display adolescent volunteer patient partners directly teaching self-management and transition skills, demonstrating the skills via tutorials, or presenting health education content in the style of social media trends, and 3) conclude with a written summary of take-away points. The videos will be shared to participants as a password-protected Vimeo.com playlist. If participants are more comfortable in Spanish, they will be given the option to view the videos dubbed in Spanish.

Group II: Publicly Available Health Education Website Active Control 1 Intervention

The social media intervention will be contrasted against a control condition consisting of sharing the GotTransition.org Youth and Young Adult Resources webpage: https://gottransition.org/youth-and-young-adults/. This website is a project from The National Alliance to Advance Adolescent Health. The webpage includes videos, infographics, quizzes, and frequently asked questions. Testing the social media intervention against this existing national resource will assess whether the novel intervention is relatively more acceptable or efficacious than an active comparison. If participants are more comfortable in Spanish, a prompt will be provided to them to use the website search function to locate resources in Spanish.

Who Is Running the Clinical Trial?

Children's Hospital Los Angeles

Lead Sponsor

Trials

257

Recruited

5,075,000+

Findings from Research

Patient education significantly improves compliance with therapeutic regimens in chronic disease management, with an average improvement of 0.67 sigma over control groups, indicating a strong effect.

While patient education also leads to improvements in physiological progress (0.49 sigma) and health outcomes (0.02 sigma), the most effective strategies involve behaviorally-oriented programs that focus on changing the patient's environment rather than just increasing knowledge.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Does patient education in chronic disease have therapeutic value? Mazzuca, SA.[2019]

Non-compliance in patients is often due to a lack of information and support from healthcare providers rather than intentional neglect, highlighting the need for better communication and education.

Effective self-management programs, particularly for conditions like type 1 diabetes and severe asthma, can significantly improve treatment outcomes when they provide evidence-based knowledge and empower patients, unlike generic programs that do not target specific diseases.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Does patient knowledge improve treatment outcome?]. Mühlhauser, I., Lenz, M.[2019]

A review of 62 studies found that 61% reported significant improvements in patient outcomes when using video-based educational interventions compared to standard education techniques in inpatient settings.

Video-based education effectively enhances short-term health literacy, but its impact on long-term behavior changes remains uncertain, suggesting that combining various educational methods over time may yield better health outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. Dahodwala, M., Geransar, R., Babion, J., et al.[2019]

Current COPD patient education programs have shown limited success, indicating a need for more effective designs that go beyond just providing medical information.

Future programs should focus on improving patients' self-efficacy in disease management and include a broader range of health behavior determinants to enhance their effectiveness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Patient education programs--can they improve outcomes in COPD? Harris, M., Smith, BJ., Veale, A.[2021]

References

1. England pubmed.ncbi.nlm.nih.gov

Does patient education in chronic disease have therapeutic value? [2019]

2. Netherlands pubmed.ncbi.nlm.nih.gov

[Does patient knowledge improve treatment outcome?]. [2019]

3. Ireland pubmed.ncbi.nlm.nih.gov

The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. [2019]

4. Ireland pubmed.ncbi.nlm.nih.gov

Video-assisted patient education to modify behavior: a systematic review. [2022]

5. New Zealand pubmed.ncbi.nlm.nih.gov

Patient education programs--can they improve outcomes in COPD? [2021]

6. Canada pubmed.ncbi.nlm.nih.gov

Human-Centered Design of Video-Based Health Education: An Iterative, Collaborative, Community-Based Approach. [2020]

7. Ireland pubmed.ncbi.nlm.nih.gov

Effect of patient education videos on modifying medication-related health behaviours: A systematic review using the behaviour intervention functions. [2023]

8. United States pubmed.ncbi.nlm.nih.gov

Optimizing educational video through comparative trials in clinical environments. [2021]

9. Canada pubmed.ncbi.nlm.nih.gov

Empowering Patients Living With Chronic Conditions Using Video as an Educational Tool: Scoping Review. [2022]

10. United States pubmed.ncbi.nlm.nih.gov

Videos to influence: a systematic review of effectiveness of video-based education in modifying health behaviors. [2022]