Educational Video for Intestinal Failure

Overseen By Kristi Kearney, MD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Chicago

Disqualifiers: Already on parenteral nutrition, others

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

Compensation: Varies

Number of Visits: Unknown

Duration: 12 months

100 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

The trial aims to create an educational video that teaches safe and clean techniques for handling central catheters at home, which deliver nutrition directly into the bloodstream. It focuses on helping those new to receiving parenteral nutrition (nutrition given through a vein) at home. Participants will either watch the educational video or continue with standard care. Suitable candidates for this trial are adults starting home parenteral nutrition for the first time and willing to manage it themselves. As an unphased trial, this study offers participants the chance to contribute to educational resources that could significantly improve home care practices for future patients.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this educational video is safe for use in home settings?

Research has shown that instructional videos can help reduce problems with central venous catheters by teaching caregivers how to safely manage them at home. Studies have found these videos effective in preventing issues for children with intestinal failure who receive nutrition through these catheters.

The video demonstrates how to safely handle central catheters for home nutrition infusions. It involves no direct contact or medication, making it a very low-risk method. As an educational tool, it has shown no evidence of physical side effects or negative events. The goal is to improve safe practices at home, thereby preventing complications. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores using an educational video to improve the management of intestinal failure at home. Unlike traditional treatments that focus on medical interventions, this approach aims to empower patients with knowledge about aseptic techniques for handling central catheters during parenteral nutrition infusions. By enhancing patient education, the video could potentially reduce complications and improve overall outcomes for those relying on home nutrition support.

What evidence suggests that this educational video is effective for teaching aseptic techniques in intestinal failure?

Research has shown that instructional videos can help reduce problems with central venous catheters. One study found that when these videos were part of a home teaching program, children needing nutrition through a vein experienced fewer catheter issues. Another study confirmed these results, noting fewer problems when families used educational videos. These tools, such as videos, have also improved health outcomes and patient understanding for those managing central venous catheters. In this trial, participants in one arm will watch an educational video on aseptic techniques to safely handle central catheters at home during parenteral nutrition infusions. This suggests that an educational video could help people use their catheters more safely and effectively at home. ^{1 2 3 6 7}

Who Is on the Research Team?

Dejan Micic, MD

Principal Investigator

University of Chicago

Are You a Good Fit for This Trial?

This trial is for adults over 18 who are starting home parenteral nutrition and can consent to participate. They must understand English and be willing to self-administer their nutrition.

Inclusion Criteria

I am starting parenteral nutrition at home for the first time.

Able to provide informed consent

Able speak and understand English

Exclusion Criteria

I am under 18 years old.

I am not willing to give myself nutrition through injections.

I am currently on home parenteral nutrition.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either routine care or watch an educational video on aseptic techniques for handling central catheters at home

12 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Educational video

Trial Overview

The study is testing an educational video designed to teach patients how to safely handle central catheters for administering their own parenteral nutrition at home using aseptic techniques.

How Is the Trial Designed?

Group I: Educational video Experimental Treatment 1 Intervention

Participants will be asked to watch an education video addressing aseptic techniques to safely handle central catheters at home during parenteral nutrition infusions.

Group II: No educational video Active Control 1 Intervention

Participants will be managed according to routine care.

Who Is Running the Clinical Trial?

University of Chicago

Lead Sponsor

Trials

1,086

Recruited

844,000+

Published Research Related to This Trial

Educational modules created by a medical student, in collaboration with a neonatologist, were effective in teaching neonatal care topics to family members, with 83% of participants answering all questions correctly after viewing the modules.

This study demonstrates that effective digital multimedia educational materials can be produced economically by healthcare workers without extensive training, making them accessible for patient education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effectiveness of Digital Multimedia Educational Aids Produced by Intensive Care Unit Providers. Amherdt, S., Kim, UO., Basir, MA.[2020]

A series of brief 'how to' videos significantly improved the ability of 11 surgical interns to complete 7 essential electronic medical record (EMR) tasks, with all interns able to perform these tasks after watching the videos, compared to only 6 out of 11 before.

The interns reported increased confidence in performing EMR tasks and demonstrated improved clinical performance during simulated emergencies, indicating that this educational intervention could enhance workflow efficiency and patient safety in perioperative settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

"How To" Videos Improve Residents Performance of Essential Perioperative Electronic Medical Records and Clinical Tasks. Zoghbi, V., Caskey, RC., Dumon, KR., et al.[2018]

A newly developed 20-question knowledge test on chronic intestinal failure (CIF) revealed that a cohort of 100 US gastroenterologists scored an average of 8.2 out of 20, indicating a significant lack of knowledge in this area.

The test demonstrated good reliability (Cronbach alpha of 0.74) and effectively distinguished between experts and nonexperts, highlighting the need for improved education and training in CIF care among gastroenterologists.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Knowledge of chronic intestinal failure among US gastroenterologists: Cause for concern and learning opportunity. Iyer, KR., Winkler, M., Zubizarreta, N., et al.[2022]

A multidisciplinary team approach and a protocol-driven strategy to prevent parenteral nutrition-associated liver disease (PNALD) significantly improved survival rates in patients with intestinal failure, with a 100% survival rate observed from 2006 to 2009 compared to a 72% survival rate in the historical cohort from 1998 to 2006.

The use of novel lipid therapies, including parenteral fish oil emulsion, contributed to successful weaning from parenteral nutrition in 87% of patients within an average of 3.9 months, while no patients developed PNALD during this period.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Elements of successful intestinal rehabilitation. Sigalet, D., Boctor, D., Brindle, M., et al.[2011]

The Intestinal Failure Improve Care Project at Arkansas Children's Hospital uses a multidisciplinary approach to enhance patient outcomes for those with Intestinal Failure, focusing on care coordination and education.

This project aims to establish a framework for future research in the field, indicating a commitment to improving treatment strategies and patient care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Intestinal failure improve care project at Arkansas children's hospital. Frem, JC., Buse, L.[2012]

A study evaluating 48 YouTube videos on bowel management in children found that videos aimed at professionals had higher reliability and quality scores compared to those intended for the public, with mean DISCERN scores of 75.73 for professionals versus 45.30 for the public.

Despite the higher quality, professional videos were longer (averaging 57.7 minutes) and had fewer views (median 404.5) compared to public videos, which were shorter (averaging 5.7 minutes) and more widely viewed (median 8400), suggesting a need for more concise and accessible content for general audiences.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Quality Assessment of YouTube Videos as an Information Source for Bowel Management in Children. Anadolulu, Aİ., Gerçel, G., Durakbaşa, ÇU.[2023]

An educational video on bowel emptying maneuvers was successfully developed and validated, receiving a 94% approval rating from experts and 100% positive feedback from participants in a pilot study.

The video aims to enhance the training and rehabilitation process for individuals with neurogenic bowel, indicating its potential effectiveness as an educational tool.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Bowel rehabilitation of individuals with spinal cord injury: video production. Campoy, LT., Rabeh, SAN., Castro, FFS., et al.[2019]

A significant improvement in survival rates for pediatric patients with intestinal failure (IF) was observed over two decades, particularly for those diagnosed after 1994, indicating advancements in treatment and care.

The establishment of a comprehensive intestinal failure clinical care team was the only intervention linked to improved survival, highlighting the importance of multi-disciplinary approaches in managing complex pediatric cases.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Survival outcomes of pediatric intestinal failure patients: analysis of factors contributing to improved survival over the past two decades. Hess, RA., Welch, KB., Brown, PI., et al.[2011]

A retrospective analysis of 120 pediatric patients with chronic intestinal failure (CIF) over 28 years showed high survival rates, with 98.4% surviving the first year of home parenteral nutrition (HPN) and 93.8% surviving beyond five years.

The study found a significant decrease in catheter-related bloodstream infections (CRBSI) rates over time, indicating improved safety and care standards, and highlighted that 56.7% of patients regained enteral autonomy within one year of starting HPN.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

HPN Standard of Care and Long-Term Outcomes of CIF Pediatric Patients: Twenty-Eight Years' Experience in a Reference Center. Lezo, A., D'Eusebio, C., Riboldi, L., et al.[2022]

Incorporating short instructional videos from Osmosis into a preclinical Cardiovascular Systems course significantly enhanced student engagement, with 87.9% of surveyed students finding the videos helpful for learning.

The majority of students (57.8%) preferred the Osmosis videos over traditional lectures, indicating that commercial medical education videos can improve learning experiences with minimal faculty effort.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Use of Commercially Produced Medical Education Videos in a Cardiovascular Curriculum: Multiple Cohort Study. Tackett, S., Green, D., Dyal, M., et al.[2021]

An educational video storyboard about caring for premature newborns was successfully constructed and validated, achieving a high Content Validity Index of 0.9 from 14 expert judges.

The storyboard, based on the Cognitive Theory of Multimedia Learning, is designed to effectively promote health and guide caregivers in providing appropriate care for premature infants at home.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Construction and validity of educational technology in audiovisual media on premature newborn care. Nascimento, MVF., Alvarenga, WA., Gouveia, MTO., et al.[2023]

A virtual learning object (VLO) on intestinal elimination stoma was developed and validated with input from 16 experts, including stoma therapists and computer scientists, indicating a collaborative approach to educational tool creation.

The VLO received positive feedback for its ergonomic and pedagogical design, suggesting it can effectively enhance nursing education and improve care for patients with stomas, promoting safe and quality self-care practices.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Construction and validation of a virtual learning object on intestinal elimination stoma. Soares Rodrigues Braga, C., Leite Rangel Andrade, EM., Barros Araújo Luz, MH., et al.[2019]

A study analyzing 92 YouTube videos on 'patient safety' found that they generally promote a positive view of patient safety, focusing on creating a culture of safety rather than a punitive approach.

High-quality videos can enhance the training of health students and professionals, and they can also help raise awareness among individuals about their role in ensuring patient safety.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Patient safety: characterization of YouTube videos. Salvador, PT., Costa, TD., Gomes, AT., et al.[2022]

The LIFT-ECHO project utilizes videoconferencing to provide specialized education and support for healthcare providers managing patients with intestinal failure, aiming to improve care delivery in this complex condition.

By adopting the ECHO model, the project facilitates interprofessional collaboration and knowledge sharing, which is expected to enhance patient outcomes and access to expert care for those reliant on intravenous fluids or parenteral nutrition.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Learn Intestinal Failure Tele-ECHO Project: An innovative online telementoring and case-based learning clinic. Winkler, MF., Tappenden, KA., Spangenburg, M., et al.[2021]

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