Video Education for Postpartum Care

Overseen By Heather Lipkind, MD, MSce

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: Weill Medical College of Cornell University

Disqualifiers: Non-WCM postpartum care, Fetal demise, Language

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

Compensation: Varies

Number of Visits: 1

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if watching a short video can help new moms better recognize warning signs of serious health issues after childbirth, such as infections, heavy bleeding, and blood pressure problems. Participants will receive either standard written instructions or both written instructions and a video (Video Education). The researchers seek to understand if adding the video improves awareness of these health risks. This trial is suitable for new moms who identify as Black, Latinx, or multiracial, and those on Medicaid or without insurance, who received prenatal and postpartum care through a specific medical center. As an unphased trial, it offers new moms the chance to contribute to research that could enhance postpartum care education.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications, so it's best to ask the study team for guidance.

What prior data suggests that video education is safe for postpartum care?

Research shows that using videos to teach new mothers about postpartum care is safe. Studies have found that these videos help mothers learn important care steps without harm. For instance, one study found that a video used after childbirth helped mothers understand key care procedures without negative effects. Other research also shows that videos help mothers recognize warning signs after childbirth without issues. Overall, using videos is a safe and effective way to improve knowledge about postpartum care. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores how video education can enhance postpartum care. Unlike traditional methods that rely solely on written discharge instructions, this approach incorporates a 12-minute video to help new mothers recognize severe maternal morbidity (SMM) warning signs. The video aims to improve understanding by providing visual and auditory information, which can be more engaging and easier to remember than written text alone. This method could lead to quicker recognition of potential health issues, potentially improving outcomes for postpartum patients.

What evidence suggests that video education is effective for improving postpartum care knowledge?

Research shows that videos can be a useful tool for learning and raising awareness. Studies have found that video education can help with breastfeeding success, indicating that videos effectively share important health information. In other situations, video feedback has improved how mothers and infants interact, highlighting the potential of videos to boost understanding and behavior. Although in-person learning is usually more effective, video education still supports learning well. In this trial, participants in the "Written Discharge Education + Video Education" arm will view a 12-minute educational video on serious maternal morbidity (SMM) warning signs, in addition to receiving written discharge instructions. These findings suggest that video education could help people recognize the warning signs of serious health issues in mothers after childbirth. ^{2 6 7 8 9}

Who Is on the Research Team?

Heather Lipkind, MD, MSce

Principal Investigator

Weill Medical College of Cornell University

Are You a Good Fit for This Trial?

This trial is for self-identified Black, Latinx, or multiracial individuals who are on Medicaid or uninsured and have just given birth. It's designed to help them recognize early warning signs of serious health issues after childbirth. Participants must be able to complete questionnaires during their postpartum stay.

Inclusion Criteria

Self-identified as Black, Latinx, other and/or Medicaid or Uninsured

Informed and written consent

Delivered at WCM

Exclusion Criteria

Patients who do not plan to receive postpartum care within the WCM system

Patients who experience an intrauterine fetal demise

My primary language is not English or Spanish.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Intervention

Participants receive written discharge education and, for the intervention group, view a 12-minute educational video on severe maternal morbidity warning signs.

1 day

1 visit (in-person)

Post-discharge Monitoring

Participants complete a post-discharge questionnaire to assess knowledge retention on severe maternal morbidity warning signs.

1 week

Follow-up

Participants' antepartum, delivery, and postpartum course will be reviewed 6 months postpartum, including outpatient visits, emergency department visits, and any hospitalizations.

6 months

What Are the Treatments Tested in This Trial?

Interventions

• Video Education

Trial Overview The study tests if adding a video education component to standard written discharge instructions helps improve new mothers' understanding of severe maternal morbidity signs like infection, hemorrhage, and blood pressure disorders within the first week after delivery.

How Is the Trial Designed?

Group I: Written Discharge Education + Video Education Experimental Treatment 1 Intervention

These patients will view a 12-minute educational video on SMM warning signs, in addition to the written discharge instructions provided by nursing staff. At the completion of the video, they will complete a post-video questionnaire to assess their knowledge on the covered topics.

Group II: Written Discharge Education Active Control 1 Intervention

They will receive the written discharge instructions provided by nursing staff and complete the post-discharge instruction questionnaire.

Who Is Running the Clinical Trial?

Weill Medical College of Cornell University

Lead Sponsor

Trials

1,103

Recruited

1,157,000+

Published Research Related to This Trial

A systematic review of 51 studies found that social media contains reports of adverse events related to healthcare interventions, with a prevalence ranging from 0.2% to 8% of posts, particularly highlighting 'symptom' and 'mild' adverse events.

While social media can provide insights into adverse events, the data is inconsistent and lacks thorough evaluation for reliability, especially for serious and laboratory-based adverse events, indicating a need for caution in interpreting these reports.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Golder, S., Norman, G., Loke, YK.[2023]

An educational program for nursing technicians significantly improved their understanding of how to recognize and record Adverse Events (AEs) in hemodialysis patients, with test scores increasing from an average of 3.7 to 4.2 out of 5 after the intervention.

The program effectively combined classroom and online learning, demonstrating that such training methods can enhance the knowledge and skills of healthcare professionals in managing patient safety.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Nursing educational intervention for the identification of Adverse Events in hemodialysis. Pássaro, PG., D'Ávila, R.[2019]

A new approach to Morbidity and Mortality (M&M) Conferences has led to a 29% increase in overall satisfaction and a 50% increase in satisfaction regarding the addressing of process improvement issues over 5 years.

The hands-on, educational focus of the revamped M&M Conferences has resulted in 100% of faculty applying what they learn to their practice, suggesting that this model could enhance discussions about adverse events and improve patient safety across the medical community.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An Innovative and Integrative Approach to Breaking Down Barriers to Traditional Morbidity and Mortality Conference. Tresselt, E., Darnell Bowens, C., Dhar, A.[2023]

The use of video education via iPads significantly improved patients' knowledge about heart disease, with test scores rising from an average of 88.97% to 96.62% after the intervention, indicating high efficacy in enhancing understanding.

Despite high satisfaction rates (86.3%) and increased confidence in managing heart disease, there was no significant increase in attendance at cardiac rehabilitation sessions, suggesting that knowledge alone may not be enough to encourage participation in these programs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effects of iPad Video Education on Patient Knowledge, Satisfaction, and Cardiac Rehabilitation Attendance. Wischer, JL., Oermann, MH., Zadvinskis, IM., et al.[2019]

A media-based, self-instructional education program for health professionals was developed and tested in Michigan, showing significant improvements in knowledge and patient care practices among physicians and nurses.

The study demonstrates that targeted educational interventions can effectively enhance perinatal care, indicating a successful approach to improving healthcare delivery.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Impact of an education program on perinatal care practices. Harlan, WR., Hess, GE., Borer, RC., et al.[2004]

The introduction of educational videos for postpartum mothers did not significantly change the overall exclusive breastfeeding rates at discharge, remaining at 69.5% post-intervention compared to 68.4% pre-intervention.

However, mothers who watched all four videos were significantly more likely to breastfeed exclusively (72.7%) and engage in any breastfeeding (98.9%) compared to those who did not watch any videos (55.3% and 80.2%, respectively), indicating that the videos may positively influence breastfeeding practices among those who choose to watch them.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Prescribing Video-Based Patient Education in the Hospital Setting: Can Bedside Breastfeeding Videos Affect Exclusive Breastfeeding at Postpartum Discharge? Marmet, J., Schmiesing, A., Scheuer, J., et al.[2021]

Preoperative education, particularly through pamphlets, significantly enhances patients' knowledge and ability to perform postoperative activities, suggesting that written materials are effective tools for informing patients before surgery.

While videos as a teaching method have potential benefits for improving patient understanding, they have not been rigorously evaluated, indicating a need for further research to confirm their effectiveness compared to other educational formats.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Knowledge retention from preoperative patient information. Stern, C., Lockwood, C.[2011]

Using closed malpractice case data in training seminars for surgical residents can enhance their understanding of malpractice and improve their medical practice, with low risk and high potential benefits.

There is a growing trend towards transparency in sharing malpractice information, which could help bridge the gap between risk management and patient safety, ultimately leading to better training and patient care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Commentary: Medical malpractice and patient safety: tear down that wall! Alper, EJ., Wachter, RM.[2011]

A randomized controlled trial involving 522 low-income pregnant women found that watching a breastfeeding education video did not significantly extend the duration of breastfeeding or exclusive breastfeeding compared to a control video.

While the video alone was not effective in increasing breastfeeding duration, it suggests that such educational tools could be beneficial as part of a broader strategy to support breastfeeding among low-income women.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Randomized Trial of Prenatal Video Education to Improve Breastfeeding Among Low-Income Women. Kellams, AL., Gurka, KK., Hornsby, PP., et al.[2020]

Internet-based education significantly improved patients' knowledge levels more than face-to-face education with a nurse in a study involving 147 ambulatory orthopedic surgery patients.

Both education methods were effective in enhancing knowledge, but there was no difference in the sufficiency of knowledge between the two groups, indicating that online education is a viable alternative in ambulatory care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Ambulatory orthopaedic surgery patients' knowledge with internet-based education. Heikkinen, K., Leino-Kilpi, H., Salanterä, S.[2017]

A study involving 50 organ transplant patients found that individualized discharge teaching was equally effective whether delivered alone or supplemented with a videotape, as both methods resulted in similar test scores for knowledge retention.

Qualitative feedback from interviews indicated that patients were equally satisfied with both educational approaches, suggesting that using varied teaching methods can cater to different learning preferences and enhance patient understanding.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An evaluation of the effectiveness of a videotape for discharge teaching of organ transplant recipients. Steinberg, TG., Diercks, MJ., Millspaugh, J.[2019]

Maternal morbidity and mortality rates in the U.S. are concerningly high, particularly with rising postpartum deaths, highlighting the need for better education on potential complications.

The project aims to enhance postpartum discharge education provided by nurses, ensuring that women receive consistent and evidence-based information to recognize and respond to warning signs after childbirth.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving Postpartum Education About Warning Signs Of Maternal Morbidity and Mortality. Suplee, PD., Kleppel, L., Santa-Donato, A., et al.[2019]

The development of a preoperative videotape by an interdisciplinary team at the Albuquerque Veterans Affairs Medical Center led to improved patient satisfaction by enhancing the availability and consistency of preoperative instructions.

Preliminary data indicates that patients and their families found the videotape an appealing and effective addition to traditional preoperative teaching methods, aligning with JCAHO standards for patient education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A video approach to interactive patient education. Maller, CE., Twitty, VJ., Sauve, A.[2019]

A study involving 134 patients found that 90% rated the animated video on patient safety as good or very good, while 100% of those receiving oral information felt the same, indicating high satisfaction with both methods.

Despite the positive feedback for the video, 74% of patients who received both formats preferred the oral presentation, suggesting that while videos can enhance understanding, they should not replace traditional verbal communication for optimal patient engagement.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Communicating Patient Safety Information Through Video and Oral Formats-A Comparison. Bånnsgård, M., Nouri, A., Finizia, C., et al.[2023]

New mothers prefer technology-based educational materials over traditional paper handouts for learning about safe sleep practices for their newborns, indicating a shift in how educational content should be delivered.

Participants rated video teaching materials significantly higher than paper handouts, suggesting that healthcare organizations should adapt their patient education strategies to align with modern learning preferences.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Format of Parent Education Material Preferred by New Mothers. Raines, DA., Robinson, J.[2021]

Citations

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Comparison of the effect of face-to-face and video-based ... FtFE is more effective in informing mothers compared to VBE. However, VBE also positively affectes breastfeeding success.

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The effect of breastfeeding education given through the teach ... Breastfeeding education provided through the teach-back method is more effective in increasing both breastfeeding success and breastfeeding self-efficacy.

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Digital Training for Nurses and Midwives to Improve ... The current study aims to investigate and highlight the importance of the digital training of nurses in order to help women mitigate the symptoms of postpartum ...

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Supplementing provider counseling with an educational video ... A bilingual survey was developed to evaluate the impact of an educational video on birth satisfaction and knowledge of IOL procedures.

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The impact of tele-education support on mothers' sense ... This study is a quasi-experimental design aimed at determining the effect of supportive tele-education on postpartum care offered to women ...

8. iproc.org iproc.org/2019/1/e15245

Standardizing Postpartum Discharge Instructions With an ... The objective of this quality improvement project is to standardize postpartum education with the use of a postpartum education video available on a bedside ...

9. awhonn.org awhonn.org/education/post-birth-warning-signs-education-program/

POST-BIRTH Warning Signs Education Program This online course provides participants with strategies to educate patients and their families to recognize POST-BIRTH warning signs and reducing their risk ...